Babineau Matthew R, Sanchez Leon D
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, West Campus Clinical Center, 2nd Floor, Boston, MA 02215, USA.
Emerg Med Clin North Am. 2008 Feb;26(1):17-34, v-vi. doi: 10.1016/j.emc.2007.11.003.
Ophthalmologic emergencies account for up to 3% of visits to emergency departments in the United States. Although isolated ocular complaints are rarely life-threatening, they can lead to significant short- and long-term morbidity, including permanent visual loss. The role of the emergency physician in management of ocular emergencies is similar to that for other chief complaints: to recognize and diagnose emergency conditions, to provide appropriate initial therapy, and to ensure correct disposition. This article reviews several of the essential ophthalmologic procedures that are within the scope of emergency medical practice. Slit lamp examination, foreign body removal, use of ultrasound, tonometry, and other emergency ophthalmologic procedures are discussed.
在美国，眼科急症占急诊室就诊人数的比例高达3%。尽管单纯的眼部不适很少危及生命，但它们可能导致严重的短期和长期发病，包括永久性视力丧失。急诊医生在处理眼科急症方面的作用与处理其他主要症状类似：识别和诊断紧急情况，提供适当的初始治疗，并确保正确的处置。本文回顾了一些急诊医疗实践范围内的基本眼科操作。讨论了裂隙灯检查、异物取出、超声的使用、眼压测量及其他急诊眼科操作。
