Bradford School of Optometry & Vision Science, University of Bradford, Bradford, UK.
Ophthalmic Physiol Opt. 2011 Jan;31(1):23-8. doi: 10.1111/j.1475-1313.2010.00797.x. Epub 2010 Nov 11.
To investigate the content of referrals to a hospital eye department and describe differences between referring clinician (optometrist or GP) and referral formats.
A random sample of 433 new referrals to Bradford Royal Infirmary hospital eye service (HES) during 2007 and 2008 were retrospectively analysed.
Three hundred and eleven referrals (72%) were from optometric practice and 122 (28%) from general practice. Optometric referrals were mainly for cataract and posterior capsular opacification (27%), glaucoma or suspect glaucoma (20%) and diabetic retinopathy (10%).
The proportion of referrals to the hospital eye service from optometrists appears to be increasing (1988: 39%, 1999: 48%, present study 72%). GPs mainly refer patients with anterior segment disorders, particularly lid lesions, based on direct observation and symptoms. Optometrists refer patients with a wide range of ocular diseases and include fundus observations and visual acuity measurements in their referrals. There is a need to inform optometrists of what content is required in a referral to the HES from GOS sight tests, at least for the common referral conditions such as age-related cataract and suspect open-angle glaucoma. Referral forms specifically designed for these commonly referred conditions are likely to improve referral quality.
调查医院眼科转介的内容，并描述转介医生（验光师或全科医生）和转介格式之间的差异。
对 2007 年至 2008 年期间布拉德福德皇家医院眼科服务（HES）的 433 例新转介患者进行了回顾性分析。
311 例转介（72%）来自验光师实践，122 例（28%）来自全科医生。验光师的转介主要用于白内障和后囊混浊（27%）、青光眼或疑似青光眼（20%）和糖尿病视网膜病变（10%）。
从验光师到医院眼科服务的转介比例似乎在增加（1988 年：39%，1999 年：48%，本研究：72%）。全科医生主要根据直接观察和症状转介前节疾病患者，特别是眼睑病变。验光师转介各种眼部疾病，包括眼底观察和视力测量。有必要告知验光师，从 GOS 视力检查到 HES 的转介需要哪些内容，至少对于常见的转介情况，如年龄相关性白内障和疑似开角型青光眼。专门针对这些常见转介情况设计的转介表格可能会提高转介质量。
