Introduction
Appointment compliance (AC) has a significant impact on patient care; however, determinants of AC in Ophthalmology and its subspecialties remains elusive.
Methods
We performed a five-year retrospective analysis across Kresge Eye Institute (KEI) and its affiliated Michigan locations. A total of 597,364 appointments across >13 subspecialties were included. AC was the primary outcome of interest. Compliant (CO) and non-compliant (NC) groups were compared to the following variables: patient characteristics (gender, race, age, insurance), appointment rank (relative to patient history), scheduling location, month, and ophthalmic specialty, in regard to arrival and no-show.
Results
Among all appointments, 59.77% were associated with a female patient and 79.16% of the total number of appointments depicted patient compliance. AC differed concerning specialty, with retina representing the highest compliance across all appointments. Among 200+ insurance providers, Medicare was most frequently used and represented the highest share of CO appointments. African Americans were the primary ethnicity served by KEI and had the highest number of NC appointments.
Conclusion
Our study demonstrates the impact of patient demographics, appointment characteristics, and ophthalmic subspecialty on AC. A better understanding of these determinants could allow for an increased CO for Ophthalmology practices.
Background: Drug-induced uveitis is vision threatening and has been associated with various bioactive molecules. In this case report, we discuss a potential unique association between MiraLAX and bilateral anterior uveitis.
Case Presentation: We present a case of a 52-year-old gentleman with no significant medical history and a past ocular history of dry eye syndrome who developed an anaphylactic reaction and acute but mild bilateral anterior uveitis after recent MiraLAX bowel preparation for a screening colonoscopy. Extensive review of systems and screening for medical problems was otherwise unremarkable. The patient responded well to a short course of topical steroids and there were no sequelae of disease.
Conclusions: We aim to raise awareness of the potential association between MiraLAX and uveitis in order to prevent vision loss from the sequalae of disease.
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