Kim Mary, Yu Jennifer T, Bojikian Karine D, Chen Andrew, Chung Anthony T, Leveque Thellea K, Feng Shu
Department of Ophthalmology, University of Washington School of Medicine, Seattle, Washington, USA.
Clin Ophthalmol. 2025 Aug 18;19:2793-2802. doi: 10.2147/OPTH.S530780. eCollection 2025.
To report the prevalence of abnormal ophthalmic exam findings in Emergency Department (ED) ophthalmology consultations and provide foundational data for assessing ancillary diagnostic tools' effectiveness in an acute care setting.
We reviewed ophthalmic exam findings from consultations at Harborview Medical Center and University of Washington Medical Center EDs (Seattle, WA) between January 1, 2022, and December 31, 2022. Data included visual acuity (VA), intraocular pressure (IOP), visual field by confrontation (CVF), extraocular motility (EOM), pupil exam, slit lamp, and dilated exam findings. Descriptive statistics were calculated for continuous and categorical variables.
A total of 2087 consults for 1946 patients were included. VA was 20/40 or better in 61.9% of right eyes and 62.4% of left eyes. Afferent pupillary defect (APD) was present in 12.6% eyes. The average IOP was 16.1 mmHg for the right eye and 16.1 mmHg for the left eye. Abnormal EOM in either eye or both eyes were reported in 17.5% and 2.5%, respectively, while abnormal CVF were reported in 16.9%; with homonymous defects in 0.8%. The most common slit lamp exam findings included cataract (31.94%), conjunctival injection (31.2%), and superficial punctate epithelial erosions (29.6%). The most common funduscopic findings were retinal hemorrhage (14.0% peripheral and 6.3% macular), posterior vitreous detachment (9.7%), and retinal vascular attenuation (6.7%).
This comprehensive report of findings of ED ophthalmic consultations can be used as a foundational pretest measure for guiding the implementation of appropriate ancillary diagnostic tools for emergency ophthalmic care.
报告急诊科（ED）眼科会诊中异常眼科检查结果的患病率，并为评估辅助诊断工具在急性护理环境中的有效性提供基础数据。
我们回顾了2022年1月1日至2022年12月31日期间在哈博维尤医疗中心和华盛顿大学医学中心急诊科（华盛顿州西雅图）会诊的眼科检查结果。数据包括视力（VA）、眼压（IOP）、面对面视野检查（CVF）、眼外肌运动（EOM）、瞳孔检查、裂隙灯检查和散瞳检查结果。对连续变量和分类变量进行描述性统计。
共纳入1946例患者的2087次会诊。61.9%的右眼和62.4%的左眼视力为20/40或更好。12.6%的眼睛存在传入性瞳孔缺陷（APD）。右眼平均眼压为16.1 mmHg，左眼平均眼压为16.1 mmHg。单眼或双眼EOM异常分别报告为17.5%和2.5%，而CVF异常报告为16.9%；同向性缺陷为0.8%。最常见的裂隙灯检查结果包括白内障（31.94%）、结膜充血（31.2%）和浅层点状上皮糜烂（29.6%）。最常见的眼底检查结果是视网膜出血（周边14.0%，黄斑6.3%）、玻璃体后脱离（9.7%）和视网膜血管变细（6.7%）。
这份关于急诊科眼科会诊结果的综合报告可作为基础预检指标，用于指导为急诊眼科护理实施适当的辅助诊断工具。
