在美国眼科住院计划中,对微侵袭性玻璃眼瘤手术和其他玻璃眼瘤手术经验的调查
Kevin M Halenda1, Tae Jin Lee2, Ashok Sharma2
1Department of Ophthalmology, Medical College of Georgia at Augusta University, Augusta, Georgia.
Journal of academic ophthalmology (2017)
|June 30, 2023
概括
美国的玻璃眼外科培训不一致,大多数眼科医生在微创性玻璃眼外科手术 (MIGS) 中获得的经验很少,尽管他们打算进行这些手术. MIGS不是课程的必需部分,导致可变培训.
科学领域:
- 眼科医生 眼科 眼科
- 外科教育的外科教育
- 视光眼管理 视光眼管理
背景情况:
- 玻璃眼是全球不可逆转的失明的主要原因.
- 微侵袭性玻璃眼外科手术 (MIGS) 为降低眼内压力提供了一种不那么侵袭的方法.
- 对眼科医生来说,适当的外科培训对于有效管理青光眼症至关重要.
研究的目的:
- 为了评估美国眼科住院计划中眼光瘤外科培训的现状.
- 评估住院医生的经验和预期参与微创性玻璃眼手术 (MIGS) 的情况.
- 为了确定在医生实习培训中的潜在缺口,以治疗眼的外科手术程序.
主要方法:
- 一项匿名的,基于互联网的全国性调查被分发给美国眼科医生.
- 该调查收集了有关人口统计,实践意图和自我报告的玻璃眼和MIGS手术经验的数据.
- 用描述性统计数据分析了数据.
主要成果:
- 在估计的1479名美国眼科医生中,有161名参与 (10.9%的应答率).
- 73.2%的居民预计会有一些MIGS经验,而iStent是最受认可的技术.
- 大多数预期MIGS经验的住户预计将执行很少的病例 (0-10),其中42.9%预计作为初级外科医生<5例;培训因地理区域而异.
结论:
- 微创性玻璃眼外科手术 (MIGS) 不是美国眼科住院玻璃眼外科课程的强制性组成部分.
- 尽管有意通过手术治疗青光眼,但大多数居民在培训期间受到MIGS的有限暴露.
- 在不同地理区域,对青光眼的外科培训存在显著的变化,特别是对于MIGS.
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