As a uveitis specialist, I read with great interest the correspondence by Dr Papalkar and Francis1in reference to an earlier ARCHIVES article.2A situation has arisen wherein patients are referred to rheumatologists without a comprehensive ophthalmology evaluation for presumed uveitis. I had recently evaluated a patient with severe bilateral neurosarcoidosis. She was managed entirely by an optometrist and rheumatologist despite a steady decrease in visual acuity. While it is indeed true that all eye professionals indeed have a role, the extent of this patient's disease3clearly was outside the scope of this individual's qualifications and experience.4Notably, the comprehensive ophthalmologist was entirely “out of the loop.” Yet another common practice in the mall is ubiquitous fundus pictures of patients. Such a “screened” patient subsequently happened to have acute retinal necrosis diagnosed.
Kurup SK. The Ophthalmologist Is Still Difficult to Clearly Distinguish for the Public. Arch Ophthalmol. 2006;124(11):1669. doi:10.1001/archopht.124.11.1669-b