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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

As a uveitis specialist, I read with great interest the correspondence by Dr Papalkar and Francis¹ in reference to an earlier ARCHIVES article.² A 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 disease³ clearly was outside the scope of this individual's qualifications and experience.⁴ Notably, 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.

The Academy of Ophthalmology, the American Medical Society, and the American College of Rheumatology (in this case) . . . [Full Text of this Article]

AUTHOR INFORMATION
Shree K. Kurup, MD

RELATED ARTICLE

The Ophthalmologist or the Optometrist as Surgeon
Daya Papalkar and Ian C. Francis
Arch Ophthalmol. 2006;124(4):604.
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