Urgent Eye Conditions and Emergency Eye Care in Adelaide

Sudden changes in your vision, significant eye pain or an eye injury should never wait for a routine appointment.

The therapeutically endorsed optometrists at Innovative Eye Care provide urgent eye assessments at our Adelaide and Henley Beach practices. We can diagnose many urgent eye conditions, begin treatment and arrange emergency ophthalmology or hospital care when required.

For urgent symptoms, call our team so we can assess how quickly you need to be seen.

Call for Urgent Eye Care
Close-up blurred view of an eye representing sudden blurred vision that may require urgent assessment

When Should You Seek Urgent Eye Care?

Contact us immediately if you experience:

  • Sudden loss, dimming or distortion of vision
  • New flashes of light or a sudden increase in floaters
  • A dark curtain, shadow or missing area in your vision
  • Severe eye pain
  • A red eye with blurred vision or sensitivity to light
  • Coloured halos around lights with headache, nausea or vomiting
  • Double vision that started suddenly
  • A chemical splash or burn
  • An object embedded in your eye
  • An injury involving metal, glass or a high-speed object
  • A painful or red eye while wearing contact lenses

New flashes, floaters or reduced vision can indicate a retinal tear. A retinal tear may progress to a retinal detachment if it is not identified and treated.

Sudden, painless loss of vision can also result from a blockage in the retinal circulation. Central retinal artery occlusion is considered a form of acute ischaemic stroke and requires immediate medical assessment.

If vision loss occurs with facial weakness, difficulty speaking, severe dizziness or weakness on one side of the body, call 000.

Explore Urgent Eye Conditions

Eye Emergencies

Eye emergencies include sudden vision changes, significant eye pain, chemical exposure, eye injuries and foreign objects. Learn what symptoms require urgent attention and where to seek help.

Wide-field retinal image of the left eye showing a horseshoe retinal tear in the superior temporal retina

Flashes, Floaters and Retinal Detachment

Floaters may look like dots, threads or cobwebs moving through your vision. Flashes can appear as brief streaks or bursts of light.

A sudden onset or increase in these symptoms may occur when the vitreous gel pulls away from the retina. An urgent dilated examination is needed to check for a retinal tear or detachment.

Simulation of right-sided visual field loss caused by a right homonymous hemianopia

Sudden Vision Loss

Sudden vision loss may affect all or part of your vision. It can be painful or painless and may result from a retinal problem, interruption to the eye’s blood supply, inflammation, glaucoma or a neurological condition.

Any sudden loss or dimming of vision requires immediate assessment. Some causes are time-sensitive and may also indicate a wider medical emergency.

Clinical close-up of an eye with a small metallic foreign body embedded in the cornea

Eye Injuries, Foreign Bodies and Chemical Burns

Scratches, blunt trauma, embedded objects and chemical exposure can damage the cornea or deeper structures of the eye.


Penetrating injuries can cause severe vision loss and require emergency hospital management.

Chemical exposure requires immediate irrigation. Begin rinsing the eye with clean water immediately, then seek emergency care. Do not delay irrigation while waiting to speak with a health professional.

Clinical close-up of a severely red eye caused by acute anterior uveitis

Acute Angle-Closure Glaucoma

Acute angle-closure glaucoma causes a rapid rise in pressure inside the eye. Symptoms can include severe eye pain, blurred vision, a red eye, coloured halos around lights, headache, nausea and vomiting.

This condition can permanently damage vision and requires treatment on the day symptoms begin.

Clinical close-up of a severely red eye caused by acute anterior uveitis

When Is a Red Eye Urgent?

Many red eyes are caused by relatively mild conditions. However, redness with pain, blurred vision, light sensitivity or significant discharge requires prompt assessment.

Important causes include:

  • Keratitis
  • Iritis and anterior uveitis
  • Episcleritis and scleritis
  • Acute angle-closure glaucoma
  • Corneal abrasions and foreign bodies
  • Contact lens-related eye infections

Infectious keratitis can damage the cornea and threaten vision. Contact lens wear and eye injuries are important risk factors.

If you wear contact lenses and develop pain, redness, light sensitivity or blurred vision, remove your lenses and seek urgent assessment. Do not resume lens wear until your optometrist advises that it is safe.

Link: Red Eye Conditions

What Happens During an Urgent Eye Examination?

Your optometrist will ask about your symptoms, when they started and whether you have experienced an injury or chemical exposure.

Your examination may include:

Depending on the diagnosis, we may prescribe treatment, arrange a review or refer you urgently to an ophthalmologist or hospital emergency department.

Urgent Eye Care in Adelaide and Henley Beach

For urgent eye symptoms, call us directly. This allows our team to assess your symptoms and arrange the most appropriate care.

Adelaide, Wakefield Street
Phone: (08) 8231 9341

Henley Beach
Phone: (08) 8445 9050

Link: Clinic locations and contact details

Outside our opening hours, attend a hospital emergency department if you have sudden vision loss, severe pain, a chemical injury, penetrating trauma or rapidly worsening symptoms.

Frequently Asked Questions

Can an optometrist treat an eye emergency?
Therapeutically endorsed optometrists can diagnose and treat many urgent eye conditions. They can prescribe eye medications, remove suitable superficial foreign bodies and arrange specialist or hospital care when required.
Should I see an optometrist or go to an emergency department?
Call us for urgent flashes, floaters, red eyes, contact lens problems, surface injuries and suspected foreign bodies. Go directly to an emergency department for severe trauma, penetrating injuries, major chemical burns, sudden profound vision loss or symptoms of a stroke.
Are flashes and floaters always an emergency?
Longstanding and unchanged floaters are often less concerning. New flashes, new floaters, a sudden increase in floaters, reduced vision or a curtain-like shadow require urgent assessment.
What should I do after getting a chemical in my eye?
Begin rinsing the eye immediately with clean, lukewarm water. Continue rinsing while arranging emergency assistance. Do not wait for an appointment before starting irrigation.
Can I use old eye drops for a red or painful eye?
Do not use leftover prescription drops unless a health professional instructs you to do so. Some medications, particularly steroid eye drops, can worsen certain infections or delay the correct diagnosis.

References

  1. Hollands H, Johnson D, Brox AC, Almeida D, Simel DL, Sharma S. Acute-Onset Floaters and Flashes: Is This Patient at Risk for Retinal Detachment? JAMA. 2009;302(20):2243-2249. doi:10.1001/jama.2009.1714
  2. Mac Grory B, Schrag M, Biousse V, et al. Management of Central Retinal Artery Occlusion: A Scientific Statement From the American Heart Association. Stroke. 2021;52(6):e282-e294. doi:10.1161/STR.0000000000000366
  3. Blanch RJ, McMaster D, Patterson TJ. Management of open globe injury: a narrative review. Eye. 2024;38(16):3047-3051. doi:10.1038/s41433-024-03246-3
  4. Soleimani M, Naderan M. Management Strategies of Ocular Chemical Burns: Current Perspectives. OPTH. 2020;14:2687-2699. doi:10.2147/OPTH.S235873
  5. Nüssle S, Reinhard T, Lübke J. Acute Closed-Angle Glaucoma-an Ophthalmological Emergency. Dtsch Arztebl Int. 2021;(Forthcoming):arztebl.m2021.0264. doi:10.3238/arztebl.m2021.0264
  6. Cabrera-Aguas M, Khoo P, Watson SL. Infectious keratitis: A review. Clin Exp Ophthalmol. 2022;50(5):543-562. doi:10.1111/ceo.14113