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AB026. Referrals from optometry-a comparative study (the R.O.C.S study)

Annals of Eye Science 2018年第1期 432-432页

作者： Christopher McLaughlin Michelle Biehl Brian Chan Sarah Mullen Lily Zhao Laura Donaldson niro sivachandran Prima Moinul Joshua Barbosa Varun Chaudhary Department of Medicine Universitéde MontréalMontréalQuébecQCCanada Division Signaling and Functional Genomics and Heidelberg University Department of Cell and Molecular BiologyFaculty of Medicine MannheimGerman Cancer Research Center(DKFZ)HeidelbergGermany

Background:To characterize emergency optometrist referrals triaged at a tertiary ophthalmology care center by pathology,physical exam findings,and provisional diagnosis ***:Variables extracted from the patients’charts included date of referral,age,sex,eye(s)under examination,visual acuity(VA)at the time of referral,intraocular pressure(IOP)at the time of the referral,the referring optometrist’s provisional diagnosis,VA at the time of the ophthalmologist consultation,IOP at the time of the ophthalmologist consultation,number of days between referral and ophthalmic consultation,and the ophthalmologist’s ***:After categorizing disease by anatomical location,absolute agreement between optometrist provisional diagnosis and ophthalmologist diagnosis was 60%.A strong correlation was found between optometrist and ophthalmologist VA *** measurements were checked less frequently by *** cases where referral IOP was documented,no significant difference was observed between optometrist and ophthalmologist IOP ***:VA and IOP measurements by optometrists are reliable,but IOP is less frequently checked in the optometry *** optometrist referrals correctly localized eye pathology in 60%of cases,posterior pathology was missed in two cases of retinal tear and retinal detachment.

关键词： Optometry referral emerg clinic

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