182635 - check, unit 551, Ophthalmology, July 2018
This edition of check focuses on the assessment and management of ophthalmological conditions in general practice.Relevance to General Practice
In Australia, 2.2% of general practice consultations relate to eye health.
Regular eye checks for patients with diabetes are crucial. Diabetes-related eye conditions accounted for 9.9% of ophthalmologist referrals in 2013–14.
A painful red eye could be due to uveitis, the most common inflammatory eye condition and can cause significant visual impairment. A white pupil reflex may indicate Coats' disease, persistent hyperplastic primary vitreous, toxoplasmosis, retinal disease or retinoblastoma, among others. Penetrating eye injury should be considered on presentation of sudden, sharp eye pain, particularly in men aged 17–29 years. These conditions require urgent specialist referral. Trachoma can cause scarring, trichiasis and blindness if untreated. Early-stage trachoma can successfully be treated with antibiotics. Posterior vitreous detachment is a common age-related condition, affecting 24% of people aged 50–59 years and up to 87% of people aged 80–89 years.
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D1. Communication skills and the patient-doctor relationship
Ways in which health can be optimised and maintained are communicated to patients, family members and carers
D2. Applied professional knowledge and skills
Diagnosis and management is evidence-based and relevant to the needs of the patient
D3. Population health and the context of general practice
The patterns and prevalence of disease are incorporated into screening and management practices
D4. Professional and ethical role
D5. Organisational and legal dimensions
Infection control and relevant clinical practice standards are maintained
- Aboriginal and Aboriginal Torres Strait Islander health
- Rural health
- Adult health
- Children and young people health
- Eye medicine