Urgent Ophthalmology Referrals

Leeds Teaching Hospitals have issued guidance to Optometrists who require to refer a patient urgently.

Primary Care Access Line (PCAL) – (0113) 2065996 can be called by any Optometrist to refer a patient urgently.

PCAL lines are open from 7am til 12 midnight Monday to Friday, then at the weekend 8am-7pm. These lines are staffed by nurses who are experienced in general Accident & Emergency nursing so will not have specialist ophthalmic knowledge but may have some decision making protocols.

Click here to view the SOP for the PCAL pathway.


Binocular double vision of recent onset (<2 weeks) should be seen urgently; a faxed referral to the Orthoptic Department at St James’s can be made (Fax 0113 2066055). This same fax can be used for semi-urgent cases of binocular diplopia where onset is > 2 weeks ago; please include patient phone number.

Please click on the link on the right to read the full guidance from Mr John Buchan, Consultant in Emergency Eye Care, SJUH.

Children – for guidance on urgent referrals for children (updated 2018) see the Children’s vision pathway.


AMD Fast-Track Pathway


Practitioners are reminded to use the Leeds wet AMD rapid access referral pathway for urgent cases, who may benefit from prompt diagnosis and treatment.  This can speed up the process and avoid unnecessary delays for the patient, who should be seen within 2 weeks.


West Yorkshire and Harrogate Suspected “Wet” AMD Rapid Access Referral Form.

Please email any referrals using the email listed on the form to your chosen provider via your account.

Please note faxing is no longer available. 


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