Ruth Huna-Baron - research works

Patients in Group 2 were significantly older than those in Group 1 (p < 0.024).

There was a significant increase in referrals from ophthalmologists (p < 0.001) and pediatricians (p < 0.001), while referrals from neurologists (p < 0.006) and rehabilitation specialists (p < 0.003) declined, Diagnoses related to vision changes increased significantly over time (p <0.001).

The mean age at presentation was 67 years, and 76% were male.

Autoimmune disease was present in 35% of patients, malignant disease in 29%, and 24% were receiving immunosuppressive therapy at HZ onset.

Neuro-ophthalmic manifestations included visual field defect (53%), diplopia (53%), ptosis (47%), and post-herpetic neuralgia (41%).

At the end of follow-up, 18% achieved complete recovery, 65% partial improvement, and 12% showed no improvement.

The agreement rate was significantly higher during the weekday (86%) compared to the weekend (74.2%, P = 0.012), and for residents in postgraduate year 3 (PGY-3, 90.5%) and PGY-4 (87.3%) compared to PGY-1 (71.4%) and PGY-2 (80.2%) (P = 0.025).

Residents' diagnoses of neuro-ophthalmological cases were less accurate (67.5%) compared to other etiologies (84.8%, P = 0.008) There was no significant difference in diagnostic accuracy based upon the patient's hour of arrival to the ED (P = 0.48).

On average, there were 7.5 unique descriptions for each of the visual fields (SD 3.17), a description of only the location in 24.6% (SD 0.19), and an undecided response in 6.15% (SD 4.13).

Twenty-two neuro-ophthalmologists participated in the creation of a consensus statement which included 24 types of abnormalities with specific definitions.

On average, in the repeated survey, there were 5.9 unique descriptions for each of the visual fields (SD 1.79), a description of only the location in 0.004% (SD 0.01), and an undecided response in 3.07% (SD 2.11%).

Relative to the first survey, there was a significant improvement in the use of specific and decisive terminology.