{"id":34806,"date":"2025-12-29T10:21:00","date_gmt":"2025-12-29T08:21:00","guid":{"rendered":"https:\/\/info.onedoc.ch\/?p=34806"},"modified":"2025-12-29T10:21:04","modified_gmt":"2025-12-29T08:21:04","slug":"triage-ophthalmology-clinic","status":"publish","type":"post","link":"https:\/\/info.onedoc.ch\/en\/blog\/ophtalmologists\/triage-ophthalmology-clinic\/","title":{"rendered":"Triage in ophthalmology: how top clinics efficiently prioritise patients"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row gap=&#8221;10&#8243; kd_background_image_position=&#8221;vc_row-bg-position-top&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]Swiss ophthalmology practices are facing <strong>growing pressure<\/strong>. An aging population, an increase in chronic eye diseases, and a shortage of specialists\u2026 The volume of requests is growing faster than the capacity for care.<\/p>\n<p>In this context, continuing to operate on a <em>&#8220;first come, first served&#8221;<\/em> basis quickly reaches its limits. This is precisely where <strong>triage in ophthalmology<\/strong> becomes a key lever. When well structured, it allows you to <strong>prioritize patients who need it most<\/strong>, while improving patient flow and the daily lives of staff.[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1766767178477{margin-top: 50px !important;margin-bottom: 50px !important;}&#8221;]<\/p>\n<p style=\"text-align: center; font-size: 25px;\">\ud83d\udc41\ufe0f\u00a0<a href=\"https:\/\/info.onedoc.ch\/fr\/specialite\/ophtalmologue\/\">Discover OneDoc for ophthalmologists<\/a><\/p>\n<p>[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title  btf-q  vc_custom_1766767191192\" ><h2 class=\"separator_off\" >What is meant by triage in ophthalmology?<\/h2><\/header>[vc_column_text css=&#8221;&#8221;]As in other specialties, triage in ophthalmology involves <strong>quickly assessing the severity of a clinical situation<\/strong> to determine the most appropriate time for care. It\u2019s not about making a final diagnosis, but about <strong>ranking requests<\/strong> based on the risk to the patient\u2019s vision and the potential urgency.<\/p>\n<p>To do so, you must consider:<\/p>\n<ul>\n<li>The <strong>symptoms<\/strong> described by the patient<\/li>\n<li>Their <strong>onset<\/strong><\/li>\n<li>Their <strong>progression<\/strong><\/li>\n<li>The presence or absence of <strong>pain<\/strong><\/li>\n<li>The general <strong>medical context<\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767219109\" ><h2 class=\"separator_off\" >Why structuring triage has become essential in ophthalmology practices<\/h2><\/header>[vc_column_text css=&#8221;.vc_custom_1766767245608{margin-bottom: 50px !important;}&#8221;]In many practices, triage still largely relies on individual experience, intuition, or the <em>&#8220;first come, first served&#8221;<\/em> 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.<\/p>\n<p>Unstructured triage exposes you to several risks:<\/p>\n<ul>\n<li><strong>Delays<\/strong> in patient care<\/li>\n<li><strong>Disruption<\/strong> of the appointment schedule<\/li>\n<li><strong>Overload<\/strong> of the front desk<\/li>\n<li>A <strong>loss of control<\/strong> felt by teams<\/li>\n<\/ul>\n<p>By directing patients more effectively, you save time and can focus on situations with higher clinical value.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767741949\" ><h2 class=\"separator_off\" >The three levels of triage in ophthalmology<\/h2><\/header>[vc_column_text css=&#8221;.vc_custom_1766767286559{margin-bottom: 50px !important;}&#8221;]Most ophthalmology practices rely on a simple three-level classification, such as the <strong>Rome Eye System for Scoring Urgency and Emergency (RESCUE)<\/strong>. These three levels are often paired with a color code (red, orange, yellow). This method has the advantage of being <strong>easy to understand and quick to apply<\/strong>, especially for administrative staff.<\/p>\n<p>Its main limitation, however, is <strong>subjectivity<\/strong> if the criteria are not clearly defined. Without a precise framework, two people may classify the same situation differently.