Paediatric anomalous/raised optic disc

Moorfields South have introduced a new referral pathway for children (age between 0-17 years of age) with blurry optic disc margins with no other red flags. This pathway is for children with GPs in Merton, Wandsworth and Croydon only. Moorfields would like practitioners to use the enclosed referral form or complete all the information required in the enclosed form using any other referral letter.

The referral should be emailed directly to moorfields.sghurgentcare@nhs.net

Paediatric anomalous/raised optic disc referral form (ages 0-17)

Introductory text from the referral form:

Please ensure the examination findings and symptoms questionnaire are fully completed so that we can triage the referral appropriately, or ensure the details below are included in your own referral template. The child may be given an appointment in a virtual clinic where we will only be undertaking imaging and so please highlight if there was any difficulty in obtaining the below examination findings. Please note if the child has developmental delay, ADHD or autism that may affect examination.

Follow the link below to download an editable version of the  referral form.

Paediatric anomalous/raised optic disc Referral Form