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Title	Anxiety and depression in ophthalmic emergencies: highly prevalent and under diagnosed
Abstract Nr.	1049

Purpose	This study aims to review the prevalence of anxiety and depression in patients present to ophthalmic emergency department. Anxiety and depression had not been previously investigated in ophthalmic emergencies.
Methods	Hospital Anxiety and Depression Scale (HADS) questionnaires were administered to patients that attended a London eye hospital with a 24-hr specialist ophthalmic dedicated emergency department over a period of 15 days. The score for anxiety (HADS-A) and depression (HADS-D) range from 0 – 21. Patients score over 7 points on either scale are defined as cases with anxiety or depression. Time of patient attendance was also recorded and night presentation was classified from 2000 to 0800.
Results	One hundred and twenty seven patients completed the questionnaires. 33.86% of patients (n=43) were suffering from anxiety, with a mean HADS-A score of 6.41, SD=3.87. The prevalence of depression was 20.47% (n=26) and mean score of 4.66, SD=3.44. 8.6% of patients (n=11) self reported have been previously diagnosed with a psychiatric illness. There was no significant difference in anxiety and depression level when compared with the time of patient presentation (p>0.05). The daytime (n= 45) anxiety and depression prevalence were 35.56% and 24.44%, and evening (n=82) were 34.15% and 19.52% respectively.
Conclusion	Anxiety and depression are relatively common in patients that attended ophthalmic emergency department. Awareness of psychological disorders should be raised amongst healthcare professionals to recognise the psychological burden in patients.

Authors 1

Last name	STROMAN
Initials	L
Department	Surgery
City	London, England

Authors 2

Last name	Luk
Initials	S
Department	Ophthalmology
City	London, England