英国当前镜检实践调查。

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Journal of Glaucoma Pub Date : 2024-11-01 Epub Date: 2024-07-19 DOI:10.1097/IJG.0000000000002468
Shaheryar Ahmed Khan, Sean Zhou, Nuwan Niyadurupola
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引用次数: 0

摘要

目的:这项调查凸显了英国各地在眼底镜检查实践中存在的不足,尤其是在压痕眼底镜的使用和初级眼科医生的培训方面。建议包括规范操作和增加培训机会,以改善患者护理:背景:眼底镜检查是各级眼科医生学习和实践的一项重要通用技能。本研究旨在了解英国眼科医生对眼底镜检查的一般态度、认识和实践:方法:利用一份包含 18 个问题的匿名电子问卷进行了一次全国性的眼底镜检查调查。调查问卷使用调查工具 Microsoft 2016 "MS Forms" 在线电子发放给英国所有级别的眼科医生:结果:共分析了 146 份回复。总体而言,89%的参与者认为 "能自如地进行裂隙灯检影",但只有38%的初级受训者(1-3年级的眼科专科受训者)认为能自如地进行检影。只有 13% 的初级受训人员认为他们在进行裂隙灯检影方面接受过足够的培训,而受访者总数的这一比例为 68%。令人惊讶的是,大多数顾问(58%)并不 "非常同意 "有信心在眼底镜检查中评估视角及其结构。本次调查中最常用的声像图镜片是蔡司四镜声像图镜片,但只有 38% 的参与者常规进行压痕声像图检查。大多数参与者在进行声像图检查时使用的是修改后的 Shaffer 分类法。为新青光眼患者进行常规眼底检查的人数少于预期:这项调查表明,眼底镜检查并没有按照英国国家建议进行,很少有眼科医生进行压痕眼底镜检查。在课程中增加眼底镜检查培训可能会有所帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Survey of Current Gonioscopy Practice in the United Kingdom.

Prcis: This survey highlights a deficiency in gonioscopy practices across the UK, particularly in the utilization of indentation gonioscopy and training of junior ophthalmologists. Recommendations include standardizing practice and enhancing training opportunities to improve patient care.

Objective: Gonioscopy is an important general skill learned and practiced by all grades of ophthalmologists. The aim of this study is to discover the general attitude, perception, and practice of gonioscopy among ophthalmologists in the UK.

Materials and methods: A National gonioscopy survey was carried out by utilizing an anonymous electronic questionnaire of 18 questions. The questionnaire was electronically distributed online, using the survey tool, Microsoft 2016 "MS Forms" to all grades of ophthalmologists in the UK.

Results: A total of 146 responses were analyzed. Overall, 89% of the participants felt "comfortable in performing slit lamp gonioscopy," but only 38% of junior trainees (ophthalmic specialist trainees years 1-3) felt comfortable in gonioscopy. Only 13% of the junior trainees felt they had adequate training in performing gonioscopy compared with 68% of the total respondents. Surprisingly, the majority of consultants (58%) did not "strongly agree" to be confident in assessing the angle and its configuration on gonioscopy. The most commonly used gonioscopic lens in this survey was the Zeiss four-mirror gonio lens, but only 38% of participants performed indentation gonioscopy routinely. The majority of the participants utilized the modified Shaffer's classification for gonioscopy. Fewer than expected numbers performed gonioscopy routinely for new patients with glaucoma.

Conclusion: This survey suggests that gonioscopy is not being performed according to the UK national recommendations, and few ophthalmologists perform indentation gonioscopy. Additional gonioscopy training in the curriculum may be helpful.

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来源期刊
Journal of Glaucoma
Journal of Glaucoma 医学-眼科学
CiteScore
4.20
自引率
10.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.
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