ArticleEye (London, England)2020
Training in and comfort with diagnosis and management of ophthalmic emergencies among emergency medicine physicians in the United States.
Article in Eye (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Confidence of Emergency Department doctors in managing ophthalmic emergencies: a systematic review.Eye (London, England) · 2024Pooled it
- Autonomous robotic alignment and dynamic illumination control of an ophthalmic slit lamp forJournal of biomedical optics · 2026Article
- The Underutilized Ocular Fundus in Emergency Departments: Current Progress and Future Prospect of Imaging and Artificial Intelligence for Patient Care.Ophthalmology science · 2026Review
- OptimEYEzing Emergency Skills: A Novel Model for Ocular Procedural Education for Emergency Medicine Residents.Journal of education & teaching in emergency medicine · 2026Article
- Optical coherence tomography in the emergency department setting: a case series.American journal of ophthalmology case reports · 2025Article
- Artificial Intelligence-Based Detection of Central Retinal Artery Occlusion Within 4.5 Hours on Standard Fundus Photographs.Journal of the American Heart Association · 2025Observational
- Acute Traumatic Cataract Diagnosed by Ocular Point of Care Ultrasound (POCUS) in the Emergency Department.POCUS journal · 2025Article
- The Prevalence of Ophthalmic Diagnoses and Exam Findings in Emergency Department Consults at Two Academic Hospitals.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Assessment of Emergency Department Intraocular Pressure and Visual Acuity Assessment as a Screening Exam.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- A Case of Painful Visual Loss - Managing Orbital Compartment Syndrome in the Emergency Department.Journal of education & teaching in emergency medicine · 2024Article
- Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment in Medical Practice.The western journal of emergency medicine · 2024Article
- Profile of eye-related emergency department visits in Ontario - a Canadian perspective.BMC ophthalmology · 2023Article
- Review
- Public and Physicians Perception of Oculoplastic Surgery Subspecialty in Saudi Arabia.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- The burden of flashes and floaters in traditional general emergency services and utilization of ophthalmology on-call consultation: a cross-sectional study.BMC ophthalmology · 2022Article
- Current diagnosis and treatment practice of central retinal artery occlusion: results from a survey among German stroke units.Neurological research and practice · 2022Article
- A Systematic Analysis of the Impact of an Ambulatory Ophthalmology Urgent Care Clinic.Journal of academic ophthalmology (2017) · 2022Article
- A study on knowledge, attitude, and practices toward ophthalmic emergencies among fresh medical graduates in India.Oman journal of ophthalmologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND/
objectivesPatients with ophthalmic emergencies often present to emergency rooms. Emergency medicine (EM) physicians should feel comfortable encountering these conditions. We assessed EM physicians' comfort working up, diagnosing, and managing ophthalmic emergencies. SUBJECTS/
methods329 EM physicians participated in this cross-sectional multicentre survey. Questions inquired about the amount, type, and self-perceived adequacy of ophthalmic training. Likert scales were used to assess confidence and comfort working up, diagnosing, and managing ophthalmic emergencies.
resultsParticipants recall receiving a median of 5 and 10 h of ophthalmic training in medical school and residency, respectively. Few feel this prepared them for residency (16.5%) or practice (52.0%). Only 50.6% feel confident with their ophthalmic exam. Most (75.0%) feel confident in their ability to identify an ophthalmic emergency, but 58.8% feel well prepared to work them up. Responders feel more comfortable diagnosing acute retrobulbar hematoma (72.5%), retinal detachment (69.8%), and acute angle closure glaucoma (78.0%) than central retinal artery occlusion (28.9%) or giant cell arteritis (53.2%). Only 60.2% feel comfortable determining if canthotomy and cantholysis is necessary in the setting of acute retrobulbar hematoma, and 40.3% feel comfortable performing the procedure. There was a trend towards attending physicians and providers in urban and academic settings feeling more comfortable diagnosing and managing ophthalmic emergencies compared to trainees, non-urban, and non-academic physicians.
conclusionsMany participants do not feel comfortable using ophthalmic equipment, performing an eye exam, making vision or potentially life-saving diagnoses, or performing vision-saving procedures, suggesting the need to increase ophthalmic training in EM curricula.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.