[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1766767672383{margin-bottom: 50px !important;}&#8221;]<\/p>\n<table style=\"width: 100%; border-collapse: collapse; font-family: sans-serif; font-size: 14px; border: 1px solid #e5e7eb;\">\n<thead>\n<tr style=\"background: #f9fafb;\">\n<th style=\"padding: 10px 12px; text-align: left; font-weight: 600; color: #374151; border: 1px solid #e5e7eb;\">Category<\/th>\n<th style=\"padding: 10px 12px; text-align: left; font-weight: 600; color: #374151; border: 1px solid #e5e7eb;\">Description<\/th>\n<th style=\"padding: 10px 12px; text-align: left; font-weight: 600; color: #374151; border: 1px solid #e5e7eb;\">Recommended timeframe<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Emergency (red)<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Situation directly threatening vision<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Immediate \/ within a few hours<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Urgent (orange)<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Potential short-term risk<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">24 to 48 hours<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Non-urgent (yellow)<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Stable situation<\/td>\n<td style=\"padding: 10px 12px; border: 1px solid #e5e7eb;\">Several days to weeks<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767732000\" ><h3 class=\"separator_off\" >Ophthalmic emergencies (immediate care)<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766767724548{margin-bottom: 50px !important;}&#8221;]Certain situations must be identified without delay, as they directly affect visual prognosis. Among the most frequent warning signs are:<\/p>\n<ul>\n<li><strong>Sudden and persistent vision loss<\/strong><\/li>\n<li><strong>Severe eye pain<\/strong><\/li>\n<li>A <strong>painful red eye<\/strong><\/li>\n<li>A <strong>recent eye trauma<\/strong><\/li>\n<\/ul>\n<p>Suspected <strong>retinal detachment<\/strong>, the presence of an intraocular <strong>foreign body<\/strong>, or <strong>chemical burns<\/strong> also require immediate action. Finally, associated neurological symptoms (speech disorders, motor deficits, severe headaches) should prompt urgent care outside the practice.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767754132\" ><h3 class=\"separator_off\" >Urgent situations (care within 24 to 48 hours)<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766767767916{margin-bottom: 50px !important;}&#8221;]Other situations, while not immediately sight-threatening, require rapid assessment. This includes, for example:<\/p>\n<ul>\n<li><strong>Recent-onset diplopia<\/strong><\/li>\n<li><strong>Distorted vision<\/strong><\/li>\n<li><strong>Redness<\/strong> accompanied by <strong>discharge<\/strong><\/li>\n<li><strong>Persistent blurred vision without pain<\/strong>.<\/li>\n<\/ul>\n<p>[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767780601\" ><h3 class=\"separator_off\" >Situations not requiring immediate care<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766767795933{margin-bottom: 50px !important;}&#8221;]Some situations may be uncomfortable for the patient but <strong>do not pose a short-term risk to vision<\/strong>. These cases can easily be managed at a later stage once emergencies have been addressed.[\/vc_column_text][vc_row_inner equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; kd_background_image_position=&#8221;vc_row-bg-position-top&#8221; kd_background_overlay=&#8221;true&#8221; css=&#8221;.vc_custom_1757663803556{margin-top: 50px !important;margin-bottom: 50px !important;padding-top: 30px !important;padding-bottom: 30px !important;border-radius: 10px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243; offset=&#8221;vc_hidden-xs&#8221;][vc_single_image image=&#8221;33144&#8243; img_size=&#8221;&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title   \" ><h4 class=\"separator_off\" >Our solutions to reduce the administrative burden of ophthalmology practices<\/h4><\/header>[vc_column_text css=&#8221;&#8221;]<\/p>\n<table style=\"width: 100%; border: none;\">\n<tbody style=\"border: none;\">\n<tr style=\"border: none;\">\n<td style=\"border: none;\">\u2705 <a href=\"https:\/\/info.onedoc.ch\/fr\/hub\/prise-de-rdv-en-ligne\/\">Online booking<\/a><\/td>\n<td style=\"border: none;\">\u2705 <a href=\"https:\/\/info.onedoc.ch\/fr\/visio\/module-de-teleconsultation\/\">Teleconsultation<\/a><\/td>\n<\/tr>\n<tr style=\"border: none;\">\n<td style=\"border: none;\">\u2705 <a href=\"https:\/\/info.onedoc.ch\/fr\/hub\/adressage\/\">Patient referral<\/a><\/td>\n<td style=\"border: none;\">\u2705 <a href=\"https:\/\/info.onedoc.ch\/fr\/hub\/rendez-vous-a-etapes\/\">Step-based appointments<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text]<a  href=\"\"    class=\"tt_button tt_primary_button btn_primary_color hover_solid_secondary btn-align-left button-action-link    popmake-18722\" ><span class=\"prim_text\">Get a demo<\/span><\/a>[\/vc_column_inner][\/vc_row_inner]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767933534\" ><h2 class=\"separator_off\" >Triage methods used by high-performing ophthalmology practices<\/h2><\/header>[vc_column_text css=&#8221;.vc_custom_1766767955135{margin-bottom: 50px !important;}&#8221;]The most efficient ophthalmology practices share one thing in common: triage is neither improvised nor left to chance, but relies on <strong>clear methods adapted to real-world practice<\/strong>. The goal is not to complicate processes, but rather to <strong>gain speed and consistency in decision-making<\/strong>.