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1.
Medisan ; 25(3)2021. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1287310

ABSTRACT

El vertiginoso desarrollo científico - tecnológico de la oftalmología requiere de una actualización sistemática desde el punto de vista teórico - práctico. A tales efectos, se diseñó una estrategia de superación para el mejoramiento del desempeño profesional de los oftalmólogos de la Atención Primaria de Salud dirigida a la atención integral de los pacientes con oclusiones vasculares retinianas. Se emplearon métodos de los niveles teórico y empírico. Fue diseñada en 4 etapas y se utilizó el ciclo Deming como referente metodológico. Se establecieron relaciones esenciales que ofrecen coherencia lógica interna a la educación médica en su concepción como ciencia en construcción, en particular en el área de la formación permanente y continuada de los profesionales de la salud, al profundizar en el orden conceptual, metodológico y epistemológico en los procesos de desempeño profesional y superación.


The fast scientific and technological development of Ophthalmology requires a systematic updating from the theoretical and practical points of view. To such effects, a training strategy was designed for the improvement of professional performance of the primary care ophthalmologists directed to the comprehensive care of patients with retinal vascular occlusions. Empiric and theoretical level methods were used. The strategy was designed in 4 stages and the Deming cycle was implemented as methodological referent. Essential relationships were established which offer internal logical coherence to the Medical Education in its conception as science, particularly in the area of permanent and continued training of the health professionals, as there is a deepening in the conceptual, methodological and epistemological order in the processes of professional and training performance.


Subject(s)
Professional Competence , Retinal Vein Occlusion/diagnosis , Ophthalmologists/education , Primary Health Care , Education, Medical
3.
Niger. j. med. (Online) ; 30(4): 419-425, 2021.
Article in English | AIM | ID: biblio-1290695

ABSTRACT

Background: Globally, there is still much to learn about the evolving coronavirus disease 2019 (COVID-19) virus, its transmission, prevention, and treatment. Therefore, this study investigates the knowledge, perception, and screening practices of COVID-19 infection in the ophthalmology practice in Nigeria. Materials and Methods: This survey was a descriptive, cross-sectional survey conducted among practising ophthalmologists and ophthalmologists in training in Nigeria in an online survey. Data compiled were then analyzed using the IBM SPSS software version 22.0 with two-tailed P < 0.05 considered to indicate statistical significance. Results: A total of 206 ophthalmologists/ophthalmologists in training were recruited for this study. Most of the respondents, 97 (47.1%), practiced in centres in South-West Nigeria and were board-certified ophthalmologists 96 (46.6%). In general, the majority of the respondents, 182 (88.3%), had good knowledge regarding the COVID-19 virus, its transmission, prevention as it regards the ophthalmic practice, 134 (74.8%) either agreed or strongly agreed that the ophthalmologist is at a higher risk of contracting the virus from infected patients even if the patient is asymptomatic. COVID-19 infection was perceived as very serious by the majority of the respondents, 135 (65.5%), although 128 (62.1%) felt that all routine cases should be seen only following a low-risk assessment. Conclusion: As the world races toward complete vaccination of the population against this fatal infection, continued training is required to ensure the best practices among ophthalmologists to bridge the present knowledge gaps, corrects myths, misconceptions, and ensure the safety of both the patient and the ophthalmologist.


Subject(s)
Ophthalmologists , COVID-19 , Perception , Health Knowledge, Attitudes, Practice
6.
Rev. medica electron ; 42(3): [7], mayo.-jun. 2020.
Article in Spanish | LILACS, CUMED | ID: biblio-1341953

ABSTRACT

El doctor Juan Santos Fernández Hernández, una de las más prominentes figuras médicas de Cuba, destacado en la medicina y cirugía oftalmológica, realizó, por primera vez en la Isla, complejas operaciones oftálmicas. Fue autor de un gran número de artículos e informes científicos y es considerado uno de los más prolíficos autores cubanos del siglo XIX. El objetivo de este trabajo fue describir mediante una síntesis biográfica los principales logros del Dr. Juan Santos Fernández Hernández. El nombre de este galeno aparece entre las personalidades médicas cubanas más distinguidas de todos los tiempos por su saber y su civismo, por su abnegación y perseverancia, por su valiosa contribución al progreso de la ciencia y la cultura nacional (AU).


