Juang P S, Rosen P
University of California, San Diego Medical Center, USA.
J Emerg Med. 1997 Nov-Dec;15(6):793-810. doi: 10.1016/s0736-4679(97)00187-x.
The purpose of this article is to provide a guide to assist the Emergency Physician in examining the eye. The evaluation of a patient with eye problems consists of a history, visual acuity, pupil examination, external examination, extra ocular movements, visual fields, and color vision. The patient is then examined at the slit lamp. After the slit lamp examination, the fundus and optic nerve is examined with a direct ophthalmoscope and intraocular pressure is measured. Special tests such as a plain film study and computed tomography (CT) scan may be obtained when indicated and, finally, referral to an ophthalmologist can be made for a dilated fundus examination, ultrasound studies of the eye and orbit, and surgical treatment.
本文的目的是提供一份指南，以协助急诊医生进行眼部检查。对有眼部问题的患者的评估包括病史、视力、瞳孔检查、外部检查、眼球运动、视野和色觉。然后在裂隙灯下对患者进行检查。裂隙灯检查后，用直接检眼镜检查眼底和视神经，并测量眼压。如有指征，可进行平片研究和计算机断层扫描（CT）等特殊检查，最后，可将患者转诊给眼科医生，以进行散瞳眼底检查、眼部和眼眶超声检查以及手术治疗。
