Primary causes of emergency ophthalmological consultations at a tertiary care institution in Colombia
Abstract
Introduction. Several ophthalmological conditions are causes of consultations to the emergency services. The objective of this study was to determine the most common causes of consultation to the ophthalmological emergency service of a tertiary institution in Colombia and thus be able to explore in the future the possibility of identifying some preventive measures aimed at reducing the frequency of these
causes. Methodology. Retrospective descriptive study based on the records of patients attending the emergency department during 2014 and 2015, identifying the diseases based on the International Classification of Diseases (ICD-10) codes. Results. 9,088 and 8,162 records were identified for 2014 and 2015, respectively. The most frequent causes of ophthalmologic urgency consultation for the year 2014 were: corneal or conjunctive foreign body with 20.2 %, acute conjunctivitis not specified 11.3 %, conjunctival trauma and corneal abrasion 8.3 %, conjunctival haemorrhage 5.8 % and corneal burns 4.7 %. In 2015 the causes were: foreign body in the cornea or conjunctiva (23.6 %), conjunctival trauma and corneal abrasion (9.0 %), acute unspecified conjunctivitis (8.9 %), conjunctival hemorrhage (4.4 %), and corneal burns (4.0 %). Discussion. The most frequent causes of consultation with ophthalmologic emergencies included trauma and infections of the anterior segment of the eye. Conclusions. There is a possibility of identifying some reventive measures (adequate protection elements, behavior protocols in situations of risk, etc.) that help to reduce the frequency of eye traumas and minimize the risk of infections. There is room for more studies in which the specific mechanisms of these injuries are analyzed.
References
Girard B, Bourcier F, Agdabede I, Laroche L.[Activity and epidemiology in an ophthalmological emergency center]. J Fr Ophtalmol. 2002;25:701-11.
Salti HI, Mehanna CJ, Abiad B, Ghazi N, Raad S, Barikian A, et al. Changing trends in eye-related complaints presenting to the emergency department in Beirut, Lebanon, over 15 years. J Ophthalmol. 2018;2018:4739865
Leal MA, Beneyto P, Ibáñez MA, García A, Fernández MJ. ¿Han cambiado los pacientes oftalmológicos que acuden a urgencias? Estudio evolutivo entre los años 1997 y 2005. Arch Soc Esp Oftalmol. 2007;82:159-65.
Kumar NL, Black D, McClellan K. Daytime presentations to a metropolitan ophthalmic emergency department. Clin Experiment Ophthalmol. 2005;33:586-92.
Channa R, Zafar SN, Canner JK, Haring RS, Schneider EB, Friedman DS. Epidemiology of eyerelated emergency department visits. JAMA Ophthalmol. 2016;134:312-9
Sen E, Celik S, Inanc M, Elgin U, Ozyurt B, Yılmazbas P. Seasonal distribution of ocular conditions treated at the emergency room: a 1-year prospective study. Arq Bras Oftalmol. 2018;81:116-9.
Jafari AK, Bozorgui S, Shahverdi N, Ameri A, Akbari MR, Salmasian H. Different causes of referral to ophthalmology emergency room. J Emerg Trauma Shock. 2012;5:16-22.
Baig R, Ahmad K, Zafar S, Khan NU, Ashfaq A. Frequency of ocular emergencies in a tertiary care setting in Karachi, Pakistan - It is time to reduce unnecessary visits. J Pak Med Assoc. 2018;68:1493-5.
Samoilă O, Ostriceanu S, Samoilă L. Epidemiology of ocular emergencies in Cluj ophthalmology clinic. Rom J Ophthalmol. 2016;60:165-9.
Domínguez-Serrano FB, Molina-Solana P, Infante- Cossío M, Sala-Turrens J, Seva-Silva N, Rodríguez-de-la-Rúa-Franch E. Ophthalmological emergencies. An epidemiological study: Are resources been used properly? Arch Soc Esp Oftalmol. 2019;94:211-7.
Siempis T. Urgent Eye Care in the UK Increased demand and challenges for the future. Med Hypothesis Discov Innov Ophthalmol. 2014;3:103-10.
Perumal D, Niederer R, Raynel S, McGhee CN. Patterns of ophthalmic referral and emergency presentations to an acute tertiary eye service in New Zealand. N Z Med J. 2011;124:35-47.
Stagg BC, Shah MM, Talwar N, Padovani-Claudio DA, Woodward MA, Stein JD. Factors affecting visits to the emergency department for urgent and non-urgent ocular conditions. Ophthalmology 2017;124:720-9.
Edwards RS. Ophthalmic emergencies in a district general hospital casualty department. Br J Ophthalmol. 1987;71:938-42.
Vieira GM. [One month in an eye emergency clinic in Brasilia].[Article in Portuguese]. Arq Bras Oftalmol. 2007;70:797-802.
Agrinier N, Conart JB, Baudot A, Ameloot F, Angioi-Duprez K. [Epidemiology of patients with eye-related emergencies in a university hospital: A cross-sectional study identifying factors associated with true emergency]. J Fr Ophtalmol. 2018 Jun;41(6):546-53.
Alabbasi OM, Al-Barry M, Albasri RF, Khashim HF, Aloufi MM, Abdulaal MF, et al. Patterns of ophthalmic emergencies presenting to a referral hospital in Medina City, Saudi Arabia. Saudi J Ophthalmol. 2017;31:243-6.
León F, Taboada JF, Guimerá V. Traumatismos Oculares graves en España: Factores epidemiológicos, estudio de las lesiones y medidas de prevención., Barcelona: Vallirana; 1994. p. 12-27.
Fea A, Bosone A, Rolle T, Grignolo FM. Eye injuries in an Italian urban population: report of 10,620 cases admitted to an eye emergency department in Torino. Graefes Arch Clin ExpOphthalmol. 2008;246:175-9.
Ong HS, Barsam A, Morris OC, Siriwardena D, Verma S. A survey of ocular sports trauma and the role of eye protection. Cont Lens Anterior Eye. 2012;35:285-7.
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