Doctor Juan Santos Fernandez Hernandez is one of the most prominent medical figures in Cuba, outstanding in ophthalmological medicine and surgery. He made, for the first time on the Island, complex ophthalmic operations. He was the author of a large number of articles and scientific reports and is considered one of the most prolific Cuban authors of the nineteenth century. The objective of this work is to describe through a biographical synthesis, the main achievements of Dr. Juan Santos Fernandez Hernandez. The name of this doctor appears among the most distinguished Cuban medical personalities of all times due to his knowledge and his civics, for his dedication and perseverance, for his valuable contribution to the progress of national science and culture (AU).


Subject(s)
Humans , Male , Ophthalmology/history , Research Personnel/history , Ophthalmologic Surgical Procedures/history , Ophthalmologists/history , History of Medicine , Biographies as Topic
7.
Rev. medica electron ; 42(3): [16], mayo.-jun. 2020.
Article in Spanish | LILACS, CUMED | ID: biblio-1341954

ABSTRACT

Se narran los sucesos históricos más relevantes de la práctica de la especialidad de Oftalmología en la provincia de Matanzas y los relacionados con la formación de profesionales a partir de la década del 70 del siglo XX. Al utilizar el método de la narración histórica, se propició la reflexión sobre los propios acontecimientos y su relación con el contexto socio-económico al momento en que estos se produjeron; destacándolos como los antecedes y factores favorecedores del desarrollo de la Oftalmología en Matanzas. Este trabajo se realizó no sólo para narrar de manera cronológica la historia desde los inicios y creciente práctica local de la especialidad, sino también, como a manera de testimonio para las actuales y futuras generaciones, de cómo tributaron los profesionales, las instituciones y los propios eventos, al avance científico y al impacto social de la especialidad en Matanzas. Se concluye, que el comienzo del esplendor de la práctica de la Oftalmología en la provincia de Matanzas, se enmarca a la década del 70 del siglo pasado; y a los inicios del siglo XXI al de mayor desarrollo acumulado. Todo este salto de calidad en el tiempo y en el espacio, ha sido posible, gracias a las políticas de salud y educacionales implementadas por el Ministerio de Salud Pública del país (AU).


The authors recount the most relevant historical facts of the Ophthalmology practice in the province of Matanzas and those related to professionals´ training from the seventies of the XX century. Using the method of historical recount helped the reflection on the proper facts and their relation to the socio-economic context at the moment they took place, highlighting them as antecedents and factor favoring the development of Ophthalmology in Matanzas. The current paper was written not only to recount in a chronological way the history from the beginning and growing local practice of the specialty, but also as a testimony for the current and future generations to know how the professionals, institutions and events contributed to the scientific advance and to the social impact of the specialty in Matanzas. It is concluded that the beginning of the splendor of Ophthalmology practice in the province of Matanzas falls within the decade of the seventies of the past century, and the beginning of the XXI century is the time of the bigger accumulated development. All this quality jump in the time and space has been possible thanks to health and educational politics implemented by the Ministry og Public Health of the country (AU).


Subject(s)
Humans , Ophthalmology/history , Professional Practice , Ophthalmologic Surgical Procedures/history , Surgical Instruments/history , Ophthalmologists/history , History of Medicine , History, 20th Century , Professional Training , Faculty/history
9.
Clinics ; 75: e2201, 2020.
Article in English | LILACS | ID: biblio-1133390

Subject(s)
Humans , Ophthalmologists , Brazil
10.
Rev. colomb. anestesiol ; 47(4): 226-235, Oct-Dec. 2019. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1042733

