Evaluation of pediatric ophthalmic consultations in a tertiary care university hospital

Evaluation of pediatric ophthalmic consultations in a tertiary care university hospital

Aim: To characterize the patient groups referred to the ophthalmology clinic from the pediatrics clinic and to determine the frequency of the findings. Material and Method: The patients consulted to Balıkesir University Eye Clinic by the Pediatrics Clinic were evaluated retrospectively. Patients were divided into rule-out and ocular symptom groups. Reasons for consultation and ocular findings were recorded. Results: The mean age of 116 patients included in the study was 8.04±4.11 years. Of the patients included in the study, 75 (64.7%) rule-out 41 (35.3%) were in the ocular symptom group. 41 (54.7%) patients in the rule-out group were those who applied for headaches and requested an examination of the fundus and optic disc. Papilledema was detected in 7 (17.1%) patients with headache. Of the patients in the ocular symptom group, 11 (26.8%) were consulted for ocular trauma, 11 (26.8%) for red eye, and 7 (17.1%) for preseptal/orbital cellulitis. Preseptal cellulitis was detected in 4 (57.1%) patients consulted for preseptal/orbital cellulitis. Ocular findings were detected in 10 (91%) patients consulted for trauma. Conjunctivitis was detected in 9 (81.8%) patients who were consulted with red eyes. Conclusion: In the pediatric age group, ophthalmic consultation is mainly performed due to rule-out. The most common reason is the examination of the fundus of the eye due to headache. It is crucial for pediatric age groups to consult an ophthalmologist by performing an eye and vision examination by a pediatrician in terms of early diagnosis and treatment.

___

  • Carter K, Miller KM. Ophthalmology inpatient consultation. Ophthalmology 2001; 108: 1505-11.
  • Grewal DS, Gabr H. Inpatient ophthalmology consultations. Med Clin North Am 2021; 105: 563-76.
  • Peragallo J, Biousse V, Newman NJ. Ocular manifestations of drug and alcohol abuse. Curr Opin Ophthalmol 2013; 24: 566-73.
  • Kara-Junior N, Espindola RF, Valverde Filho J, et al. Ocular risk management in patients undergoing general anesthesia: an analysis of 39,431 surgeries. Clinics (Sao Paulo) 2015; 70: 541-3.
  • Mendel E, Stoicea N, Rao R, et al. Revisiting postoperative vision loss following non-ocular surgery: a short review of etiology and legal considerations. Front Surg 2017; 4: 34.
  • Yamamoto LG, Young DA. Tonometry methods in the pediatric emergency department. Pediatr Emerg Care 2010; 26: 678-83.
  • Palejwala NV, Yeh S, Angeles-Han ST. Current perspectives on ophthalmic manifestations of childhood rheumatic diseases. Curr Rheumatol Rep 2013; 15: 341.
  • Davison JE. Eye involvement in inherited metabolic disorders. Ther Adv Ophthalmol 2020; 12: 2515841420979109.
  • Di Marco E, Aiello F, Lombardo M, et al. A literature review of hypertensive retinopathy: systemic correlations and new technologies. Eur Rev Med Pharmacol Sci 2022; 26: 6424-43.
  • Kırboğa K, Uçar M, Sarp Ü, Arıcı MK. Romatizmal hastalıklarda göz tutulumu. Bozok Tıp Derg 2015; 5: 51-5.
  • Sergott RC. Headaches associated with papilledema. Curr Pain Headache Rep 2012; 16: 354-8.
  • Lim HW, Oh SY. Ocular manifestations of pediatric systemic disease. Hanyang Med Rev 2016; 36: 182-5.
  • Güngör A, Özmen S, Sezgin Ersoy A, et al. Evaluation of ophthalmology consultations of inpatients in a tertiary pediatric hospital. J Dr Behcet Uz Child Hosp 2019; 9: 114-8.
  • Patel SH, Park S, Rosenberg JB. Comparison of Pediatric and adult ophthalmology consultations in an Urban Academic Medical Center. J Pediatr Ophthalmol Strabismus 2017; 54: 17-21.
  • Hasan SJ, Yen KG, Parghi CR, Castanes MS, Edmond JC. The frequency of ocular abnormalities in inpatient pediatric ophthalmology consultations. J Pediatr Ophthalmol Strabismus 2008; 45: 85-9.
  • Kannauje PK, Pandit VR, Wasnik PN, Das P, Venkatesan N. Wilson’s disease: diagnosis in novel way. Cureus 2021; 13: e18650.
  • Bouirig K, Cherkaoui LO. Nodules de Lisch: marqueur ophtalmologique de la neurofibromatose de type 1. Pan Afr Med J 2022; 42: 108.
  • Rodrigo BJ, Paulina LL, Francesc Mde R, Eduardo TT, Alejandro N. Intraocular lens subluxation in Marfan syndrome. Open Ophthalmol J 2014; 8: 48-50.
  • Bratina N, Auzanneau M, Birkebaek N, et al. Donaghue KC; Australasian Diabetes Data Network (ADDN) Study Group, the Prospective Diabetes Follow-up Registry (DPV) initiative, Danish National Diabetes Registry (DanDiabKids), National Pediatric Diabetes Audit (NPDA), Region Marche Registry for Diabetes, Diabeter Diabetes Database, Slovenian Childhood Diabetes Registry, SEARCH for Diabetes in Youth Study. Differences in retinopathy prevalence and associated risk factors across 11 countries in three continents: A cross-sectional study of 156,090 children and adolescents with type 1 diabetes. Pediatr Diabetes 2022; 23: 1656-64.
  • Santos JC, Pinto S, Ferreira S, et al. Pediatric preseptal and orbital cellulitis: a 10-year experience. Int J Pediatr Otorhinolaryngol 2019; 120: 82-8.
Anatolian Current Medical Journal-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2019
  • Yayıncı: MediHealth Academy Yayıncılık
Sayıdaki Diğer Makaleler

