Variations in physician response to consultation requests for Hollenhorst plaques: a pilot study.

This is a report on physicians' response to a pilot survey regarding the method of management of a patient sent to them for a health evaluation because of a Hollenhorst plaque detected during a routine eye examination. Several specialties and sub-specialties were surveyed. The results demonstrate a wide variability in the methods chosen for management of the patient, indicating the need to consider standardizing the health evaluation. A review of literature suggests that the patient with a Hollenhorst plaque is at increased risk for both cardiovascular and cerebrovascular disease and appropriate measures should be taken to minimize the risk. The pilot survey suggests that more in-depth surveys are necessary to establish standards of care for the patient with Hollenhorst plaques as well as other ocular conditions related to systemic disorders.