Retrospective analysis of ophthalmology consults to a tertiary academic teaching centre

This study was conducted to analyse data from emergency ophthalmology referrals after-hours from different hospitals to identify the most common pathologies and compare accuracy of diagnoses. The primary objective was to identify common presenting entities and common causes of misdiagnosis in the emergency department to help guide education initiatives. This was a retrospective chart review that looked at consults occurring between September 1, 2015, and October 21, 2016. Emergency ophthalmology consults were reviewed and the date, time, age, sex, and provisional diagnosis were recorded. Ophthalmic diagnosis was compared with provisional diagnosis to compare agreement rate. Diagnoses were categorized to determine most frequent etiologies presenting on an emergent basis. A total of 697 consults were reviewed. The most common consults by diagnostic category were anterior segment (36.4%) and posterior segment (27.4%) pathologies. Together, these categories accounted for over 60% of all consults. Agreement between provisional diagnosis and final ophthalmology diagnosis was 65.8%. There was a reasonable agreement rate between referring services diagnosis and ophthalmology diagnosis. The retrospective nature of this study and use of categories to determine agreement are potential biases and the agreement rate may not reflect clinical practice. Most common diagnoses were similar to previous studies. The authors noted several diagnostic categories that could be targeted as areas for medical education to help increase recognition in the primary care setting and facilitate appropriate ophthalmic referral. Cette étude visait à analyser les données sur des patients – provenant de différents hôpitaux – qui avaient été acheminés au service d'urgence en ophtalmologie après les heures ouvrables afin d'identifier les problèmes ophtalmologiques les plus fréquents et de comparer le degré d'exactitude des diagnostics. L'objectif principal consistait à faire ressortir les affections fréquentes au moment de la consultation et les causes fréquentes d'erreur de diagnostic au service des urgences, en vue d'améliorer la formation des médecins. Il s'agit d'un examen rétrospectif de dossiers médicaux portant sur les consultations qui ont eu lieu entre le 1er septembre 2015 et le 21 octobre 2016. On a extrait la date, l'heure, l’âge, le sexe et le diagnostic provisoire des dossiers de consultations urgentes en ophtalmologie. Le diagnostic ophtalmologique a été comparé au diagnostic pr