Neurological problems presenting to an ophthalmic casualty department
作者:
Peter R. Simcock,
Nicholas P. Jones,
Allan P. Watson,
期刊:
Acta Ophthalmologica
(WILEY Available online 1992)
卷期:
Volume 70,
issue 6
页码: 721-724
ISSN:1755-375X
年代: 1992
DOI:10.1111/j.1755-3768.1992.tb04875.x
出版商: Blackwell Publishing Ltd
关键词: abnormal pupil reactions;emergency medical services;ophthalmoplegia;optic nerve disease;vision disorders
数据来源: WILEY
摘要:
AbstractAll patients presenting with neurological problems to an eye hospital casualty department over one year were prospectively studied. A total of 119 patients were identified. The most frequent diagnoses were retrobulbar neuritis (34; 28.5%), sixth cranial nerve palsy (22; 18.5%), third cranial nerve palsy (15; 12.6%) and Adie's tonic pupil (11; 9%). Cranial nerve palsies were most commonly due to diabetes or hypertension (16; 43.2%). Only one intracranial aneurysm was found. Symptoms included blurred vision (52; 43.7%), binocular diplopia (51; 42.8%), and eye pain (27; 22.7%). Fifty patients (42.0%) were referred by a general medical practitioner. Twenty‐two (18.5%) were admitted to hospital. Forty‐nine skull X‐rays were requested and all were normal. Twenty‐nine chest X‐rays were requested. One (3.4%) showed an abnormality (carcinoma of the bronchus). Neurological patients present to ophthalmic casualty departments because of ophthalmic symptoms. Ophthalmic casualty officers are able to make working diagnoses and to direct patients appropriately. The use of investigations in the casualty department, however, is unlikely to be p
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