Diagnostic effectiveness of noncontact slitlamp examination in the identification of retinal tears

Natkunarajah, Mythili; Goldsmith, Craig; Goble, R R

doi:10.1038/sj.eye.6700456

Cited by 17 publications

(10 citation statements)

References 8 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…82 The preferred method of evaluating patients for peripheral vitreoretinal pathology is to use an indirect ophthalmoscope combined with scleral depression. 83 Many patients with retinal tears have blood and pigmented cells in the anterior vitreous. In fully dilated eyes, slit-lamp biomicroscopy with a mirrored contact lens or a condensing lens is an alternative method in fully dilated eyes instead of a scleral depressed indirect examination of the peripheral retina.…”

Section: I++mentioning

confidence: 99%

Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration Preferred Practice Pattern®

et al. 2020

View full text Add to dashboard Cite

Section: I++mentioning

confidence: 99%

Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration Preferred Practice Pattern®

et al. 2020

View full text Add to dashboard Cite

“…, 2002), although both fundus imaging (Mackenzie et al. , 2007) and slit‐lamp BIO can give good results (Natkunarajah et al. , 2003) and are used routinely by optometrists.…”

Section: Discussionmentioning

confidence: 99%

The content of optometric eye examinations for a presbyopic patient presenting with symptoms of flashing lights

Shah

Edgar

Harle

et al. 2009

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

Background: Standardised patients (SPs) are the gold standard methodology for evaluating clinical care. This approach was used to investigate the content of optometric eyecare for a presbyopic patient who presented with recent photopsia. Methods: A total of 102 community optometrists consented to be visited by an actor for a recorded eye examination. This actor received extensive training to enable accurate reporting of the content of the eye examinations, via an audio recording and a checklist completed for each clinical encounter. The actor presented unannounced (incognito) as a 59-year-old patient seeking a private eye examination and complaining of recent onset flashing lights. The results of each clinical encounter were recorded on a pre-designed checklist based on evidence-based reviews on photopsia, clinical guidelines and the views of an expert panel. Results:The presence of the symptom of photopsia was proactively detected in 87% of cases. Although none of the optometrists visited asked all seven gold standard questions relating to the presenting symptoms of flashing lights, 35% asked four of the seven questions. A total of 85% of optometrists asked the patient if he noticed any floaters in his vision and 36% of optometrists asked if he had noticed any shadows in his vision. The proportion of the tests recommended by the expert panel that were carried out varied from 33 to 100% with a mean of 67%. Specifically, 66% recommended dilated fundoscopy to be carried out either by themselves or by another eyecare practitioner, and 29% of optometrists asked the patient to seek a second opinion regarding the photopsia. Of those who referred, 70% asked for the referral to be on the same day or within a week. Conclusion: SP encounters are an effective way of measuring clinical care within optometry and should be considered for further comparative measurements of quality of care. As in research using SPs in other healthcare disciplines, our study has highlighted substantial differences between different practitioners in the duration and depth of their clinical investigations. This highlights the fact that not all eye examinations are the same but inherently different and that there is no such thing as a Ôstandard sight testÕ. Future optometric continuing education could focus on history taking, examination techniques and referral guidelines for patients presenting with symptoms of posterior vitreous detachment, retinal breaks and secondary retinal detachment.

show abstract

“…We read with interest the article by Natkunarajah et al 1 We agree that indirect ophthalmoscopy with indentation remains the gold standard for the detection of retinal breaks.…”

Section: Sir Diagnostic Effectiveness Of Noncontact Slit-lamp Examinmentioning

confidence: 83%

Reply to GW Aylward

Goble

Natkunarajah

Goldsmith

2004

Eye

Self Cite

View full text Add to dashboard Cite

Diagnostic effectiveness of noncontact slitlamp examination in the identification of retinal tears

Cited by 17 publications

References 8 publications

Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration Preferred Practice Pattern®

Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration Preferred Practice Pattern®

The content of optometric eye examinations for a presbyopic patient presenting with symptoms of flashing lights

Reply to GW Aylward

Contact Info

Product

Resources

About