ABSTRACT

Abstract Introduction: Intraocular pressure (IOP) measuring in children is a defiant challenge for ophthalmologists due to the unwillingness to collaborate of patient; therefore, it is necessary to perform these examinations under anesthesia (EUA) in order to facilitate the measuring. Among the anesthetic drugs, ketamine is safe in both children and adults and different studies have stated that it might have lower impact on IOP than other anesthetic drugs. Objective: To determine whether ketamine has any impact on IOP in pediatric patients. Also, defining if this drug can be recommended to perform EUA in children with glaucoma. Methods: Systematic review of literature was conducted including articles published in Ovid, PubMed, ScienceDirect, Cochrane, and LILACS from January 1970 to February 2019. The studies included were those with patients aged under 18 years to whom ocular tonometry had been performed. Intervention consisted on administering ketamine and the primary outcome to be assessed was changes in IOP after ketamine administration. Intra operative and postoperative complications were also assessed as secondary outcomes. Report is made according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Results: Nine studies were selected for the systematic review. The administration of ketamine and its effects on intraocular pressure values were described in 293 children. Three studies found rising of intraocular pressure and 6 little or clinically not significant changes. Conclusion: In children, there is low-quality evidence that suggests a minimal impact of ketamine on IOP modification. Better quality studies (controlled clinical trials) are required to clearly recommend the use of ketamine to perform EUA in children with glaucoma.


Resumen Introducción: La medición de la presión intraocular (PIO) en niños es desafiante para el oftalmólogo debido a la falta de colaboración por parte del paciente; esto hace necesario llevar a cabo estos exámenes bajo anestesia (EBA) para facilitar la medición. Entre los medicamentos anestésicos generales, la ketamina es segura tanto en adultos como en niños, y se ha planteado en varios estudios que puede tener menor efecto sobre la PIO que otros fármacos anestésicos. Objetivo: Determinar si la ketamina tiene un efecto sobre la presión intraocular en población pediátrica. De esta manera, definir si es recomendable utilizar este medicamento para realizar los exámenes bajo anestesia general en niños con diagnóstico de glaucoma. Métodos: Se realizó una revisión sistemática de la literatura de los artículos publicados en Ovid, PubMed, ScienceDirect, Cochrane y LILACS desde enero de 1970 hasta febrero de 2019. Se incluyeron aquellos estudios con pacientes menores de 18 años en quienes se realizó tonometría ocular. La intervención fue la administración de ketamina y se evaluó como desenlace primario los cambios en la PIO después de su administración. También se evaluaron las complicaciones intra y posoperatorias como desenlaces secundarios. Se reporta de acuerdo con los lineamientos PRISMA. Resultados: Un total de nueve artículos se incluyeron para la revisión sistemática; en 293 niños se describió la administración de ketamina y medición de presión intraocular después de la misma. Tres estudios encontraron elevación de la PIO y seis refieren cambios mínimos o sin significancia clínica. Conclusiones: En niños existe evidencia de baja calidad que sugiere un impacto mínimo de la ketamina sobre la modificación en la PIO. Se requieren estudios de mejor calidad (ensayos clínicos controlados) que permitan crear una recomendación clara sobre el uso de este medicamento para realizar EBA en niños con glaucoma.


Subject(s)
Humans , Anesthesia , Anesthesia, General , Ketamine , Postoperative Complications , Tonometry, Ocular , Pharmaceutical Preparations , Glaucoma , Anesthetics, General , Ophthalmologists , Intraocular Pressure , Anesthetics
12.
ARS med. (Santiago, En línea) ; 44(2): 32-37, 2019. ilus
Article in Spanish | LILACS | ID: biblio-1047775

ABSTRACT

Introducción: la neoplasia escamosa de superficie ocular (NESO) puede llevar a problemas estéticos y funcionales oculares. El pterigión en cambio es una patología benigna que cuando tiene un manejo quirúrgico las muestras son desechadas sin análisis histopatológico. El objetivo es hacer una revisión acerca de la fisiopatología, factores de riesgo e incidencia de NESO en lesiones clínicamente diagnosticadas como pterigión. Métodos: artículo de revisión. Se revisó la base de datos electrónica pubmed utilizando palabras claves como pterygium AND OSSN. Se revisaron los artículos en inglés y español que tuvieran información pertinente para dar respuesta a nuestro objetivo. Resultados: ambas patologías comparten características clínicas que hacen difícil diferenciarlas sólo en base al examen físico, y eventualmente pueden coexistir. No existen en Chile estudios relacionados a la prevalencia ni menos a la coexistencia de ambas patologías. Se encontraron frecuencias de NESO en pterigión entre 0,65 y 9,8 por ciento dependiendo de la región geográfica. Conclusiones: es importante mantener un alto nivel de sospecha para diagnosticar una NESO en pterigión y es importante crear conciencia en los oftalmólogos que estas lesiones pueden coexistir. Se requieren estudios prospectivos para analizar la incidencia de las NESO en pterigión en las distintas latitudes de nuestro país.(AU)


Introduction: ocular surface squamous neoplasia (OSSN) can lead to aesthetic and functional ocular problems. Pterygium, on the other hand, is a benign pathology that, when it has a surgical management, the samples are discarded without histopathological analysis. The objective is to review the pathophysiology, risk factors and incidence of OSSN in clinically diagnosed lesions such as pterygium. Methods: review article. The pubmed electronic database was reviewed using keywords such as pterygium AND OSSN. We reviewed articles in English and Spanish that had relevant information to respond to our objective. Results: both pathologies share clinical characteristics that make it difficult to differentiate them only based on the physical examination, and eventually they can coexist. There are no studies in Chile related to prevalence or less to the coexistence of both pathologies. Frequencies of OSSN in pterygium were found between 0.65 and 9.8 percent depending on the geographical region. Conclusions: is important to maintain a high level of suspicion to diagnose OSSN in pterygium and it is important to create awareness in ophthalmologists that these lesions can coexist. Further prospective studies are necessary to analyze the incidence of OSSN in pterygium in the different latitudes of our country .(AU)


Subject(s)
Humans , Pterygium , Neoplasms , Biopsy , Diagnosis , Ophthalmologists
13.
Rev. medica electron ; 40(4): 1288-1295, jul.-ago. 2018.
Article in Spanish | LILACS, CUMED | ID: biblio-1103700

ABSTRACT

El estudio descriptivo de personalidades de la provincia debe formar parte de un proyecto para enriquecer el conocimiento de todos los profesionales matanceros vinculados con las ciencias médicas y la historia, que a su vez serán los que preparen a los estudiantes de las ciencias médicas para su formación integral. Esta es la razón fundamental por la que seleccionamos al eminente médico Horacio Ferrer Díaz, que en el siglo xix prestigió el terruño. Fue un notable galeno, especializado en oftalmología, quien combinó su desempeño profesional con las actividades revolucionarias en defensa de la independencia de Cuba. Fue inventor de un aparato para estudiar la retina y otro para extraer la catarata al vacío y de una mesa giratoria de reconocimiento única en el mundo. Publicó "La Fonometría antes y después de la operación de catarata", y fue el primero que operó un paciente con desprendimiento de retina en Cuba. Hijo de la tierra unionense, Ferrer Díaz debe ser recordado por siempre por sus aportes médicos y su gran activismo político en las filas mambisas, donde adquiere grados militares, y en contra del gobierno de Machado y la dictadura de Batista después. El recuento de la historia en las guerras independentistas queda plasmado para todos los cubanos en su obra Con el rifle al hombro, escrita en su ancianidad (AU).


The descriptive study of the province's personalities should be a part of a project to enhance the knowledge of all Matanzasan professional related with the medical sciences and the history, who are in their turn the ones who are going to train the medical sciences students for their comprehensive education. That is the main reason of choosing the personality of the eminent doctor Horacio Ferrer Díaz, who gave prestige to our native province. He was a notable physician, specialized in Ophthalmology, who combined his professional performance with the revolutionary activities in defense of the Cuban independence. He was the inventor of a device to study the retina and another to vacuum extract the cataract, and a rotating table of examination that was unique in the world. He published "Photometry before and after the cataract surgery" and was the first one who operated a patient with retinal detachment in Cuba. A son of the region of Union, Ferrer Díaz should be recollected forever because of his medical contributions and his great political activism at the service of the independence fighters against the Spanish colonialism, where he obtained military ranks, and against the government of Gerardo Machado and Batista's dictatorship later. The recount of independent wars was reflected in his work With the rifle on the shoulder, written in his old age (AU).


Subject(s)
Humans , Male , Physicians/history , Ophthalmologists/history , Politics , Professional Practice/history , Medical Care/history , Health Gains/history , Health Gains/methods
15.
Arq. bras. oftalmol ; 81(2): 161-165, Mar.-Apr. 2018.
Article in English | LILACS | ID: biblio-950430

ABSTRACT

ABSTRACT The Nobel Prize is the world's foremost honor for scientific advances in medicine and other areas. Founded by Alfred Nobel, the prizes have been awarded annually since 1901. We reviewed the literature on persons who have won or competed for this prize in subjects related to vision and ophthalmology. The topics were divided into vision physiology, diagnostic and therapeutic methods, disease mechanism, and miscellaneous categories. Allvar Gullstrand is the only ophthalmologist to win a Nobel Prize; he is also the only one to receive it for work in ophthalmology. Other ophthalmologists that have been nominated were Hjalmar Schiötz (tonometer), Karl Koller (topical anesthesia), and Jules Gonin (retinal detachment). Other scientists have won the prize for eye-related research: Ragnar Granit, Haldan Hartline and George Wald (chemistry and physiology of vision), and David Hubel and Torsten Wiesel (processing in the visual system). Peter Medawar is the only person born in Brazil to have won the Nobel Prize.


RESUMO O Prêmio Nobel é a principal honraria do mundo para avanços científicos em medicina e outras áreas. Fundada por Alfred Nobel, os prêmios são concedidos anualmente desde 1901. Revisamos a literatura sobre pessoas que ganharam ou competiram por esse prêmio em assuntos relacionados à visão e oftalmologia. Os tópicos foram divididos em fisiologia da visão, métodos diagnósticos e terapêuticos, mecanismo de doenças e variados. Allvar Gullstrand não é o único oftalmologista a ganhar um Nobel, porém é o único a recebê-lo por contribuições na oftalmologia. Outros oftalmologistas foram nomeados: Hjalmar Schiötz (tonometro), Karl Koller (anestesia tópica) e Jules Gonin (descolamento da retina). Outros cientistas ganharam o prêmio com pesquisas relacionadas à visão: Ragnar Granit, Haldan Hartline e George Wald (química e fisiologia da visão); David Hubel e Torsten Wiesel (processamento no sistema visual). Peter Medawar é a única pessoa que nasceu no Brasil a ganhar o prêmio.


Subject(s)
Humans , History, 20th Century , History, 21st Century , Ophthalmology/trends , Ophthalmologists/trends , Nobel Prize , Vision, Ocular/physiology , Biomedical Research , Diagnostic Techniques, Ophthalmological/trends , Eye Diseases/diagnosis , Eye Diseases/therapy
16.
Medwave ; 18(6): e7314, 2018.
Article in English, Spanish | LILACS | ID: biblio-948393

ABSTRACT

Resumen Introducción La facoéresis es el procedimiento en que se extrae quirúrgicamente el cristalino para tratar las cataratas. La pérdida endotelial corneal es una complicación reconocida. Si bien se han descrito diversos factores asociados a este daño, la experiencia del cirujano ha sido poco explorada. Objetivos Evaluar la asociación entre la experiencia del cirujano y otras variables asociadas a la pérdida celular endotelial en el contexto de la facoéresis. Métodos Se analizaron registros clínicos de 198 cirugías de cataratas, evaluando el efecto de la experiencia del cirujano y otras variables asociadas: energía disipada acumulada, tipo de viscoelástico empleado, uso de azul tripán, cantidad de fluídica, tiempo de ultrasonido, energía de facoemulsificación combinada y recuento celular endotelial pre y postoperatorio. Resultados No se observaron diferencias en el conteo postoperatorio de células endoteliales. Los oftalmólogos con más de cinco años de experiencia presentaron menor uso de azul tripán pero mayor cantidad de energía disipada acumulada en cada procedimiento, mientras que los oftalmólogos con menor experiencia utilizaron mayor cantidad de fluídica. Conclusiones Aunque hubo diferencias en el manejo de algunos factores influyentes sobre la pérdida endotelial cornal según la experiencia de los oftalmólogos, no se hallaron diferencias en relación a dicha pérdida como resultado final.


