title: [Neuro-ophthalmological assessments in the Ophthalmology Department at University Medical Center, Brest: retrospective study of 269 patients (January 2004-October 2009)].
abstract: OBJECTIVE
  To evaluate the neuro-ophthalmological assessments carried out in the ophthalmology department of the university medical center, Brest, identifying the population seen, the examinations performed, the pathologies treated and patient outcomes, so as to suggest solutions to improve quality of care.
  
  
  METHODS
  Retrospective study over a period of more than five years, between January 1st, 2004 and October 31st, 2009. Data were collected from each patient's chart with the help of a standardized spreadsheet including epidemiological, clinical, paraclinical and treatment data.
  
  
  RESULTS
  Analysis of the 269 charts reveals that optic neuropathies are the most frequently encountered etiologies. In addition to the standardized assessment currently used on the service, we suggest adding a specific neuro-ophthalmological clinical intake form so as to standardize and perfect the diagnostic approach.
  
  
  CONCLUSIONS
  Optimization of quality of care in neuro-ophthalmology involves a multidisciplinary approach, requiring close collaboration between ophthalmologists, neurologists and radiologists. A careful, regular analysis of our practice patterns with respect to scientific advances should improve consistency and quality of care for our patients.
authors.affiliation: Service d'ophtalmologie, CHR de St-Brieuc, CHU de Brest, 10, rue Marcel-Proust, 22000 St-Brieuc, France. emilieleguen@ch-stbrieuc.fr
authors.forename: E
authors.initials: E
authors.lastname: Masson-Le Guen
authors.forename: C
authors.initials: C
authors.lastname: Cochard-Marianowski
authors.forename: R
authors.initials: R
authors.lastname: Macarez
authors.forename: J-F
authors.initials: JF
authors.lastname: Charlin
authors.forename: B
authors.initials: B
authors.lastname: Cochener
mesh_terms: D000046:Academic Medical Centers / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D015331:Cohort Studies; D003941:Diagnostic Techniques, Ophthalmological; D005128:Eye Diseases / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D006748:Hospital Departments / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination / Q000379:methods; D009885:Ophthalmology / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult