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Conference Roundup

After hours retina appointments often require urgent intervention

Posted on August 26, 2020

In this retrospective review, 987 charts from patients who needed emergency and after clinic hours at academic non-hospital associated retina-only private practice institutions were included.

The majority of all visits over the 2-year study period were from new patients (53%), with flashes and floaters being the most common presenting symptom (42.55%). Nearly 40% of patients had symptom duration for ≤1 day, and 17.22% had symptom duration for ≤2 days.

Posterior vitreous detachment (15.20%), macula on retinal detachment (9.93%), macula off retinal detachment (9.73%), retinal tear (9.52%) and vitreous hemorrhage (8.81%), were the most common diagnosis. Eighteen percent of patients had a procedure performed in-office during the initial visit, most of which were laser retinopexy.

Overall, 23% of all visits resulted in surgery within 96 hours, and 36% of encounters led to urgent intervention within 24 hours when combined with procedures.

The authors concluded that there is a need for retina on-call services to supplement hospital-based eye institutions.

Reference
Blackorby BL, et al. Analysis of emergent non hospital based retina consultation requests in an academic non-hospital associated retina practice. Presented at: 2020 ASRS Virtual Meeting.

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