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767983234\" ><h3 class=\"separator_off\" >More advanced and customised scoring systems<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766767979452{margin-bottom: 50px !important;}&#8221;]It is recommended to <strong>customise classifications<\/strong> to your practice and your on-the-ground expertise. This saves time on documentation and improves efficiency when sorting patients.<\/p>\n<p>In practice, this can take the form of a <strong>simplified scoring grid<\/strong> 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.<\/p>\n<p>This pragmatic approach, inspired by models such as RESCUE but adapted locally, helps <strong>standardise decisions without excessive rigidity<\/strong>.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766767993019\" ><h3 class=\"separator_off\" >Link with referring physicians<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766768013619{margin-bottom: 50px !important;}&#8221;]Effective triage does not stop at the practice door. The best centres work closely with <strong>referring physicians<\/strong>. Collaborating with trusted partners who regularly refer patients makes organisation easier. A solid understanding of their practices helps <strong>anticipate requests and orient patients more quickly according to the severity of their condition<\/strong>. This coordination improves prioritisation and makes the care pathway smoother.<\/p>\n<p>When necessary, you can also <strong><a href=\"https:\/\/info.onedoc.ch\/fr\/besoins\/adressez-vos-patients\/\">refer patients<\/a> whose situation does not require immediate specialist care<\/strong> to a general practitioner or another more appropriate professional.<\/p>\n<p>This mutual understanding helps <strong>anticipate demand<\/strong>, reduce inappropriate consultations, and more quickly direct truly high-priority patients.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766768027620\" ><h3 class=\"separator_off\" >Continuous improvement based on feedback<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766768042254{margin-bottom: 50px !important;}&#8221;]No triage system is perfect. The most high-performing ophthalmology practices are those that take the time to <strong>regularly analyse past decisions<\/strong>.<\/p>\n<p>Reviewing an underestimated case\u2014or, conversely, one that was over-prioritised\u2014helps 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 <strong>continuous improvement mindset<\/strong>, benefiting both patients and teams.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766768053736\" ><h3 class=\"separator_off\" >Remote triage and pre-triage in modern practice organisation<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766768069903{margin-bottom: 50px !important;}&#8221;]The evolution of medical practice is leading more and more clinics to integrate <strong>pre-triage<\/strong> into their organisation. By collecting certain information before the appointment, it becomes possible to better qualify requests from the very first contact.<\/p>\n<p>Several studies show that remote triage, particularly in a <a href=\"https:\/\/info.onedoc.ch\/fr\/visio\/module-de-teleconsultation\/\">tele-ophthalmology<\/a> setting, can improve the relevance of prioritisation. In just a few minutes, you can <strong>assess the patient\u2019s condition and pre-categorise it<\/strong> according to your practice\u2019s triage grid, or advise them to stay at home if consultation is not required.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766768102357\" ><h3 class=\"separator_off\" >AI as an aid to triage<\/h3><\/header>[vc_column_text css=&#8221;.vc_custom_1766768119504{margin-bottom: 50px !important;}&#8221;]Artificial intelligence also opens up new perspectives. A study published in <em>Digital Health<\/em> showed that a <strong>properly trained chatbot could perform initial patient triage with results comparable to those of ophthalmologists<\/strong>.