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Auckland DHB Ophthalmology Services

Public Service

Description

What is Ophthalmology?
 
Ophthalmology is the branch of medicine that is concerned with the health of eyes and their surrounding tissues including muscles, bones, eyelids, and tear production/drainage systems. Your eye is the organ of vision and consists of the cornea (the outer clear layer), the sclera (the white of the eye), the iris (the coloured part), the lens (lies behind the iris) and the retina (the light-sensitive lining at the back of the eye). Your eyes ‘see’ by focusing light that enters the eye onto the retina which sends the image to the brain by the optic nerve.
 
The Department
 
Ophthalmologists are doctors who are trained in the treatment of diseases of the eye. Most will be trained in eye surgery and most nowadays have specialised interest in a particular part of the eye, for example, the cornea, the retina, the eye lids or muscles that control the eye movements.

Optometrists are university trained professionals who diagnose eye disease, assess visual function, and prescribe spectacles and contact lenses as appropriate. Optometrists with TPA (therapeutic) endorsement may also prescribe a range of topical medicines (drops and ointment) for use in the eye.

Orthoptists are experts in the assessment, diagnosis and treatment of squints (see below), amblyopia and eye movement problems. Most of their patients are children as squints and amblyopia usually need treatment during early childhood. Adults may also need assessment as squints and eye movement problems may develop at a later age and this may result in double vision or other symptoms which can be monitored and managed by the Orthoptist. Orthoptics: Ortho = straight; Optics = eyes.

Low Vision Clinic is part of the Eye Department at Greenlane Clinical Centre. If you are experiencing difficulties in daily living activities such as meal preparation, using the telephone or identifying money to name a few, and have already been seen by an optometrist or ophthalmologist, the clinic may be able to assist you to make the best use of your remaining vision.

You will be seen by a Low Vision Therapist who can advise you about lighting, colour contrast, adaptive aids and strategies to assist you to safely maintain your independence. You will also be seen by a Low Vision Optometrist who may prescribe a Low Vision aid to assist with reading and other near tasks or with distance vision.

Your GP, optometrist, ophthalmologist, Eye Clinic nurse or Blind Foundation staff can refer you to the clinic by using our referral form or by sending a letter including information about your eye condition, visual acuity, treatment and the reason for the referral. As this is a public hospital clinic there is no charge for NZ residents but you have the option of purchasing items demonstrated at the clinic.

See the attached flyer below for some basic information on Understanding the Needs of People with Sight Loss.

Consultants

Hours

Please note we DO NOT have a "walk-in" clinic. All patients must be referred by their GP or Optometrist unless otherwise advised by Ophthalmology department staff.

GROUND FLOOR, BUILDING 8, GREENLANE CLINICAL CENTRE. Enter the Greenlane Clinical Centre through the main entrance at Building 4 (by the Pharmacy and Jamaica Blue) and walk through, past Planet Espresso to Building 8. Reception M is on the left.

General Ophthalmology (Eye) clinics are open Monday to Friday 8am - 5pm.

TOTARA WARD (Eye Ward)
LEVEL 2, BUILDING 4, GREENLANE CLINICAL CENTRE
The Totara Ward is located on Level 2, Building 4. Use lift bank A to level 2 and report to the main reception desk.

ACUTE EYE SERVICE:
Please note we DO NOT have a "walk-in" clinic. You need to be referred by your GP or optometrist, or have been advised to contact us directly if you have already been seen in our department.

If you are seen by a GP/doctor or optometrist in the community or hospital, they can call us directly to discuss your condition. If you need urgent assessment an appointment will be made for you in the Acute Referral Clinic during normal business hours. If there are no appointments available, or your condition needs to be seen more urgently, you will be advised to attend the Emergency Eye Clinic with your referral.

Please keep in mind that due to the large number of patients attending our acute service, there is often a very long wait (up to 6-8 hours) to be seen by a Doctor, Clinical Nurse Specialist, Nurse Practitioner or Optometrist depending on how urgent your condition is.

