PDF(Pubmed)
Abstract：
OBJECTIVE: Ocular emergencies require immediate intervention to prevent rapid vision loss or functional impairment. The aim of this study was to determine the proportion of true ocular emergencies among patients who presented to the general emergency department with ocular complaints and were referred to the Eye Clinic.
METHODS: In a retrospective cross-sectional study in a tertiary hospital in Istanbul, patients aged 0-100 years who presented to the general emergency department with ocular complaints between January and December 2022 were included. Inconclusive diagnoses and incomplete records were excluded. Patients were divided into three groups: top eye emergencies (TE), relative eye emergencies (REE), and non-emergency eyes (NEE).
RESULTS: Among the 652,224 individuals seeking care, 9,982 (1.5%) were referred to the Eye Emergency Clinic. Of these, 2,788 (27.9%) were female, and 7,194 (72.1%) were male, with ages ranging from 0 to 98 years. TopEye Emergencies (TEE), Relative Eye Emergencies (REE), and Non-Eye Emergencies (NEE) accounted for 13%, 60%, and 27% of the cases, respectively. Common top-eye emergencies (TEE) include chemical injuries, orbital-preseptal cellulitis, and orbital fractures. Relative eye emergencies (REEs) commonly feature corneal foreign bodies, corneal erosion, and conjunctivitis. Nonemulsion eye (NEE) methods involve simple eye redness, trauma without eye involvement, and subconjunctival haemorrhage.
CONCLUSIONS: Consistent with the literature, 1.5% of patients presenting to the general emergency department had eye complaints.However, 27% of those referred to the ophthalmological clinic did not have an urgent eye condition. This is partly due to the high proportion of patients presenting to the emergency department with ocular complaints and the lack of knowledge of ophthalmological diseases by emergency physicians, leading to unnecessary referrals to the ophthalmology clinic, resulting in a loss of the workforce and reduced time allocated to patients with true ocular emergencies.
METHODS: In a retrospective cross-sectional study in a tertiary hospital in Istanbul, patients aged 0-100 years who presented to the general emergency department with ocular complaints between January and December 2022 were included. Inconclusive diagnoses and incomplete records were excluded. Patients were divided into three groups: top eye emergencies (TE), relative eye emergencies (REE), and non-emergency eyes (NEE).
RESULTS: Among the 652,224 individuals seeking care, 9,982 (1.5%) were referred to the Eye Emergency Clinic. Of these, 2,788 (27.9%) were female, and 7,194 (72.1%) were male, with ages ranging from 0 to 98 years. TopEye Emergencies (TEE), Relative Eye Emergencies (REE), and Non-Eye Emergencies (NEE) accounted for 13%, 60%, and 27% of the cases, respectively. Common top-eye emergencies (TEE) include chemical injuries, orbital-preseptal cellulitis, and orbital fractures. Relative eye emergencies (REEs) commonly feature corneal foreign bodies, corneal erosion, and conjunctivitis. Nonemulsion eye (NEE) methods involve simple eye redness, trauma without eye involvement, and subconjunctival haemorrhage.
CONCLUSIONS: Consistent with the literature, 1.5% of patients presenting to the general emergency department had eye complaints.However, 27% of those referred to the ophthalmological clinic did not have an urgent eye condition. This is partly due to the high proportion of patients presenting to the emergency department with ocular complaints and the lack of knowledge of ophthalmological diseases by emergency physicians, leading to unnecessary referrals to the ophthalmology clinic, resulting in a loss of the workforce and reduced time allocated to patients with true ocular emergencies.
摘要：
目的：眼部急症需要立即干预以防止视力快速丧失或功能损害。这项研究的目的是确定向普通急诊科就诊并转诊给眼科诊所的患者中真正的眼部紧急情况的比例。
方法：在伊斯坦布尔一家三级医院的回顾性横断面研究中，纳入了2022年1月至12月期间就诊于普通急诊科并有眼部主诉的0~100岁患者.不确定的诊断和不完整的记录被排除。患者分为三组：头眼急症（TE），相对眼紧急情况（REE），非紧急眼睛（NEE）。
结果：在寻求护理的652,224人中，9,982（1.5％）被转诊到眼科急诊诊所。其中,2,788（27.9%）为女性，男性为7194人(72.1%),年龄从0到98岁不等。TopEye紧急情况(TEE),相对眼急症（REE），非眼急症(NEE)占13%，60%,27%的病例,分别。常见的顶眼紧急情况（TEE）包括化学伤害，眶前蜂窝织炎,和眼眶骨折.相对眼紧急情况（REE）通常以角膜异物为特征，角膜糜烂,和结膜炎.非乳液眼（NEE）方法涉及简单的眼睛发红，没有眼睛受累的外伤，结膜下出血。
结论：与文献一致，向普通急诊科就诊的患者中有1.5％的眼睛抱怨。然而,转诊到眼科诊所的人中有27％没有紧急的眼部疾病。部分原因是到急诊科就诊的患者有眼部主诉的比例较高,以及急诊医师对眼科疾病知识的缺乏,导致不必要的转诊到眼科诊所，导致劳动力流失，并减少分配给真正的眼部紧急情况患者的时间。
方法：在伊斯坦布尔一家三级医院的回顾性横断面研究中，纳入了2022年1月至12月期间就诊于普通急诊科并有眼部主诉的0~100岁患者.不确定的诊断和不完整的记录被排除。患者分为三组：头眼急症（TE），相对眼紧急情况（REE），非紧急眼睛（NEE）。
结果：在寻求护理的652,224人中，9,982（1.5％）被转诊到眼科急诊诊所。其中,2,788（27.9%）为女性，男性为7194人(72.1%),年龄从0到98岁不等。TopEye紧急情况(TEE),相对眼急症（REE），非眼急症(NEE)占13%，60%,27%的病例,分别。常见的顶眼紧急情况（TEE）包括化学伤害，眶前蜂窝织炎,和眼眶骨折.相对眼紧急情况（REE）通常以角膜异物为特征，角膜糜烂,和结膜炎.非乳液眼（NEE）方法涉及简单的眼睛发红，没有眼睛受累的外伤，结膜下出血。
结论：与文献一致，向普通急诊科就诊的患者中有1.5％的眼睛抱怨。然而,转诊到眼科诊所的人中有27％没有紧急的眼部疾病。部分原因是到急诊科就诊的患者有眼部主诉的比例较高,以及急诊医师对眼科疾病知识的缺乏,导致不必要的转诊到眼科诊所，导致劳动力流失，并减少分配给真正的眼部紧急情况患者的时间。