Abstract Introduction Phacoeresis is the procedure through which the lens is surgically removed to treat cataracts. A corneal endothelial loss is a recognized sequel. Although several factors associated with this harm have been described, the surgeon's prior experience has been scarcely evaluated. Objectives To assess the association between the surgeon's experience and other variables associated with a corneal endothelial cell loss in the context of phacoeresis. Methods Clinical records of 198 patients undergoing cataract operations were prospectively reviewed. The experience of the surgeon and other variables were recorded, including cumulative dissipated energy, viscoelastic type, the use of trypan blue, amount of fluidics, ultrasound time, combined phacoemulsification energy, and pre- and postoperative corneal endothelial cell counts. Results No differences were observed in the postoperative corneal endothelial cell count between surgeons with more or less than five years of experience. Nevertheless, ophthalmologists with more than five years' experience used less trypan blue, but more cumulative dissipated energy in each procedure, while less experienced ophthalmologists used less fluidics. Conclusions Although there were differences in the surgical management regarding the surgeons' experience in factors known to influence corneal endothelial cell loss, no differences in endothelial cell loss were observed as an outcome.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Postoperative Complications/pathology , Cataract Extraction/adverse effects , Phacoemulsification/adverse effects , Corneal Endothelial Cell Loss/etiology , Cataract/pathology , Cataract Extraction/methods , Prospective Studies , Phacoemulsification/methods , Ophthalmologists
17.
Rev. bras. med. trab ; 15(3): 209-216, jul.-set. 2017.
Article in Portuguese | LILACS | ID: biblio-859419

ABSTRACT

Contexto: As exigências visuais, designadamente da visão ao perto, são cada vez mais frequentes no mundo do trabalho, podendo causar fadiga visual ou astenopia. Os médicos oftalmologistas exercem atividades que exigem esforço visual, o que determina o interesse no seu estudo pela saúde ocupacional. Objetivos: Identificar a prevalência das queixas visuais e a sua relação com as exigências do trabalho nos médicos oftalmologistas em um hospital universitário de Lisboa. Métodos: Avaliou-se a ocorrência de sintomas de fadiga visual por meio de um questionário de sintomas ­ Inventário de Eficiência Visual (IEV) ­ e pela determinação dos pontos próximos de acomodação e de convergência. Utilizou-se o teste de Schirmer para a avaliação da secreção lacrimal. Os resultados foram analisados com o auxílio da estatística descritiva, do coeficiente de Spearman e do teste de Wilcoxon para p<0,05. Resultados: Dos 27 médicos respondentes, a maioria refere fadiga visual (n=25), assim como a presença de olhos secos e o piscar frequentemente (n=27). Os resultados do teste de Shirmer evidenciam diferenças no final do dia de trabalho e os pontos próximos de acomodação e convergência evidenciam a presença de fadiga visual. Conclusões: Os resultados revelaram diferenças significativas entre o início e o final do dia de atividade profissional dos médicos oftalmologistas, indiciando a existência de fadiga visual ao final do dia de trabalho. Tal situação determina a necessidade de implementar um programa de vigilância da saúde para prevenir alterações visuais de natureza profissional.


Background: Visual demands, especially for near vision, are becoming increasingly more frequent at the workplace, and might cause visual fatigue or asthenopia. The tasks performed by ophthalmologists involve visual effort, raising interest in their study within the context of occupational health. Objectives: To estimate the prevalence of visual complaints and its relationship to work demands among ophthalmologists at a university hospital in Lisbon. Methods: Occurrence of visual fatigue symptoms was assessed by means of a symptom questionnaire ­ College of Optometrists in Vision Development Quality of Life (COVD-QoL) ­ and through the identification of near points of accommodation and convergence. Schirmer's test was used to assess tear production. The results were analyzed by means of descriptive statistics, Spearman's coefficient and the Wilcoxon test for p<0.05. Results: Most among the 27 analyzed physicians reported visual fatigue (n=25), dry eyes and frequent blinking (n=27). Schirmer's test evidenced differences at the end of the working day and the near points of accommodation and convergence indicated occurrence of visual fatigue. Conclusions: The results showed significant differences between the beginning and the end of the working day among ophthalmologists, with occurrence of visual fatigue at the end of the working day. These findings point to the need to implement a health surveillance program to prevent occupational visual disorders.