<\/p>\n<p>Used as a support tool, this technology can facilitate <strong>structured symptom collection<\/strong>, reduce administrative burden, and more effectively guide patients. The goal is not to replace medical expertise, but to <strong>free up time<\/strong> so that you and your team can focus on care requiring your expertise.[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766768137373\" ><h2 class=\"separator_off\" >Towards more efficient ophthalmic triage<\/h2><\/header>[vc_column_text css=&#8221;.vc_custom_1766768163187{margin-bottom: 50px !important;}&#8221;]In a context of growing pressure on ophthalmic care, structuring triage has become a necessity. By applying these best practices, <strong>triage can become a true strategic lever, allowing you to free up time<\/strong> for ophthalmic care.[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1766773299822{margin-top: 50px !important;margin-bottom: 50px !important;}&#8221; el_class=&#8221;popmake-18722&#8243;]<\/p>\n<p style=\"text-align: center; font-size: 25px;\">\ud83d\udc49 <a href=\"#\">Talk to our team to find out how OneDoc can help modernise your ophthalmology practice<\/a><\/p>\n<p>[\/vc_column_text]<header class=\"kd-section-title col-lg-12 text-left  subtitle-below-title    vc_custom_1766758287136\" ><h2 class=\"separator_off\" >Source<\/h2><\/header>[vc_column_text css=&#8221;.vc_custom_1766773263455{margin-bottom: 50px !important;}&#8221;]<\/p>\n<ul>\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9922481\/\" target=\"_blank\" rel=\"noopener\">AlSamnan, M., AlAmry, M., Aldossari, S., Talea, M., Khandekar, R., &amp; 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.\u00a0<em>Clinical ophthalmology (Auckland, N.Z.)<\/em>,\u00a0<em>17<\/em>, 527\u2013534. <\/a><a href=\"https:\/\/doi.org\/10.2147\/OPTH.S397504\">https:\/\/doi.org\/10.2147\/OPTH.S397504<\/a>.<\/li>\n<li><a href=\"https:\/\/www.ophthalmicprofessional.com\/issues\/2017\/july\/build-a-successful-triage-team\/\" target=\"_blank\" rel=\"noopener\">Jost, A. Build a successful triage team, <em>Ophthalmic Professional<\/em><\/a>.<\/li>\n<li><a href=\"https:\/\/www.optometry-evolution.com\/other-ocular-pathology\/mastering-emergency-eye-care-essential-triage-guidelines-for-eye-conditions\/\" target=\"_blank\" rel=\"noopener\">Optometry-evolution: Mastering Emergency Eye Care: Essential Triage Guidelines for Eye Conditions<\/a>.<\/li>\n<li><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/112067210701700324\" target=\"_blank\" rel=\"noopener\">Rossi T, Boccassini B, Iossa M, Mutolo MG, Lesnoni G, Mutolo PA. Triaging and Coding Ophthalmic Emergency &#8211; the Rome Eye Scoring System for Urgency and Emergency (RESCUE): A Pilot Study of 1000 Eye-Dedicated Emergency Room Patients. <em>European Journal of Ophthalmology<\/em>. 2018;17(3):413-417. doi:10.1177\/112067210701700324<\/a>.<\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40357425\/\" target=\"_blank\" rel=\"noopener\">Schumacher, I., Ferro Desideri, L., B\u00fchler, V. M. M., Sagurski, N., Subhi, Y., Bhardwaj, G., Roth, J., &amp; Anguita, R. (2025). Performance analysis of an emergency triage system in ophthalmology using a customized CHATBOT.\u00a0<em>Digital health<\/em>,\u00a0<em>11<\/em>, 20552076251320298. doi:10.1177\/20552076251320298<\/a>.<\/li>\n<li><a href=\"https:\/\/www.researchgate.net\/publication\/395016100_Effective_Validation_of_Primary_Care_Patient_Triage_Classification_Via_Tele-Ophthalmology_With_Optometrist_Support\" target=\"_blank\" rel=\"noopener\">Sol\u00eds, Rafael &amp; Gri\u00f1olo, M\u00aa &amp; Z\u00fa\u00f1iga, Beatriz &amp; Albert, Beatriz &amp; Villar, Mar\u00eda &amp; Troncoso, Mar\u00eda &amp; Pablos, Roc\u00edo &amp; 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<\/a>.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row gap=&#8221;10&#8243; kd_background_image_position=&#8221;vc_row-bg-position-top&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]Swiss ophthalmology practices are facing growing pressure. An aging [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":34781,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[248],"tags":[382],"class_list":["post-34806","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ophtalmologists","tag-teleconsultation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Triage in ophthalmology: how to prioritise effectively<\/title>\n<meta name=\"description\" content=\"Discover how triage in ophthalmology helps you reduce delays, prioritise urgent cases, and optimise clinic operations.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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