Anderson D F, Sullivan P M, Luff A J, Elkington A R
Southampton Eye Unit, London, UK.
J R Soc Med. 1998 Mar;91(3):127-8. doi: 10.1177/014107689809100303.
The causes of red eye range from trivial to life-threatening, and many general practitioners are uncertain of their ability to diagnose them with the aid of an ophthalmoscope. We tested the hypothesis that, in the assessment of a patient with red eye, a doctor using a slit lamp biomicroscope would not differ in diagnostic accuracy from a doctor using a direct ophthalmoscope. A cross-over study was conducted in 98 patients newly attending an eye casualty department. 71% of diagnoses agreed exactly, and all potentially sight-threatening lesions were either diagnosed correctly or managed appropriately by doctors using an ophthalmoscope. We conclude that the initial diagnosis and management of patients with an acute red eye is not prejudiced by the lack of a slit lamp biomicroscope.
红眼的病因多种多样，从微不足道到危及生命，许多全科医生不确定自己借助检眼镜进行诊断的能力。我们检验了这样一个假设：在评估红眼患者时，使用裂隙灯生物显微镜的医生与使用直接检眼镜的医生在诊断准确性上没有差异。对98名首次到眼科急诊就诊的患者进行了一项交叉研究。71%的诊断完全一致，所有可能威胁视力的病变都被使用检眼镜的医生正确诊断或妥善处理。我们得出结论，急性红眼患者的初始诊断和处理不会因缺乏裂隙灯生物显微镜而受到影响。