A new prognostic marker in small cell lung cancer: red cell distribution width ratio of hemoglobin

Figen ÖZTÜRK ERGÜR, Ayperi ÖZTÜRK

New determinants for causal neural mechanism of dry mouth in Parkinson’s disease induced by destruction of superior salivatory nucleus, facial nerve, and submandibular gland circuitry: an experimental study

Mete ZEYNAL

Evaluation of pediatric ophthalmic consultations in a tertiary care university hospital

Ayşe Güzin TAŞLIPINAR UZEL, Özlem Özcanlı ÇAY, Mehmet Murat UZEL

Advanced age; not a contraindiction for resections of colorectal liver metastasis recurrence

Recep Erçin SÖNMEZ

Comparison of scar outcomes of alar base and columella using irradiated polyglactin 911: a single-blind study

Mehmet Emrah CEYLAN, Taşkın YÜCEL

Patient satisfaction, sexual function and decision regret in use of levonorgestrel intrauterine device

Canan SATIR ÖZEL, Gökçem Büşra İNANÇ KARAMAN, Ergül DEMİRÇİVİ, Oğuz YARDIMCI, Mustafa ÇAKIR, Abdulkadir TURGUT

The effects of extremely low-frequency magnetic field exposure on apoptosis, neurodegeneration and trace element levels in the rat brain

Mehmet Onat ÇAKIT, Gökhan KOCA, Aylin AKBULUT, Onur ERDEM, Serdar ÇETİNKAYA, Gaye UMURHAN, Nur AYDINBELGE-DİZDAR, Meric ESMEKAYA, Nihat YUMUŞAK, Ayşe Gülnihal CANSEVEN KURŞUN, Meliha KORKMAZ

Determination of antibiotic resistance rates of Escherichia coli and Klebsiella pneumoniae isolates, which are the causative agents of urinary tract infection in pregnant women

Süheyla AYDOĞMUŞ, Esra KAYA KILIÇ

Evaluation of extremity and pelvis traumas admitted to the emergency department before and during the pandemic; with laboratory, embolism and mortality data

Burak DEMİRCİ, Abuzer COŞKUN

ST segment yükselmeli miyokard enfarktüsü olan hastalarda kontrast maddeye bağlı nefropati ile CANLPH skoru arasındaki ilişki

Ozlem OZCAN CELEBİ, Birsen DOĞANAY