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[Blog](https://info.onedoc.ch/en/blog/ "Go to Blog.") [Ophtalmologists](https://info.onedoc.ch/en/blog/ophtalmologists/ "Go to the Ophtalmologists Category archives.") Triage in ophthalmology: how top clinics efficiently prioritise patients # Triage in ophthalmology: how top clinics efficiently prioritise patients 29/12/2025 [Ophtalmologists](https://info.onedoc.ch/en/blog/ophtalmologists/)  Swiss ophthalmology practices are facing __growing pressure__. An aging population, an increase in chronic eye diseases, and a shortage of specialists… The volume of requests is growing faster than the capacity for care. In this context, continuing to operate on a *“first come, first served”* basis quickly reaches its limits. This is precisely where __triage in ophthalmology__ becomes a key lever. When well structured, it allows you to __prioritize patients who need it most__, while improving patient flow and the daily lives of staff.  [Discover OneDoc for ophthalmologists](https://info.onedoc.ch/en/specialty/ophthalmologist/) ## What is meant by triage in ophthalmology? As in other specialties, triage in ophthalmology involves __quickly assessing the severity of a clinical situation__ to determine the most appropriate time for care. It’s not about making a final diagnosis, but about __ranking requests__ based on the risk to the patient’s vision and the potential urgency. To do so, you must consider: - The __symptoms__ described by the patient - Their __onset__ - Their __progression__ - The presence or absence of __pain__ - The general __medical context__ ## Why structuring triage has become essential in ophthalmology practices In many practices, triage still largely relies on individual experience, intuition, or the *“first come, first served”* approach mentioned in the introduction. While this may work on a small scale, it quickly shows its limits as soon as the volume of calls and requests increases. Unstructured triage exposes you to several risks: - __Delays__ in patient care - __Disruption__ of the appointment schedule - __Overload__ of the front desk - A __loss of control__ felt by teams By directing patients more effectively, you save time and can focus on situations with higher clinical value. ## The three levels of triage in ophthalmology Most ophthalmology practices rely on a simple three-level classification, such as the __Rome Eye System for Scoring Urgency and Emergency (RESCUE)__. These three levels are often paired with a color code (red, orange, yellow). This method has the advantage of being __easy to understand and quick to apply__, especially for administrative staff. Its main limitation, however, is __subjectivity__ if the criteria are not clearly defined. Without a precise framework, two people may classify the same situation differently. | Category | Description | Recommended timeframe | |---------------------|---------------------------------------|--------------------------------| | Emergency (red) | Situation directly threatening vision | Immediate / within a few hours | | Urgent (orange) | Potential short-term risk | 24 to 48 hours | | Non-urgent (yellow) | Stable situation | Several days to weeks | ### Ophthalmic emergencies (immediate care) Certain situations must be identified without delay, as they directly affect visual prognosis. Among the most frequent warning signs are: - __Sudden and persistent vision loss__ - __Severe eye pain__ - A __painful red eye__ - A __recent eye trauma__ Suspected __retinal detachment__, the presence of an intraocular __foreign body__, or __chemical burns__ also require immediate action. Finally, associated neurological symptoms (speech disorders, motor deficits, severe headaches) should prompt urgent care outside the practice. ### Urgent situations (care within 24 to 48 hours) Other situations, while not immediately sight-threatening, require rapid assessment. This includes, for example: - __Recent-onset diplopia__ - __Distorted vision__ - __Redness__ accompanied by __discharge__ - __Persistent blurred vision without pain__. ### Situations not requiring immediate care Some situations may be uncomfortable for the patient but __do not pose a short-term risk to vision__. These cases can easily be managed at a later stage once emergencies have been addressed.  #### Our solutions to reduce the administrative burden of ophthalmology practices | | | |-----------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------| |  [Online booking](https://info.onedoc.ch/en/hub/online-booking/) |  [Teleconsultation](https://info.onedoc.ch/en/visio/teleconsultation-module/) | |  [Patient referral](https://info.onedoc.ch/en/hub/referral/) |  [Step-based appointments](https://info.onedoc.ch/en/hub/step-by-step-appointment/) | [Get a demo](https://info.onedoc.ch) ## Triage methods used by high-performing ophthalmology practices The most efficient ophthalmology practices share one thing in common: triage is neither improvised nor left to chance, but relies on __clear methods adapted to real-world practice__. The goal is not to complicate processes, but rather to __gain speed and consistency in decision-making__. ### More