对急性中央和分支视网膜动脉阻塞的光度学实践模式
Kelsey M Mileski1, Valérie Biousse, Nancy J Newman
1Departments of Ophthalmology (KMM, VB, NJN, AMF, WC, MD), Neurology (VB, NJN), and Neurological Surgery (NJN), Emory University School of Medicine, Atlanta, Georgia.
概括
眼科医生经常遇到急性视力丧失,但往往诊断中枢视网膜动脉封闭 (CRAO) 迟到了. 许多人将患者转移到眼科诊所而不是中风中心,延迟了对这种新出现的疾病的关键治疗.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 眼科医生是急性视力丧失的主要诊断人员,包括中枢视网膜动脉封闭 (CRAO).
- 及时诊断和转诊对于CRAO的急性治疗干预至关重要.
- 目前对CRAO管理的光学实践模式需要调查.
研究的目的:
- 调查美国眼科医生关于他们管理中央视网膜动脉封闭 (CRAO) 的实践模式.
- 了解眼科医生对CRAO的诊断和转诊的及时性.
- 为了确定CRAO急性管理的障碍.
主要方法:
- 2020年,一项匿名的七个问题调查通过电子方式分发.
- 该调查的目标是美国光学学会和美国光学协会的成员.
- 响应率为6.1% (在31,603名眼科医生中,有1926名).
主要成果:
- 大多数受访者在以光学为主的诊所执业,并且靠近中风中心.
- 大多数眼科医生每年诊断的CRAO不到5次,52%的眼科医生在前一年没有诊断过任何CRAO.
- 超过70%的确诊的CRAO在症状出现后4个小时以上被评估.
- 许多眼科医生将CRAO患者转移到眼科诊所 (39.9%),而不是中风相关的急诊室 (44.0%).
结论:
- 眼科医生在识别急性视力丧失方面发挥着关键作用,但在及时管理CRAO方面面临挑战.
- 低的调查响应率可能表明眼科医生对CRAO的接触或研究兴趣有限.
- 迟到的评估和不适当的转诊眼科诊所阻碍了急性CRAO治疗.
- 需要教育,以强调CRAO是中风,需要紧急转诊到有中风中心的急诊室.
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