Department of Glaucoma, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India.
Indian J Ophthalmol. 2020 Mar;68(3):471-474. doi: 10.4103/ijo.IJO_914_19.
To assess the quality and accuracy of glaucoma referrals from ophthalmologist.
Retrospective review of patients chart with referral letter to a tertiary glaucoma center between January and December 2017. Patients aged <16 years, lens-induced glaucoma, uveitic glaucoma, and glaucoma following retinal and corneal surgery were excluded.
A total of 184 patients referred by 55 ophthalmologists were included. Mean patient age (SD) was 57.8 ± 14 years. Intraocular pressure was not documented in the referral letter in 113 (61%) patients, gonioscopy in 174 (95%) patients, disc findings in 149 (81%) patients, and visual fields in 175 (95%) patients. Thirteen (37%) of the 35 patients referred as open angle glaucoma were found to have angle closure glaucoma. Pseudoexfoliation glaucoma was diagnosed in 29 (16%) patients, of which 18 were missed by the referring ophthalmologist.
In our study >90% of referral letter did not have the essential parameters. A standard template for glaucoma referral is suggested, which will help the patient to get better transfer of care.
评估眼科医生转介的青光眼患者的质量和准确性。
回顾性分析 2017 年 1 月至 12 月期间转诊至三级青光眼中心的患者病历和转诊信。排除年龄<16 岁、晶状体诱导性青光眼、葡萄膜炎相关性青光眼、视网膜和角膜手术后青光眼患者。
共纳入 55 名眼科医生转介的 184 名患者。患者平均年龄（标准差）为 57.8 ± 14 岁。113 名（61%）患者的转诊信中未记录眼压，174 名（95%）患者未记录房角镜检查，149 名（81%）患者未记录视盘检查，175 名（95%）患者未记录视野检查。35 名被转诊为开角型青光眼的患者中有 13 名（37%）被发现患有闭角型青光眼。29 名（16%）患者被诊断为假性剥脱性青光眼，其中 18 名被转诊眼科医生漏诊。
在我们的研究中，超过 90%的转诊信没有必要的参数。建议制定青光眼转诊标准模板，有助于患者更好地转院治疗。
