ABSTRACT
PURPOSE: To evaluate the effects of the surgical assistant's level of resident training on operation time and surgical outcome in the surgical treatment of intermittent exotropia. METHODS: This study included 456 patients with intermittent exotropia who underwent lateral rectus recession and medial rectus resection and were followed up for 24 months after surgery. The patients were divided into two groups according to the surgical assistant's level of resident training: group F (surgery assisted by a first-year resident [n = 198]) and group S (surgery assisted by a second-, third-, or fourth-year resident [n = 258]). The operation time and surgical outcomes (postoperative exodeviation and the number of patients who underwent a second operation) were compared between the two groups. RESULTS: The average operation times in groups F and S were 36.54 ± 7.4 and 37.34 ± 9.94 minutes, respectively (p = 0.33). Immediate postoperative exodeviation was higher in group F (0.79 ± 3.82 prism diopters) than in group S (0.38 ± 3.75 prism diopters). However, repeated-measures analysis of variance revealed no significant difference in exodeviation between the two groups during the 24-month follow-up period (p = 0.45). A second operation was performed in 29.3% (58 / 198) of the patients in group F, and in 32.2% (83 / 258) of those in group S (p = 0.51). CONCLUSIONS: No significant difference in operation time was observed when we compared the effects of the level of resident training in the surgical treatment of intermittent exotropia. Although the immediate postoperative exodeviation was higher in patients who had undergone surgery assisted by a first-year resident, the surgical outcome during the 24-month follow-up was not significantly different.
Subject(s)
Humans , Exotropia , Follow-Up Studies , Internship and Residency , Ophthalmic Assistants , StrabismusABSTRACT
La visión es una función sensorial evolutiva que se inicia al nacimiento para completar su crecimiento y desarrollo alrededor de los seis años de edad, y ambliopía es la disminución de la agudeza visual unilateral o bilateral después de la corrección óptica. El diagnóstico de ambliopía se establece cunado la agudeza visual uni o bilateral es igual o menor a 20/50 en niños de 3 años y de 20/40 en niños de 4 a 6 años de edad, obtenida con la mejor corrección. Este estudio prospectivo de corte transversal fue realizado en el servicio de consulta externa del Hospital del Niño Dr. Ovidio Aliaga Uría durante el año 2000, incluyendo 146 niños entre tres a seis años que acudieron a este servicio para consulta externa.
Subject(s)
Child , Amblyopia/diagnosis , Amblyopia/rehabilitation , Ophthalmology , Visual Acuity , Ophthalmic AssistantsABSTRACT
En este capítulo se presenta los diferentes procedicmientos de atención ocular para una atención de emergencia
Subject(s)
Humans , Male , Female , Patient Care , Diagnostic Techniques and Procedures/trends , Diagnostic Techniques and Procedures , Ophthalmic Assistants/education , Bolivia , Eye Health , Diagnostic Techniques, OphthalmologicalABSTRACT
Se realizarón (ciento cinco) encuestas con (once) items de preguntas cerradas y politómicas en los alumnos del quinto año de la facultad de medicina con el objeto de evaluar la utilidad de la guía de prácticas de oftalmología, aplicada por primera vez, y cinco entrevistas con expertos (docentes titulares y docentes asistenciales) para evaluar las habilidades de los estudiantes después de la aplicación de la guía. Los niveles de utilidad para los alumnos son altos, les fue útil a un (setenta por siento) creen que les será útil en el futuro a un (setenta y tres por siento) y aplicaron lo aprendido en la guía en sus prácticas un (cincuenta y dos por siento). Las habilidades que mejor desarrollaron fueron la toma de la agudeza visual y el exámen externo, que es de fundamental importancia para un médico recién egresado, le sigue en importancia la exploración de la via lagrinal, la atención de emergencia y el tratamiento de las enfermedades oculares mas frecuentes, quedan por mejorar el exámen de fondo de ojo, la valoración de la mutilidad ocular, la toma de la presión intraocular digital y el campo visual comparativo. Así mismo se realizarón comparaciones de los instrumentos evaluativos cualitativos de dosestancias, una sin la aplicación de la guía y otra con la aplicación de la guía, encontrandose un significativo mejoramiento de un ( tres punto ocho a un cinco punto cuatro)...
