Patterns of ophthalmic emergencies presenting to a referral 5 hospital in Medina City, Saudi Arabia
واصفات البياناتعرض سجل المادة الكامل
Data were required on ophthalmic cases that present to the emergency eye clinics in Madinah, Saudi Arabia, for 13 proper allocation of healthcare resources. 14 Objectives: To determine the frequency and various diagnoses of patients presenting to the A&E at Ohud Hospital, Madinah, 15 Saudi Arabia. 16 Methods: Data were collected prospectively for all patients who presented to the A&E from June 2014 to September 2014. The 17 data were analyzed and presented using frequency number and percent. Chi-square tests were used to evaluate the diagnoses 18 based on age, sex and nationality. P 6 0.05 indicated statistical significance. 19 Results: The study sample is comprised of 868 patients. The male-to-female ratio was 1.1:1.0. The main age characteristics were 20 256 patients P45 years of age and 251 patients between the ages of 15–30 years. Conjunctivitis was the most common diagnosis, 21 reported in 282 (32.5%) patients followed by dry eye in 156 (18%) patients and nasolacrimal duct obstruction in 156 (18%) patients, 22 lid infections in 102 (12%) patients, and corneal abrasion in 102 (9.3%) patients; eye trauma was diagnosed in 30 (3.5%) patients, 23 ruptured globe in 2 (0.2%) patients, abnormal intraocular pressure (IOP) in 17 (2%) patients and various other non-emergency 24 pathologies in the remaining eyes. There were no significant differences in patient’s characteristics and categories of diagnoses. 25 Conclusion: Non-emergent ophthalmic cases were the most common reason for the ophthalmology emergency room visits. These 26 cases could be referred to outpatient departments and/or potentially be managed by primary healthcare providers. This would be 27 more cost effective and allow for better management of life and vision threatening ocular emergencies.