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Ophthalmology and Allied Sciences

Volume  6, Issue 2, May–August 2020, Pages 91-97
 

Original Article

Profile of Emergency Ophthalmic Consultation in A Tertiary Care Hospital

Ramachandra S1, Ravindra R2, Kumar SS3, Bhat SH4, Darshan SM5

1HOD, 2Senior Resident, 3,4Post Graduate, 5Former Senior Resident, Department of Ophthalmology, Sri Devaraj Urs Medical College, Kolar, Karnataka, India.

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DOI: http://dx.doi.org/10.21088/oas.2454.7816.6220.4

Abstract

Introduction: Eye emergencies may range from trivial trauma to sight threatening complications. The number of patients seen in an emergency department, after working hours, has been increasing in the recent times. Ophthalmic inpatient, outpatient, surgical and emergency services in a tertiary care hospital are available round the clock which may be sought for screening, diagnosis and management of ophthalmic & systemic conditions of varied manifestation. Information regarding the profile of ocular emergency reference in each setting is important for strategic planning of efficient service allocation. The aim of this study was to investigate the profile of cases that were referred for emergency ophthalmic consultation: in a tertiary care centre in Kolar, with an effort to identify the true ophthalmic emergencies. Materials and Methods: A retrospective study was conducted over a period of one year, from December 2017 to November 2018 and the data of 1842 was collected from the emergency register of the department of Ophthalmology. Results: This study was conducted among 1842 subjects. Majority
of them were men. The most common presenting age group was in between 21–30 years. Most of the referrals were due to hypertension followed by diabetes. Just 2.9% of the subjects presented with pure ocular complaints, with non-infectious conditions forming a majority. Of those patients presenting with trauma, RTA was the most common cause. Conclusion: In conclusion, the ophthalmologist plays a pivotal role in diagnosing the severity of non-emergency conditions like diabetes, hypertension and papilledema, PIH when referred in a tertiary health care centre. A dedicated ophthalmic emergency care team should be competent to manage primary ophthalmic emergencies, be a part of the emergency trauma team and interdisciplinary health care delivery system

Keywords:  Emergency Ophthalmic Consultation.
 


Corresponding Author : Reshma Ravindra