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Br J Gen Pract. 1993 November; 43(376): 459–462.
PMCID: PMC1372484

Management of ophthalmic disease in general practice.

Abstract

A study was undertaken to investigate the management of ophthalmic conditions in general practice in order to identify areas requiring education and training input. Management of patients with eye disease presenting to 17 Nottingham general practitioners was examined over a 12-month period. Of all patients registered with the participating doctors, 4% presented with eye problems, accounting for 1.5% of all general practice consultations. Children under five years of age had the highest consultation rates, female patients having higher consultation rates than male patients in all age groups. Infective conjunctivitis was responsible for 41% of consultations about eye problems and allergic conjunctivitis for a further 13%; 70% of consultations resulted in a prescription. Corticosteroids were prescribed in 3% of consultations for eye problems; this was considered inappropriate by the study ophthalmologist in over a third of these cases. Patients were referred for further management following 16% of consultations. Thirty nine per cent of referrals to the hospital ophthalmic service were either to an eye casualty department or requested an urgent clinic appointment. While most eye problems are managed solely by general practitioners there is clearly a need for ophthalmic services that can rapidly provide a specialist opinion. However, most eye disease seen in general practice involves the external eye or anterior segment, and the diagnosis may be confidently made using basic ophthalmic history taking and examination skills with non-specialist equipment. The acquisition of these skills should be emphasized at undergraduate level and built upon in later years in postgraduate training.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • McDonnell PJ. How do general practitioners manage eye disease in the community? Br J Ophthalmol. 1988 Oct;72(10):733–736. [PMC free article] [PubMed]
  • Wilson A. The red eye: a general practice survey. J R Coll Gen Pract. 1987 Feb;37(295):62–64. [PMC free article] [PubMed]
  • Dart JK. Eye disease at a community health centre. Br Med J (Clin Res Ed) 1986 Dec 6;293(6560):1477–1480. [PMC free article] [PubMed]
  • Sheldrick JH, Vernon SA, Wilson A. Study of diagnostic accord between general practitioners and an ophthalmologist. BMJ. 1992 Apr 25;304(6834):1096–1098. [PMC free article] [PubMed]
  • Sheldrick JH, Vernon SA, Wilson A, Read SJ. Demand incidence and episode rates of ophthalmic disease in a defined urban population. BMJ. 1992 Oct 17;305(6859):933–936. [PMC free article] [PubMed]
  • Morrell DC. Expressions of morbidity in general practice. Br Med J. 1971 May 22;2(5759):454–458. [PMC free article] [PubMed]
  • St Clair Roberts D. Steroids, the eye, and general practitioners. Br Med J (Clin Res Ed) 1986 May 31;292(6533):1414–1415. [PMC free article] [PubMed]
  • Lavin MJ, Rose GE. Use of steroid eye drops in general practice. Br Med J (Clin Res Ed) 1986 May 31;292(6533):1448–1450. [PMC free article] [PubMed]
  • Claoué CM, Stevenson KE. Incidence of inappropriate treatment of herpes simplex keratitis with topical steroids. Br Med J (Clin Res Ed) 1986 May 31;292(6533):1450–1451. [PMC free article] [PubMed]
  • Trevor-Roper Patrick. Steroids, the eye, and general practitioners. Br Med J (Clin Res Ed) 1986 Jun 28;292(6537):a1738–1738. [PMC free article]
  • Jay JL, Devlin ML. The increasing frequency of surgery for cataract. Eye (Lond) 1990;4(Pt 1):127–131. [PubMed]
  • Featherstone PI, James C, Hall MS, Williams A. General practitioners' confidence in diagnosing and managing eye conditions: a survey in south Devon. Br J Gen Pract. 1992 Jan;42(354):21–24. [PMC free article] [PubMed]
  • Vernon SA. Eye care and the medical student: where should emphasis be placed in undergraduate ophthalmology? J R Soc Med. 1988 Jun;81(6):335–337. [PubMed]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners