Muen Wisam J, Hewick Simon A
Highland NHS Trust , Inverness, Scotland , UK.
JRSM Short Rep. 2011 Aug;2(8):64. doi: 10.1258/shorts.2011.011042. Epub 2011 Aug 1.
To evaluate the quality of referrals to a neovascular age-related macular degeneration clinic from optometrists using the standard Rapid Access Referral Form (RARF) from the Royal College of Ophthalmologists.
A prospective study. Prospective data were gathered from all optometry referrals using the RARF, between the periods of December 2006 to August 2009. These were assessed for accuracy of history, clinical signs and final diagnosis as compared to a macula expert.
Highlands NHS Trust.
All patients referred to the eye department at NHS Highlands Trust using the RARF.
The symptoms of neovascular age-related macular degeneration correctly identified by optometrists, and the signs of neovascular age-related macular degeneration correctly identified by optometrists.
Fifty-four RARFs were received during this period, there was an overall agreement with symptomatology in 57.4% of cases. Optometrists scored less well in recognizing the clinical signs of neovascular age-related macular degeneration, with the poorest scores for recognizing macular oedema (44.4%) and drusen (51.9%). Twenty (37%) patients referred had neovascular age-related macular degeneration.
RARFs make up the minority of referrals to the neovascular age-related macular degeneration clinic. Optometrists find it difficult to accurately elicit the signs of macula disease.
使用皇家眼科医学院的标准快速转诊表格（RARF）评估验光师转诊至新生血管性年龄相关性黄斑变性诊所的转诊质量。
一项前瞻性研究。在2006年12月至2009年8月期间，收集了所有使用RARF进行验光转诊的前瞻性数据。将这些数据与黄斑专家进行比较，评估病史、临床体征和最终诊断的准确性。
高地国民保健服务信托基金。
所有使用RARF转诊至高地国民保健服务信托基金眼科的患者。
验光师正确识别的新生血管性年龄相关性黄斑变性症状，以及验光师正确识别的新生血管性年龄相关性黄斑变性体征。
在此期间共收到54份RARF，57.4%的病例在症状学上总体一致。验光师在识别新生血管性年龄相关性黄斑变性的临床体征方面得分较低，识别黄斑水肿（44.4%）和玻璃膜疣（51.9%）的得分最差。转诊的20名（37%）患者患有新生血管性年龄相关性黄斑变性。
RARF构成了转诊至新生血管性年龄相关性黄斑变性诊所的少数转诊病例。验光师发现难以准确引出黄斑疾病的体征。