advanced and customised scoring systems It is recommended to __customise classifications__ to your practice and your on-the-ground expertise. This saves time on documentation and improves efficiency when sorting patients. In practice, this can take the form of a __simplified scoring grid__ used by the team during first contact. For example, some practices assign points based on a few key criteria: sudden onset of symptoms, presence of pain, objectively reduced vision, or a traumatic context. A high score automatically triggers a rapid consultation, while a low score leads to a longer timeframe or simple advice. This pragmatic approach, inspired by models such as RESCUE but adapted locally, helps __standardise decisions without excessive rigidity__. ### Link with referring physicians Effective triage does not stop at the practice door. The best centres work closely with __referring physicians__. Collaborating with trusted partners who regularly refer patients makes organisation easier. A solid understanding of their practices helps __anticipate requests and orient patients more quickly according to the severity of their condition__. This coordination improves prioritisation and makes the care pathway smoother. When necessary, you can also __[refer patients](https://info.onedoc.ch/en/needs/refer-your-patients/) whose situation does not require immediate specialist care__ to a general practitioner or another more appropriate professional. This mutual understanding helps __anticipate demand__, reduce inappropriate consultations, and more quickly direct truly high-priority patients. ### Continuous improvement based on feedback No triage system is perfect. The most high-performing ophthalmology practices are those that take the time to __regularly analyse past decisions__. Reviewing an underestimated case—or, conversely, one that was over-prioritised—helps identify signals that were missed or overinterpreted. These experiences can be shared during team meetings, where criteria are adjusted and practices harmonised. This collective dynamic embeds triage in a __continuous improvement mindset__, benefiting both patients and teams. ### Remote triage and pre-triage in modern practice organisation The evolution of medical practice is leading more and more clinics to integrate __pre-triage__ into their organisation. By collecting certain information before the appointment, it becomes possible to better qualify requests from the very first contact. Several studies show that remote triage, particularly in a [tele-ophthalmology](https://info.onedoc.ch/en/visio/teleconsultation-module/) setting, can improve the relevance of prioritisation. In just a few minutes, you can __assess the patient’s condition and pre-categorise it__ according to your practice’s triage grid, or advise them to stay at home if consultation is not required. ### AI as an aid to triage Artificial intelligence also opens up new perspectives. A study published in *Digital Health* showed that a __properly trained chatbot could perform initial patient triage with results comparable to those of ophthalmologists__. Used as a support tool, this technology can facilitate __structured symptom collection__, reduce administrative burden, and more effectively guide patients. The goal is not to replace medical expertise, but to __free up time__ so that you and your team can focus on care requiring your expertise. ## Towards more efficient ophthalmic triage In a context of growing pressure on ophthalmic care, structuring triage has become a necessity. By applying these best practices, __triage can become a true strategic lever, allowing you to free up time__ for ophthalmic care.  [Talk to our team to find out how OneDoc can help modernise your ophthalmology practice](#) ## Source - [AlSamnan, M., AlAmry, M., Aldossari, S., Talea, M., Khandekar, R., & AlGhadeer, H. (2023). Validity of an Ocular Emergency Triage System Compared to the Existing Grading System at the Emergency Unit of a Tertiary Eye Hospital in Saudi Arabia. *Clinical ophthalmology (Auckland, N.Z.)*, *17*, 527–534.](https://pmc.ncbi.nlm.nih.gov/articles/PMC9922481/) [https://doi.org/10.2147/OPTH.S397504](https://doi.org/10.2147/OPTH.S397504). - [Jost, A. Build a successful triage team, *Ophthalmic Professional*](https://www.ophthalmicprofessional.com/issues/2017/july/build-a-successful-triage-team/). - [Optometry-evolution: Mastering Emergency Eye Care: Essential Triage Guidelines for Eye Conditions](https://www.optometry-evolution.com/other-ocular-pathology/mastering-emergency-eye-care-essential-triage-guidelines-for-eye-conditions/). - [Rossi T, Boccassini B, Iossa M, Mutolo MG, Lesnoni G, Mutolo PA. Triaging and Coding Ophthalmic Emergency – the Rome Eye Scoring System for Urgency and Emergency (RESCUE): A Pilot Study of 1000 Eye-Dedicated Emergency Room Patients. *European Journal of Ophthalmology*. 