Ophthalmologist Referrals Missed by Primary Care Clinician
| Abnormality Missed | No./Denominatora(%) |
|---|---|
| a Denominator is the number of referrals for each category made by the retinal specialist. | |
| b Clinicians missed severe diabetic retinopathy in 5 cases; 1 patient was referred for inadequate photograph and does not count as missed referral. | |
| Inadequate photograph | 18/302 (6.0) |
| Other abnormality needing referral (total) | 13/39 (33.3) |
| Abnormal cup-to-disc ratio | 5 |
| Severe arterial attenuation and tortuosity | 1 |
| Unknown abnormality | 3 |
| Choroidal nevus | 2 |
| Small optic nerve | 1 |
| Arterial plaque | 1 |
| Diabetic retinopathyb | 4/46 (8.7) |
| Total missed referrals | 35/344 (10.1) |