RESUMO
INTRODUCTION: Burnout syndrome refers to the physical and psychological fatigue suffered by workers as a result of their professional activity. It has three main characteristics: emotional exhaustion, depersonalization and lack of personal fulfillment. PURPOSE: To determine the prevalence of burnout syndrome among Andalusian ophthalmologists, both consultants and residents, analyzing its relationship with several sociodemographic variables. MATERIAL AND METHODS: Descriptive cross-sectional study. All the sociodemographic variables were included in a Google® form together with the standardized questionnaire Maslach Burnout Inventory-Human Services Survey (MBI-HSS). This form was sent to the Andalusian ophthalmological community by different electronic means (Andalusian Society of Ophthalmology, instant messaging mobile apps, etc.). RESULTS: One hundred fourty two ophthalmologists answered the form, with a similar distribution by sex and a mean age of 43.77 years, with 67.1% of them meeting criteria of burnout syndrome. Its prevalence was higher among young ophthalmologists, with fewer years of clinical practice, divorced/separated, those with fewer children, belonging to centers in the province of Huelva, workers in rural/regional areas, those with exclusive public activity, consultants with temporary contracts and four-year residents. Regarding subspecialties, its prevalence was higher among those who focused on cornea-ocular surface-refractive surgery. CONCLUSIONS: This study quantify for the first time in Andalusia the prevalence of burnout syndrome among ophthalmologists. The fact that two thirds of the analyzed sample meet criteria proves the need to implement improvements in the clinical and professional conditions of our group.
Assuntos
Anticorpos Antivirais/sangue , Betacoronavirus/imunologia , Infecções por Coronavirus/epidemiologia , Oftalmologia , Pneumonia Viral/epidemiologia , Kit de Reagentes para Diagnóstico , Centros de Atenção Terciária , COVID-19 , Infecções por Coronavirus/diagnóstico , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Pandemias , Pneumonia Viral/diagnóstico , SARS-CoV-2 , Sensibilidade e Especificidade , Espanha/epidemiologiaAssuntos
Policitemia/complicações , Oclusão da Veia Retiniana/complicações , Veia Retiniana/anormalidades , Veia Retiniana/patologia , Tomografia de Coerência Óptica/métodos , Malformações Vasculares/complicações , Idoso , Angiofluoresceinografia , Humanos , Masculino , Policitemia/patologia , Retina/diagnóstico por imagem , Retina/patologia , Veia Retiniana/diagnóstico por imagem , Oclusão da Veia Retiniana/diagnóstico , Oclusão da Veia Retiniana/patologia , Malformações Vasculares/diagnósticoRESUMO
A case is presented of a 5 year-old patient with bilateral hereditary retinoblastoma treated with radiotherapy in the right eye and enucleation of the left eye. After three years without evidence of progression, the patient presented with a right orbital mass that compromised the frontal bone. After surgical excision, the histology analysis was consistent with a diagnosis of giant cell tumour. Primary orbital bone neoplasms, such as giant cell tumours, are extremely rare. Both radiological and histopathology studies are essential to establish the differential diagnosis of orbital mass lesions.
Assuntos
Neoplasias Ósseas/diagnóstico por imagem , Osso Frontal , Tumor de Células Gigantes do Osso/diagnóstico por imagem , Neoplasias Primárias Múltiplas/diagnóstico por imagem , Neoplasias da Retina/diagnóstico por imagem , Retinoblastoma/diagnóstico por imagem , Pré-Escolar , Feminino , Humanos , Neoplasias da Retina/patologia , Retinoblastoma/patologiaAssuntos
Miopia/cirurgia , Medicina de Precisão/métodos , Descolamento Retiniano/cirurgia , Recurvamento da Esclera/métodos , Idoso , Calibragem , Feminino , Humanos , Miopia/complicações , Miopia/diagnóstico , Descolamento Retiniano/complicações , Descolamento Retiniano/diagnóstico , Recurvamento da Esclera/normas , Espanha , Gravação em Vídeo , Vitrectomia/métodosAssuntos
Corpos Estranhos no Olho/cirurgia , Ferimentos Oculares Penetrantes/cirurgia , Fraturas Orbitárias/etiologia , Maus-Tratos Conjugais , Ferimentos Perfurantes/cirurgia , Corpos Estranhos no Olho/diagnóstico por imagem , Ferimentos Oculares Penetrantes/diagnóstico por imagem , Feminino , Humanos , Seio Maxilar/diagnóstico por imagem , Pessoa de Meia-Idade , Traumatismo Múltiplo , Septo Nasal/lesões , Fraturas Orbitárias/diagnóstico por imagem , Fraturas Orbitárias/cirurgia , Tomografia Computadorizada por Raios X , Ferimentos Perfurantes/diagnóstico por imagemRESUMO
CASE REPORT: A 31-year-old woman who had undergone surgery for a congenital cataract as a newborn developed bilateral malignant glaucoma, which was refractory to medical-surgical treatment. The patient currently has terminal glaucoma and severe band keratopathy. For aesthetic purposes, we performed intrastromal keratopigmentation surgery using ink for skin tattoos supplied in sterile single-dose vessels. No secondary effects or complications were observed. DISCUSSION: Keratopigmentation or corneal tattooing can now be used as a last resort in patients who are unable to tolerate cosmetic contact or intraocular lenses, or in whom corneal transplant is contraindicated.