Ocular Emergencies

Tarff, Andreina; Behrens, Ashley

doi:10.1016/j.mcna.2016.12.013

Cited by 30 publications

(43 citation statements)

References 112 publications

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“…Keeping the patient supine and aggressively managing symptoms (pain, nausea and vomiting) to avoid spikes in intraocular pressure are also critical management steps. Definitive management of acute angle-closure glaucoma includes emergent referral for ophthalmologic evaluation and consideration of surgical iridotomy 6,7…”

Section: Discussionmentioning

confidence: 99%

Acute Angle-Closure Glaucoma Secondary to a Phakic Intraocular Lens, an Ophthalmic Emergency

Frost

Ritter

Trotter

et al. 2019

Clinical Practice and Cases in Emergency Medicine

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Implantable collamer lenses (ICL) are phakic (natural lens remains in place) lenses that were first developed in the 1990s for correction of high myopia. The effectiveness and safety of ICLs are making them an increasingly popular option for vision correction in the myopic patient, competing with traditional options like glasses, contacts, and procedures such as laser-assisted in situ keratomileusis. Although generally safe, due to the position of the phakic ICL in the eye, pupillary block remains a rare but vision-threatening complication of ICL implantation. Pupillary block caused by phakic ICL is a serious complication that requires urgent recognition and intervention and is poorly described in emergency medicine literature. We describe a case of pupillary block five years after ICL implantation that was refractory to standard medical therapy, highlighting the importance of early diagnosis and referral for more definitive therapy.

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Section: Discussionmentioning

confidence: 99%

Acute Angle-Closure Glaucoma Secondary to a Phakic Intraocular Lens, an Ophthalmic Emergency

Frost

Ritter

Trotter

et al. 2019

Clinical Practice and Cases in Emergency Medicine

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“…Different disorders can cause conjunctival infections, leading patients to seek emergency care. As the eye is a visible organ, it can show the first signs of local or systemic problems in the early stages of the disease (22) . According to results and adding the adequacy indexes, 87% of participants performed the examination of the eyelid satisfactorily with a suitability of 77.8% in the identification of the symptoms.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the self-eye examination method for health promotion

Lima

Nascimento²,

Silva

et al. 2018

Rev. esc. enferm. USP

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Objective:To evaluate the self-eye examination practice as a tool to promote the ocular self-evaluation. Method: Quasi-experimental study developed in a university of Piauí with sample of 324 students between January and May 2014. A team of thirteen researchers made observations during the self-examination followed by an ocular screening. Results: There was no agreement on the hypothesis of defense that the ocular exam could help to observe the eyes health, p-value>0.3. However, the exam was considered as easy to accomplish (99.7%) and that not only the physician can perform the eye exam (99.4%). The awareness about eye care is identified as the main purpose of this booklet (97.6%), (χ 2 = 186.01; p=0.001). The results highlight the booklet can be used in the teaching process of self-eye examination (84.6%). Although the defense that its fulfilment can replace the consultation with the ophthalmologist (23.8%%) cannot be accepted (χ 2 = 46.34), the self-exam must be done routinely (82.4%). Conclusion: The results prove that the learning through virtual booklet is possible and supports self-care with the eyes by performing the self-exam.

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“…These emergencies potentially threaten vision and require careful visual examination. A quick, accessible, portable electronic tool that evaluates vision in patients of all ages at the bedside is required 1–4. Before use, however, such tools need to be rigorously evaluated.…”

Section: Introductionmentioning

confidence: 99%

Undermining a common language: smartphone applications for eye emergencies

Charlesworth¹,

Davidson²

2019

MDER

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BackgroundEmergency room physicians are frequently called upon to assess eye injuries and vision problems in the absence of specialized ophthalmologic equipment. Technological applications that can be used on mobile devices are only now becoming available.ObjectiveTo review the literature on the evidence of clinical effectiveness of smartphone applications for visual acuity assessment marketed by two providers (Google Play and iTunes).MethodsThe websites of two mobile technology vendors (iTunes and Google Play) in Canada and Ireland were searched on three separate occasions using the terms “eye”, “ocular”, “ophthalmology”, “optometry”, “vision”, and “visual assessment” to determine what applications were currently available. Four medical databases (Cochrane, Embase, PubMed, Medline) were subsequently searched with the same terms AND mobile OR smart phone for papers in English published in years 2010–2017.ResultsA total of 5,024 Canadian and 2,571 Irish applications were initially identified. After screening, 44 were retained. Twelve relevant articles were identified from the health literature. After screening, only one validation study referred to one of our identified applications, and this one only partially validated the application as being useful for clinical purposes.ConclusionMobile device applications in their current state are not suitable for emergency room ophthalmologic assessment, because systematic validation is lacking.

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Ocular Emergencies

Cited by 30 publications

References 112 publications

Acute Angle-Closure Glaucoma Secondary to a Phakic Intraocular Lens, an Ophthalmic Emergency

Acute Angle-Closure Glaucoma Secondary to a Phakic Intraocular Lens, an Ophthalmic Emergency

Evaluation of the self-eye examination method for health promotion

Undermining a common language: smartphone applications for eye emergencies

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