Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA.
BMC Med Educ. 2021 Dec 2;21(1):596. doi: 10.1186/s12909-021-03026-7.
The Indiana University Student Outreach Clinic (IUSOC) Eye Clinic is a monthly student-run eye clinic that provides free visual screening to the Near East Side community of Indianapolis, IN, USA. Screening includes assessments of visual acuity, intraocular pressure, peripheral visual fields, refraction, and non-mydriatic fundus photography.
This is a retrospective chart review of 875 patients seen at the IUSOC Eye Clinic from October 2013 to February 2020. Data on demographics, insurance coverage, ocular history, physical examination, suspected diagnosis, referral status, and glasses provided were collected and analyzed.
875 patients were seen at the IUSOC Eye Clinic from October 2013 to February 2020. 39.2% of the patients seen at the clinic reported being uninsured. 61.4% of patients were found to have visual acuity of 20/40 or worse, while 51.3% of patients were found to have a near visual acuity of 20/40 or worse. 20.3% of patients were referred to the local county hospital for further evaluation by an ophthalmologist, 14.4% of patients received free glasses prescriptions, and 27.9% of patients received free reading glasses. Common reasons for referral for further ophthalmology evaluation included glaucoma, decreased visual acuity, and diabetic retinopathy. An estimated value of services provided over the seven years of the clinic was 1271 relative value units.
The IUSOC Eye Clinic fills an important role in advancing ocular health and preventing irreversible blindness in an underserved Indianapolis community. Additionally, the clinic demonstrates an educational model for involving medical student volunteers.
印第安纳大学学生外展诊所（IUSOC）眼科诊所是一个每月由学生运营的眼科诊所，为美国印第安纳州印第安纳波利斯市东郊社区提供免费视力筛查。筛查包括评估视力、眼压、周边视野、屈光度和免散瞳眼底照相。
这是对 2013 年 10 月至 2020 年 2 月期间在 IUSOC 眼科诊所就诊的 875 名患者的回顾性图表审查。收集并分析了人口统计学、保险覆盖范围、眼部病史、体格检查、疑似诊断、转诊情况和提供的眼镜等数据。
2013 年 10 月至 2020 年 2 月期间，有 875 名患者在 IUSOC 眼科诊所就诊。在诊所就诊的患者中，有 39.2%的人未投保。61.4%的患者视力为 20/40 或更差，而 51.3%的患者近视力为 20/40 或更差。20.3%的患者被转介到当地县医院由眼科医生进一步评估，14.4%的患者获得了免费眼镜处方，27.9%的患者获得了免费阅读眼镜。进一步眼科评估的常见转诊原因包括青光眼、视力下降和糖尿病视网膜病变。该诊所七年服务的估计价值为 1271 个相对价值单位。
IUSOC 眼科诊所在美国印第安纳州印第安纳波利斯市东郊一个服务不足的社区中发挥了重要作用，推进了眼保健并预防了不可逆转的失明。此外，该诊所还展示了一种让医学生志愿者参与的教育模式。
