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Ciliary flush, characterized by dilated blood vessels around the cornea, is a clinical sign often associated with serious ocular conditions such as acute glaucoma, corneal ulcers, or uveitis. The presence of this sign indicates potential eye inflammation or infection that may lead to significant complications if not addressed promptly.

Referring the patient emergently is crucial because these conditions can rapidly worsen, leading to vision loss or other severe consequences. Immediate assessment by an eye care specialist is vital for proper diagnosis and treatment, which may include prescription medications or surgical interventions.

The other options do not adequately address the seriousness of the situation. Scheduling a follow-up appointment may delay necessary care, providing over-the-counter medication may be insufficient for potentially serious conditions, and administering an eye wash could be inappropriate depending on the specific diagnosis and could exacerbate the condition if there is an underlying issue such as a corneal abrasion. Thus, the immediate referral is the most appropriate course of action when ciliary flush is observed.