Shields S R
Postgrad Med. 2000 Oct;108(5):99-106. doi: 10.3810/pgm.2000.10.1781.
Most severe eye diseases and injuries ultimately require intervention by an ophthalmologist. The urgency of referral depends on various factors, including level of vision loss, duration of symptoms, and presence of comorbid diseases. Of special importance are five acute eye problems in which emergency management by primary care physicians can be critical to visual outcome: high-velocity injuries, chemical injuries, acute angle-closure glaucoma, arteritic ischemic optic neuropathy, and central retinal artery occlusion.
大多数严重的眼部疾病和损伤最终都需要眼科医生进行干预。转诊的紧迫性取决于多种因素,包括视力丧失程度、症状持续时间以及合并症的存在情况。特别重要的是五种急性眼部问题,基层医疗医生进行的紧急处理对视觉预后可能至关重要:高速损伤、化学伤、急性闭角型青光眼、动脉炎性缺血性视神经病变和视网膜中央动脉阻塞。