The Emergency Eye Clinic is located in the Eye Clinic Monday to Friday 8am - 5pm, and Saturday 8am - 3pm. We have a reduced after hours service until 7pm, however no follow-up patients will be seen during this time. On Sundays the Emergency Eye Clinic is run from the Totara Ward as a reduced service 8am - 7pm.

From 7pm until 8am every night all eye emergencies should please report to Auckland City Hospital Emergency Department, your local Hospital Emergency Department or your local emergency/A&M clinic.

Please see the attached "ARC" & "EEC" flyers below for further information.

Referral Expectations

To be seen at the outpatient clinic by one of our specialist clinicians, you will need a letter of referral to be sent to the hospital by your GP or by your optometrist.

Common Conditions

  • Refractive Error: short-sightedness (myopia), long-sightedness (hyperopia) and astigmatism

    These conditions cause distance blur. In myopia, the eye has a resting focus at a near distance so that people will be able to see objects clearly at some point close to them, whilst the distance is blurry.… More

  • Cataracts

    Cataracts are the most common condition in eyes that comes on with age.… More

  • Squints (strabismus)

    Squints happen when one eye stops working with the other eye, usually causing the eye to turn inward or outward (less commonly upward or downward).… More

  • Glaucoma

    Glaucoma is a group of diseases that can damage the eye’s optic nerve and may result in vision loss and blindness. Multiple factors are often important in causing glaucoma, but it is most commonly related to in an increase in pressure in the eye.… More

  • Diabetic Retinopathy

    This is a complication of diabetes and is caused by small blood vessel damage within the retina of the eye.  It commonly affects both eyes and may cause permanent loss of vision.  Macular oedema is sometimes also present with diabetic retinopathy.  Macular oedema is when fluid leaks into the retina… More

  • Retinal Detachment

    This is when the retina detaches, meaning it is lifted or separated from its normal position within the eye. An acute retinal detachment requires urgent assessment and appropriate treatment.… More

  • Contact Lens Use

    Contact lenses may be worn to correct vision, manage eye conditions or for cosmetic reasons (e.g.… More

Charges

Currently New Zealand residents pay for their public health service through their taxes and there are no additional charges to them at the hospital. Non-New Zealand residents are responsible for the full cost of any medical or surgical treatment they receive at Auckland City Hospital or Greenlane Clinical Centre.

Document Downloads

Contact Details

Greenlane Clinical Centre

Central Auckland

Phone (09) 638 9909
General number for GreenLane Clinical Centre (09) 367 0000
Extension/pager number known (09) 307 4949
Patient enquiries (09) 375 4300
Outpatient appointments and surgical bookings (09) 638 0400 or scheduling@adhb.govt.nz 
GP/ External Specialist Help Desk (09) 307 2800
Mental Health Services 24 Hour Crisis helpline 0800 800171

Ground Floor, Building 8
Greenlane Clinical Centre
Greenlane Road
Greenlane
Auckland

Please note we DO NOT have a "walk-in" clinic. All patients must be referred by their GP or optometrist, unless advised otherwise by the Ophthalmology Department staff.

Enter Greenlane Clinical Centre through the main entrance of Building 4 (by the Pharmacy and Jamaica Blue) and walk through, past Planet Espresso, to Building 8. Reception M is on the left.

Information about this location

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Street Address

Ground Floor, Building 8
Greenlane Clinical Centre
Greenlane Road
Greenlane
Auckland

Please note we DO NOT have a "walk-in" clinic. All patients must be referred by their GP or optometrist, unless advised otherwise by the Ophthalmology Department staff.

Enter Greenlane Clinical Centre through the main entrance of Building 4 (by the Pharmacy and Jamaica Blue) and walk through, past Planet Espresso, to Building 8. Reception M is on the left.

Postal Address

Private Bag 92 189
Auckland Mail Centre
Auckland 1142

This page was last updated at 9:47AM on September 1, 2017. This information is reviewed and edited by Auckland DHB Ophthalmology Services.