Abstract
Background: Emergency ophthalmological care is progressing rapidly, and vision-threatening conditions require timely intervention. Worldwide, the number of requests for emergency ophthalmic care is growing, but more than 40% of them are not urgent and can be effectively addressed in primary health care, which will reduce costs and burden on emergency departments. Materials and Method: This retrospective study analyzed eye disease cases in the Abay region (2022-2024). Prevalence rates per 100,000 populations were calculated using regional data. Absolute and relative changes in prevalence between 2022 and 2024 were computed to assess trends. Result: Between 2022 and 2024, females, especially aged 18-44, showed higher rates and absolute increases in ocular surface diseases and infectious conjunctivitis compared to males. For example, ocular surface diseases in young female rose from 496.79 to 537.03 cases, while male increased from 421.37 to 451.27. Conversely, eye injuries were more common in males, notably in the 45–59 group (769.60 to 802.89 cases), likely due to greater exposure to risk. Between 2022 and 2024, ocular surface disease cases rose steadily, with infectious conjunctivitis being most common and over 85% of cases-especially among females aged 18-44-suitable for primary care. Conclusion: The rising trend in non-urgent ophthalmologic cases, especially among young females, highlights the need to strengthen primary healthcare, improve triage systems, and implement targeted prevention to reduce unnecessary emergency visits and hospital burden.