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Optometrist referrals to ophthalmology are generally reliable for visual acuity (VA) and intraocular pressure (IOP) measurements, with 60% accurately localizing eye conditions. However, IOP data is often missing, and some urgent cases are misdirected.

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Area of Science:

  • Ophthalmology
  • Optometry
  • Medical Diagnostics

Background:

  • Accurate triage of emergency eye conditions is crucial for timely treatment.
  • Optometrist referrals to tertiary ophthalmology centers require evaluation for diagnostic accuracy.

Purpose of the Study:

  • To assess the accuracy of optometrist provisional diagnoses and physical examination findings for emergency referrals.
  • To characterize referrals to a tertiary ophthalmology care center.

Main Methods:

  • Prospective case review of consecutive patients referred for after-hours ocular consultation.
  • Comparison of optometrist and ophthalmologist measurements for visual acuity (VA) and intraocular pressure (IOP).
  • Analysis of agreement in provisional versus final diagnoses and localization of eye pathology.

Main Results:

  • Optometrist and ophthalmologist VA measurements showed strong correlation.
  • Intraocular pressure (IOP) measurements were less frequently reported by optometrists but showed no significant difference when documented.
  • Optometrist provisional diagnoses correctly localized eye pathology in 60% of cases.

Conclusions:

  • Optometrist measurements of VA and IOP are reliable, but IOP data is often omitted.
  • Referral accuracy for eye pathology localization by optometrists is 60%, indicating room for improvement.
  • Some critical conditions like retinal tears/detachments were referred without precise reasons.