Subject(s)
Practice Management, Medical , Ophthalmic Assistants , Education, GraduateABSTRACT
This paper describes a refresher training and continuing education programme in clinical and community ophthalmology for para-medical ophthalmic assistants (PMOAs) conducted by the Lions Aravind Institute of Community Ophthalmology. The course participants included 60 PMOAs working either in district hospitals, primary health centres or mobile units from the districts in Maharashtra. Each training programme was spread over 43 hours in 4 days and included lectures, practical demonstrations, and hands-on training in the outpatient, inpatient, and operation theatre of the training institution. Participants were given exposure to outreach activities in an eye camp and a satellite eye centre resembling a district hospital. The PMOAs found the training to be useful and it was seen that areas like patient counselling, instrument and equipment maintenance, and assistance in the operation theatre for newer surgical procedures which were lacking in the basic training were fulfilled in this training programme. Regional Institutes of Ophthalmology, upgraded medical colleges, and other eye-care institutions which have facilities and manpower could organise similar refresher and continuing education programmes for PMOAs so that they could be utilised more efficiently in the blindness-control activities in the country.
Subject(s)
Education, Continuing , Education, Professional, Retraining , Humans , India , Ophthalmic Assistants/educationABSTRACT
Os autores relatam os resultados obtidos após análise do perfil de cada um dos 1811 pacientes, pela 1ª (primeira) vez, pelos residentes do CEPOA durante o ano de 1996. O objetivo do trabalho é avaliar o conteúdo clínico da prática ambulatorial deste serviço, assim como estabelecer o perfil do paciente por ele atendido
Subject(s)
Humans , Female , Male , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Eye Diseases/diagnosis , Ophthalmic AssistantsABSTRACT
Analysis of 1;000 new paediatric eye patients over a one year period showed that conjunctival diseases were the commonest as opposed to refractive error found a decade ago. More cases of eye injuries; neuro-ophthalmological conditions; squints and congenital abnormalities were also encountered. Females attend hospital more readily than males constituting 50.9 per cent and 29.8 per cent of new patients seen were children 16 years and below. Uveitis and chronic open angle glaucoma were uncommon compared to adult patients. Trachoma was not found in this environment as opposed to Nothern Nigeria. Some of these eye diseases cause blindness which can be prevented if suggested steps are taken. The demand on specialist services could be reduced if eye care delivery is incorporated into primary health care programme
Subject(s)
Blindness/prevention & control , Conjunctival Diseases , Eye Diseases , Eye Diseases/congenital , Eye Injuries , Glaucoma , Infant , Lakes , Nigeria , Ophthalmic Assistants , Primary Health Care , Strabismus , TrachomaABSTRACT
Este estudo tem como objetivo fazer um levantamento do ensino de oftalmologia que é oferecido aos alunos de graduação em enfermagem. Para sua efetivação foi enviado um questionário a todos os cursos de enfermagem do Brasil, no qual são abordadas questões relativas ao ensino que é administrado. Do total correspondente a 87 questionários foram obtidas 76 respostas (87,36%), restando assim, 11 (12,64%) correspondências sem terem sido respondidas. Os nossos achados apontam para um quadro, no qual verifica-se que 55,26% das escolas incluem em seus currículos assuntos de oftalmologia, sendo que em apenas 14,28% destas escolas são abordados aspectos ligados à prevenção da cegueira. Considerando que na literatura nacional e estrangeira pesquisadas não foi evidenciado qualquer relato sobre o preparo do enfermeiro em oftalmologia preventiva e analisando os dados obtidos no presente estudo, esperamos que os docentes em enfermagem reflitam sobre a importância deste ensino na formação do enfermeiro como educador e agente de saúde na comunidade.
This study aims to make a survey on the oftalmology nursing which is offered to the nursing university students. A questionnaire was sent to all the Brazilian nursing courses in which there are questions on the contents taught. Eighty-seven questionnaires were sent out and 76 (87, 36%) were received. The results show that 55, 26% of the schools include oftalmology subjects in their curriculum, but in only 14, 28% of these schools some topics related to blindness prevention were mentioned. In the Brazilian and foreign bibliography researched we have not found any study about the preparation of nurses in preventive oftalmology. Through the analysis of the data obtained in this study, we hope that the nursing professors will think about the relevance of including preventive oftalmology when preparing nurses to be educators and health care professionals.
Subject(s)
Universities , Education, Nursing , Ophthalmology , Ophthalmic AssistantsABSTRACT
Contiene: Malformaciones de anexos oculares, malformaciones del globo ocular en su conjunto, malformaciones del segmento anterior,malformaciones de polo posterior, malformaciones generalizadas con manifestaciones oculares, deformaciones craneo-faciales, facomatosis (displasias embrionarias)