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Systemic conditions in the Emergency Eye Clinic
1Department of Ophthalmology, St. George's Hospital, London.
European Journal of Ophthalmology
|February 11, 1998
Summary
Emergency eye clinics can identify previously undiagnosed systemic diseases, particularly neurological and cardiovascular conditions, through ophthalmological manifestations. Early detection in eye clinics aids in managing these serious health issues.
Area of Science:
- Ophthalmology
- Internal Medicine
- Public Health
Background:
- Ophthalmological manifestations can be the first sign of systemic disease.
- Early diagnosis of systemic disorders is crucial for reducing morbidity and mortality.
Purpose of the Study:
- To document the pattern of systemic disorders diagnosed for the first time in patients presenting to an emergency eye clinic.
- To highlight the role of emergency eye clinics in identifying undiagnosed systemic conditions.
Main Methods:
- A six-month prospective study of patients with newly diagnosed systemic conditions in an Emergency Eye Clinic.
- Screening for hypertension and glycosuria in referred patients.
- Referral to general practitioners or specialists for further management.
Main Results:
- 8.4% of 1025 new patients had previously undiagnosed systemic disease.
- Neurological (41%) and cardiovascular (20%) disorders were most common, followed by glycosuria (15%).
- Ocular symptoms like visual disturbance and pain were frequent; 62.8% of cases showed direct systemic manifestation.
Conclusions:
- Emergency eye clinics play a vital role in the early detection of systemic diseases.
- Awareness of ophthalmological signs aids in timely diagnosis and management, potentially reducing adverse outcomes.
- Ophthalmological presentations are key indicators for underlying systemic health issues.