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

Yakup AKSOY; Yusuf Emrah EYİ; Taner KAR; Kadir ÇOLAKOĞLU; Ali AYATA; Melih Hamdi ÜNAL

Makale detayları

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

Yazarlar:

Yakup AKSOY | Yusuf Emrah EYİ | Taner KAR | Kadir ÇOLAKOĞLU | Ali AYATA | Melih Hamdi ÜNAL

Yayıncı:

Acil Tıp Uzmanları Derneği

Dergi:

Journal of Emergency Medicine Case Reports 2014 Vol.5 Issue 3, pp.81-83

Belge Tipi:

Makale

Yayın Tarihi:

2/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000504965

Sıklık:

Aylık

eISSN:

2149-9934

Özet:

 

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.

 

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.

Makale detayları

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

Yazarlar: Yakup AKSOY | Yusuf Emrah EYİ | Taner KAR | Kadir ÇOLAKOĞLU | Ali AYATA | Melih Hamdi ÜNAL

Yayıncı: Acil Tıp Uzmanları Derneği

Dergi: Journal of Emergency Medicine Case Reports 2014 Vol.5 Issue 3, pp.81-83

Belge Tipi: Makale

Yayın Tarihi: 2/2014

Belge Dili: Türkçe

Document ID (Org No.): 2000504965

Sıklık: Aylık

eISSN: 2149-9934

Sayı

Yazarlar:

Yakup AKSOY | Yusuf Emrah EYİ | Taner KAR | Kadir ÇOLAKOĞLU | Ali AYATA | Melih Hamdi ÜNAL

Yayıncı:

Acil Tıp Uzmanları Derneği

Dergi:

Journal of Emergency Medicine Case Reports 2014 Vol.5 Issue 3, pp.81-83

Belge Tipi:

Makale

Yayın Tarihi:

2/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000504965

Sıklık:

Aylık

eISSN:

2149-9934