Department of Ophthalmology, Queen's Medical Centre, Nottingham NG7 2UH, UK.
Postgrad Med J. 2010 Jun;86(1016):354-8. doi: 10.1136/pgmj.2009.091371.
A number of professions have a visual standard but there is no standard for surgeons, including surgeons such as ophthalmologists who operate with the aid of a microscope. We review which professions do have a visual standard, the evidence addressing the issue of a visual standard in medicine and surgery, and an international survey of what visual standards other countries apply to ophthalmologists, and performed a survey of the views of the member of the British Royal College of Ophthalmologists. A number of professions, where public safety is an issue, do have a visual standard without compelling supporting evidence. By contrast, all but two countries do not have a visual standard for their ophthalmic surgeons. The survey of members of the British Royal College of Ophthalmologists supported the adoption of such a standard, which would include minimum requirements for both visual acuity and stereoacuity. Good vision is clearly essential for ophthalmologists, as well as for other surgeons and practioners of some other branches of medicine. While there is no evidence to support a specific visual standard, we conclude that one should be adopted until there is definitive evidence to settle the issue on the basis of the precautionary principle as patient safety is involved.
许多职业都有视觉标准，但外科医生没有，包括那些借助显微镜进行手术的眼科医生。我们回顾了哪些职业有视觉标准，医学和外科手术中视觉标准的相关证据，以及对其他国家应用于眼科医生的视觉标准的国际调查，并对英国皇家眼科医学院成员的意见进行了调查。一些涉及公共安全的职业确实有视觉标准，但没有令人信服的支持证据。相比之下，只有两个国家没有为其眼科外科医生制定视觉标准。对英国皇家眼科医学院成员的调查支持采用这样的标准，该标准将包括视力和立体视锐度的最低要求。良好的视力显然对眼科医生以及其他外科医生和一些其他医学分支的从业者都是至关重要的。虽然没有证据支持特定的视觉标准，但我们的结论是，在有明确证据基于预防原则解决这个问题之前，应该采用一个标准，因为这涉及到患者的安全。