2018;17(3):413-417. doi:10.1177/112067210701700324](https://journals.sagepub.com/doi/10.1177/112067210701700324). - [Schumacher, I., Ferro Desideri, L., Bühler, V. M. M., Sagurski, N., Subhi, Y., Bhardwaj, G., Roth, J., & Anguita, R. (2025). Performance analysis of an emergency triage system in ophthalmology using a customized CHATBOT. *Digital health*, *11*, 20552076251320298. doi:10.1177/20552076251320298](https://pubmed.ncbi.nlm.nih.gov/40357425/). - [Solís, Rafael & Griñolo, Mª & Zúñiga, Beatriz & Albert, Beatriz & Villar, María & Troncoso, María & Pablos, Rocío & Franch, Enrique. (2025). Effective Validation of Primary Care Patient Triage Classification Via Tele-Ophthalmology With Optometrist Support. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 62. 10.1177/00469580251367231](https://www.researchgate.net/publication/395016100_Effective_Validation_of_Primary_Care_Patient_Triage_Classification_Via_Tele-Ophthalmology_With_Optometrist_Support). 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[Read the article](https://info.onedoc.ch/en/blog/dermatologists/digitalization-dermatology-switzerland/) [](https://info.onedoc.ch/en/blog/dermatologists/dermatology-teleconsultation/ "Dermatology teleconsultation: why adopt it in 2026 and what are the limits") - [Dermatologists](https://info.onedoc.ch/en/blog/dermatologists/) ##### [Dermatology teleconsultation: why adopt it in 2026 and what are the limits](https://info.onedoc.ch/en/blog/dermatologists/dermatology-teleconsultation/ "Dermatology teleconsultation: why adopt it in 2026 and what are the limits") [Read the article](https://info.onedoc.ch/en/blog/dermatologists/dermatology-teleconsultation/) [](https://info.onedoc.ch/en/blog/ophtalmologists/ophthalmology-clinic-reduce-waiting-times/ "Ophthalmology clinic: 5 strategies to reduce patient wait times without hiring more staff") - [Ophtalmologists](https://info.onedoc.ch/en/blog/ophtalmologists/) ##### [Ophthalmology clinic: 5 strategies to reduce patient wait times without hiring more staff](https://info.onedoc.ch/en/blog/ophtalmologists/ophthalmology-clinic-reduce-waiting-times/ "Ophthalmology clinic: 5 strategies to reduce patient wait times without hiring more staff") [Read the article](https://info.onedoc.ch/en/blog/ophtalmologists/ophthalmology-clinic-reduce-waiting-times/) [](https://info.onedoc.ch/en/blog/physiotherapists/private-practice-psychologist-consultation/ "Independent Psychologists: The Most Common Practice Model in Switzerland — Pros and Cons") - [Physiotherapists](https://info.onedoc.ch/en/blog/physiotherapists/) ##### [Independent Psychologists: The Most Common Practice Model in Switzerland — Pros and Cons](https://info.onedoc.ch/en/blog/physiotherapists/private-practice-psychologist-consultation/ "Independent Psychologists: The Most Common Practice Model in Switzerland — Pros and Cons") [Read the article](https://info.onedoc.ch/en/blog/physiotherapists/private-practice-psychologist-consultation/) [](https://info.onedoc.ch/en/blog/all-specialties/case-study-unige-access-care-teleconsultation/ "[Case study] How UNIGE is improving student access to care through teleconsultation") - [All specialties](https://info.onedoc.ch/en/blog/all-specialties/) ##### [\[Case study\] How UNIGE is improving student access to care through teleconsultation](https://info.onedoc.ch/en/blog/all-specialties/case-study-unige-access-care-teleconsultation/ "[Case study] How UNIGE is improving student access to care through teleconsultation") [Read the article](https://info.onedoc.ch/en/blog/all-specialties/case-study-unige-access-care-teleconsultation/) [](https://info.onedoc.ch/en/blog/dermatologists/digitalization-dermatology-switzerland/ "Digitalization in dermatology: where do Swiss practices really stand?") - [Dermatologists](https://info.onedoc.ch/en/blog/dermatologists/) ##### [Digitalization in dermatology: where do Swiss practices really stand?](https://info.onedoc.ch/en/blog/dermatologists/digitalization-dermatology-switzerland/ "Digitalization in dermatology: where do Swiss practices really stand?") [Read the article](https://info.onedoc.ch/en/blog/dermatologists/digitalization-dermatology-switzerland/) [](https://info.onedoc.ch/en/blog/dermatologists/dermatology-teleconsultation/ "Dermatology teleconsultation: why adopt it in 2026 and what are the limits") - [Dermatologists](https://info.onedoc.ch/en/blog/dermatologists/) ##### [Dermatology teleconsultation: why adopt it in 2026 and what are the limits](https://info.onedoc.ch/en/blog/dermatologists/dermatology-teleconsultation/ "Dermatology teleconsultation: why adopt it in 2026 and what are the limits") [Read the article](https://info.onedoc.ch/en/blog/dermatologists/dermatology-teleconsultation/) [](https://info.onedoc.ch/en/blog/ophtalmologists/ophthalmology-clinic-reduce-waiting-times/ "Ophthalmology clinic: 5 strategies to reduce patient wait times without hiring more staff") - [Ophtalmologists](https://info.onedoc.ch/en/blog/ophtalmologists/) ##### [Ophthalmology clinic: 5 strategies to reduce patient wait times without hiring more staff](https://info.onedoc.ch/en/blog/ophtalmologists/ophthalmology-clinic-reduce-waiting-times/ "Ophthalmology clinic: 5 strategies to reduce patient wait times without hiring more staff") [Read the article](https://info.onedoc.ch/en/blog/ophtalmologists/ophthalmology-clinic-reduce-waiting-times/) prev next ##### About OneDoc - 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