Subject(s)
Asthenopia/epidemiology , Occupational Health/standards , Ophthalmologists , Occupational Medicine , Prevalence , Statistics, Nonparametric
18.
Einstein (Säo Paulo) ; 15(1): 40-44, Jan.-Mar. 2017. tab, graf
Article in English | LILACS | ID: biblio-840288

ABSTRACT

ABSTRACT Objective To conduct a data survey on the subject of medical claims involving civil liability in ophthalmology at the São Paulo Court of Appeals. Methods A case law research was carried out on the São Paulo Court of Appeals website searching for the keyword “ophthalmologist” for all years until 2016. Results Of the 65 cases found, 29 were selected. There has been an increase in the number of claims in ophthalmology, especially in surgical procedures on the anterior chamber of the eye. Most lower court judgments were for defendant. Conclusion The study suggested the need for specialists to exercise the required amount of care when treating the patients, so that they may understand the risks inherent to the procedure. Despite the increase in claims, most decisions were favorable for the physician.


RESUMO Objetivo Realizar um levantamento de dados sobre a temática dos processos envolvendo responsabilidade civil em sede da Oftalmologia no Tribunal de Justiça do Estado de São Paulo. Métodos Foi realizada uma pesquisa jurisprudencial por palavra-chave no site do Tribunal de Justiça do Estado de São Paulo com o seguinte termo de pesquisa “oftalmologista” para todos os anos até 2016. Resultados Foram encontrados 65 processos, dos quais 29 foram selecionados. Observou-se tendência ao aumento de processos na área, e predominância de processos em procedimentos oftalmológicos cirúrgicos em câmara anterior do olho. A maioria das sentenças de primeira instância foi improcedente. Conclusão O estudo aponta para a necessidade de atenção dos especialistas para com o paciente, no sentido de que ele compreenda os riscos inerentes ao procedimento. Apesar do aumento de processos, a maioria permanece favorável ao médico.


Subject(s)
Humans , Liability, Legal , Ophthalmologists/legislation & jurisprudence , Ophthalmologists/statistics & numerical data , Physician-Patient Relations , Ophthalmologic Surgical Procedures/legislation & jurisprudence , Ophthalmologic Surgical Procedures/statistics & numerical data , Time Factors , Brazil , Retrospective Studies , Medical Errors/legislation & jurisprudence
19.
Niger. j. clin. pract. (Online) ; 20(5): 507-511, 2017. tab
Article in English | AIM | ID: biblio-1267155

ABSTRACT

Aim: To assess the practice of trabeculectomy among ophthalmologists in Nigeria. Materials and Methods: This was a cross-sectional study in which structured, self- administered questionnaires were distributed to 80 consenting ophthalmologists present during the 2010 annual scientific session of the Ophthalmological Society of Nigeria. All consenting ophthalmologists treat glaucoma patients. Information obtained were demographic characteristics, glaucoma outpatient load, number of trabeculectomies performed in the preceding 1 year and during residency training, and factors influencing trabeculectomy practice. Data were analyzed with Statistical Package for Social Science version 16.0. Relationships between variables were tested using the Χ2 test for statistical significance. Results: Sixty-five of the 80 consenting ophthalmologists responded to the questionnaires (81.3% response rate); 32 (53.3%) were females and 28 (46.7%) were males (5 non-responders). Ages ranged from 30 to 60 years with a mean of 44 years ± SD 7.7. Only 36 (57.1%) performed trabeculectomy in the 1 year preceding the study. There was an overall trabeculectomy rate of 0.9/ophthalmologist/month. Of the 15 respondents who performed more than 15 trabeculectomies during residency, 14 (93.3%) also performed the surgery in the year preceding this study (P = 0.001). The main limitation to the practice of the procedure was patients' unwillingness to accept surgery, as identified by 50 (89.3%) respondents. Conclusions: A low trabeculectomy rate of 0.9/ophthalmologist/month was found in this study. It was significantly associated with insufficient exposure to the surgery during residency training and patients' poor acceptance of the surgery


Subject(s)
Cross-Sectional Studies , Glaucoma , Nigeria , Ophthalmologists , Trabeculectomy
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