BibTex RIS Kaynak Göster

Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?

Yıl 2014, Cilt: 5 Sayı: 3, 81 - 83, 01.03.2014

Öz

Introduction: Hypertensive retinopathy, an important marker of target organ damage in high blood pressure, is a very important guide in the management of hypertension. Therefore, detection of retinopathy in those patients has vital importance. Emergency physicians can easily identify hypertensive retinopathy using direct ophthalmoscopic examination. Here, we present a renal failure case that was diagnosed late because of neglect of the ophthalmoscopy.   Case Report: A 26-year-old male was admitted to an emergency physician with complaint of a foreign body, visual acuity loss in the left eye, and fatigue 2 weeks earlier. However, the first doctor of the patient had not performed an ophthalmoscopy. The patient’s visual loss had worsened in the following 2 weeks. On our examination, the best corrected visual acuity was 20/30 (Snellen chart) in the right eye and 20/400 in the left. On ophthalmoscopic examination, both eyes showed signs of hypertensive retinopathy. The patient was referred to a nephrology clinic because of high arterial blood pressure values and higher-than-normal urea and creatinine levels. Bilateral renal failure due to chronic glomerulonephritis was detected by nephrologists.     Conclusion: Emergency physicians should accept ophthalmoscopy as a part of the physical examination and use it to prevent skipping vitally important diseases, such as hypertension and renal failure.

Kaynakça

  • Preston S. Klassen, Laura P. Svetkey. Diagnosis and managment of reno- vascular hypertension. Cardiology in Review 2000; 1: 17-29.
  • Wong TY, Mitchell P: Hypertensive retinopathy. N Engl J Med 2004; 351: 2310–7. [CrossRef]
  • Tso M, Jampol LM. Pathophysiology of hypertensive retinopathy. Oph- thalmology 1982; 89: 1132–45. [CrossRef]
  • Shuttleworth GN, Marsh GW.How effective is undergraduate and postgraduate teaching in ophthalmology? Eye (Lond). 1997; 11: 744-50. [CrossRef]
  • Klein R, Klein BEK, Moss SE, et al Hypertension and retinopathy, arterio- lar narrowing and arteriovenous nicking in a population. Arch Ophthal- mol 1994; 112: 92–8. [CrossRef]
  • Roberts E, Morgan R, King D, et al. Funduscopy: a forgotten art? Post- gradMed J 1999; 75: 282-4.

Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?

Yıl 2014, Cilt: 5 Sayı: 3, 81 - 83, 01.03.2014

Öz

Introduction: Hypertensive retinopathy, an important marker of target organ damage in high blood pressure, is a very important guide in the management of hypertension. Therefore, detection of retinopathy in those patients has vital importance. Emergency physicians can easily identify hypertensive retinopathy using direct ophthalmoscopic examination. Here, we present a renal failure case that was diagnosed late because of neglect of the ophthalmoscopy.Case Report: A 26-year-old male was admitted to an emergency physician with complaint of a foreign body, visual acuity loss in the left eye, and fatigue 2 weeks earlier. However, the first doctor of the patient had not performed an ophthalmoscopy. The patient’s visual loss had worsened in the following 2 weeks. On our examination, the best corrected visual acuity was 20/30 (Snellen chart) in the right eye and 20/400 in the left. On ophthalmoscopic examination, both eyes showed signs of hypertensive retinopathy. The patient was referred to a nephrology clinic because of high arterial blood pressure values and higher-than-normal urea and creatinine levels. Bilateral renal failure due to chronic glomerulonephritis was detected by nephrologists.Conclusion: Emergency physicians should accept ophthalmoscopy as a part of the physical examination and use it to prevent skipping vitally important diseases, such as hypertension and renal failure

Kaynakça

  • Preston S. Klassen, Laura P. Svetkey. Diagnosis and managment of reno- vascular hypertension. Cardiology in Review 2000; 1: 17-29.
  • Wong TY, Mitchell P: Hypertensive retinopathy. N Engl J Med 2004; 351: 2310–7. [CrossRef]
  • Tso M, Jampol LM. Pathophysiology of hypertensive retinopathy. Oph- thalmology 1982; 89: 1132–45. [CrossRef]
  • Shuttleworth GN, Marsh GW.How effective is undergraduate and postgraduate teaching in ophthalmology? Eye (Lond). 1997; 11: 744-50. [CrossRef]
  • Klein R, Klein BEK, Moss SE, et al Hypertension and retinopathy, arterio- lar narrowing and arteriovenous nicking in a population. Arch Ophthal- mol 1994; 112: 92–8. [CrossRef]
  • Roberts E, Morgan R, King D, et al. Funduscopy: a forgotten art? Post- gradMed J 1999; 75: 282-4.
Toplam 6 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA52BC24RA
Bölüm Araştırma Makalesi
Yazarlar

Yakup Aksoy Bu kişi benim

Yusuf Emrah Eyi Bu kişi benim

Taner Kar Bu kişi benim

Kadir Çolakoğlu Bu kişi benim

Ali Ayata Bu kişi benim

Melih Hamdi Ünal Bu kişi benim

Yayımlanma Tarihi 1 Mart 2014
Gönderilme Tarihi 1 Mart 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 5 Sayı: 3

Kaynak Göster

APA Aksoy, Y., Eyi, Y. E., Kar, T., Çolakoğlu, K., vd. (2014). Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?. Journal of Emergency Medicine Case Reports, 5(3), 81-83.
AMA Aksoy Y, Eyi YE, Kar T, Çolakoğlu K, Ayata A, Ünal MH. Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?. Journal of Emergency Medicine Case Reports. Mart 2014;5(3):81-83.
Chicago Aksoy, Yakup, Yusuf Emrah Eyi, Taner Kar, Kadir Çolakoğlu, Ali Ayata, ve Melih Hamdi Ünal. “Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?”. Journal of Emergency Medicine Case Reports 5, sy. 3 (Mart 2014): 81-83.
EndNote Aksoy Y, Eyi YE, Kar T, Çolakoğlu K, Ayata A, Ünal MH (01 Mart 2014) Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?. Journal of Emergency Medicine Case Reports 5 3 81–83.
IEEE Y. Aksoy, Y. E. Eyi, T. Kar, K. Çolakoğlu, A. Ayata, ve M. H. Ünal, “Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?”, Journal of Emergency Medicine Case Reports, c. 5, sy. 3, ss. 81–83, 2014.
ISNAD Aksoy, Yakup vd. “Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?”. Journal of Emergency Medicine Case Reports 5/3 (Mart 2014), 81-83.
JAMA Aksoy Y, Eyi YE, Kar T, Çolakoğlu K, Ayata A, Ünal MH. Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?. Journal of Emergency Medicine Case Reports. 2014;5:81–83.
MLA Aksoy, Yakup vd. “Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?”. Journal of Emergency Medicine Case Reports, c. 5, sy. 3, 2014, ss. 81-83.
Vancouver Aksoy Y, Eyi YE, Kar T, Çolakoğlu K, Ayata A, Ünal MH. Direct Ophthalmoscopic Examination in the Emergency Department: Is It Really Vital?. Journal of Emergency Medicine Case Reports. 2014;5(3):81-3.