Index of authors for abstracts accepted at BOPSS 2018, Dublin. Click here for full abstract listings.
The numbers refer to abstracts of submitted free papers. First authors are indicated in bold.
Abstracts starting with number 1 are presented on Thursday, click here to view detailed schedule
Abstracts starting with number 2 are presented on Friday, click here to view detailed schedule
Abstracts starting with number 3 & 4 refer to ePoster presentations.
Please note that this list is auto-generated from the abstract submissions based on surnames, so differences in the initials entered can lead to duplicate entries and where authors share surnames then the abstract details should be checked by clicking on the abstract number to verify the exact author.
This is a list of accepted authors and presentations. It assumes that all accepted will attend and present
| Title | Management of Acute Retrobulbar Haemorrhage: A Survey of Non-Ophthalmic Emergency Department Physicians |
| Submitted by | Matthew Edmunds |
| Abstract ID | 18-136 |
| Review Result | rapid fire presentation |
| Abstract Number | 209 |
| Purpose | Acute retrobulbar haemorrhage (aRBH) is a sight-threatening ophthalmic emergency necessitating expeditious treatment with lateral canthotomy/ inferior cantholysis (LC/IC). However, such cases may present to non-ophthalmic emergency departments (ED) out-of-hours, when specialist intervention may not be available. We completed a survey of ED physicians, with no specialist ophthalmic training, to explore experiences of aRBH and confidence in undertaking LC/IC. |
| Methods | An online survey was sent to ED physicians of all training grades in 7 UK locations. The survey comprised a case vignette of a patient presenting with clinical features of aRBH, with multiple-choice questions on the diagnosis, management and onward referral of such cases. Additional questions explored experience of aRBH, LC/IC and perspectives on current and future training of ED physicians in this area. |
| Results | 150 ED doctors completed the survey (response rate 75%). While 83% correctly diagnosed aRBH, and 96% recognised irreversible visual loss as a consequence of untreated aRBH, 83% indicated that they would initially undertake imaging rather than performing LC/IC. Only 15% had previously encountered a case of aRBH and only 36% would perform LC/IC themselves, with 92% indicating that this was due to lack of training. 95% felt that more training was required for ED physicians in aRBH management. |
| Conclusion | While cases of aRBH are infrequent, it is crucial that aRBH management with LC/IC is added to the Royal College of Emergency Medicine training curriculum. At present, though the majority of ED physicians can identify aRBH, the minority are willing or able to undertake LC/IC, potentially risking irreversible but avoidable visual loss. |
