Related Experiment Video
Updated: May 20, 2025
Using an Automated Hirschberg Test App to Evaluate Ocular Alignment
Published on: March 24, 2020
[Evaluation of ophthalmological screening in a university hospital setting]
I Albutiu1, O Semoun1, A Miere1
1Service d'ophtalmologie, centre hospitalier intercommunal de Créteil, université Paris Est, Créteil, France.
Objective:
To evaluate the feasibility and utility of an unscheduled first-line ophthalmological screening consultation in a university hospital setting.
Material And Methods:
This was a prospective study of a cohort of consecutive patients presenting to the ophthalmology department of Créteil Intercommunal Hospital without an appointment, between January 2022 and December 2022. The included patients received the complete protocol, including refraction, keratometry, tonometry, pachymetry, measurement of the irido-corneal angle, corneal topography, fundus photography and an anterior segment photograph using the Visionix VX650 machine. For all included patients, visual acuity measurement, data interpretation and slit lamp examination were also performed. According to the screening findings, the included patients then sometimes received additional examinations.
Results:
A total of 536 patients (1072 eyes) were included in this series, with a female predominance 375/536 (70%) and a mean age of 51.3±4.5years. Among the included patients, 332/536 (61.94%) presented ophthalmological findings which required either treatment or ophthalmological investigation, most of which were incidental findings. The most commonly performed additional examinations were macular and RNFL OCT (274/536 patients ; 51.11%). We also observed a significant prevalence of cataract and lens opacities in 53/536 (9.88%), ocular surface disorders in 52/536 (9.70%) and age-related maculopathy in 36/536 (6.71%). Fifteen of the 64 patients with lens opacities were able to undergo surgery. The screening also made it possible to detect suspected open-angle glaucoma in 23/536 (4.92%) and to confirm it in 12/536 (2.23%) cases.
Conclusion:
Ophthalmological screening carried out in the hospital environment has proven to be effective and paves the way to possibilities for unscheduled first-line ophthalmology consultation. In total, 332/536 (61.94%) of the patients had an ophthalmological pathology, and carrying out this assessment in a medical setting made it possible to initiate efficient treatment without delay.
