Cervical occupational hazards in ophthalmic plastic surgery

Area of Science:

• Ophthalmology
• Occupational Health
• Musculoskeletal Medicine

Background:

• Ophthalmic plastic surgeons (OPS) frequently adopt awkward, static, and asymmetric postures during surgical procedures and clinical examinations.
• The use of loupes and headlamps exacerbates cervical loading by approximately 40%.
• Repetitive tasks like keyboarding for electronic medical records contribute to cumulative exposure and habitual postural faults.

Purpose of the Study:

• To enhance awareness of cervical musculoskeletal disorders (cMSD) among ophthalmic plastic surgeons (OPS).
• To review and present effective strategies for the management and prevention of cMSD in this professional group.

Main Methods:

• Review of objective data on posture and workload during ophthalmic plastic surgery and related clinical activities.
• Analysis of risk factors associated with surgical procedures, diagnostic tools, and electronic medical record use.
• Synthesis of current management and prevention strategies for cMSD.

Main Results:

• OPS experience significant cervical loading from prolonged static and asymmetric postures, amplified by surgical loupes and headlamps.
• Increased muscular demands are noted during slit lamp biomicroscopy and indirect ophthalmoscopy.
• Keyboarding for electronic medical records is a significant contributor to cMSD risk, leading to habitual postural faults.

Conclusions:

• Cervical musculoskeletal disorders (cMSD) pose a well-documented career risk for ophthalmic plastic surgeons (OPS), with potential for career-ending injury.
• Ignoring neck pain is detrimental; seeking professional help is critical for managing cMSD.
• A comprehensive, long-term strategy involving education on neutral posture, therapeutic exercise, workplace/home environmental adjustments, and supported sleep is essential for management and prevention.