From the Department of Ophthalmology and the F.I. Proctor Foundation (Schallhorn), University of California, San Francisco, California; the Department of Ophthalmology (Ciralsky), Weill Cornell Medical College, New York, New York; and Virginia Eye Consultants (Yeu), Norfolk, Virginia, USA.
From the Department of Ophthalmology and the F.I. Proctor Foundation (Schallhorn), University of California, San Francisco, California; the Department of Ophthalmology (Ciralsky), Weill Cornell Medical College, New York, New York; and Virginia Eye Consultants (Yeu), Norfolk, Virginia, USA.
J Cataract Refract Surg. 2017 May;43(5):687-694. doi: 10.1016/j.jcrs.2017.04.022.
A survey was offered to attendees of the 2016 annual meeting of the American Society of Cataract and Refractive Surgery (ASCRS) as well as online to ASCRS members. Of the 429 self-identified surgeons in training or those with fewer than 5 years in practice, 83% had performed complex cataract surgery using iris expansion devices or capsular tension rings (63%) and 70% had implanted a toric intraocular lens (IOL). A minority of respondents had performed laser-assisted cataract surgery (27%) or implanted presbyopia-correcting IOLs (39%), and only half (50%) had performed laser vision correction (LVC). Comfort with complex cataract and IOL procedures improved with increasing number of cases performed until greater than 10 cases. From this we can conclude that young surgeons have adequate exposure to complex cataracts but lack experience in refractive surgery and new IOL technology. Reported surgeon confidence improved with increased experience and exposure.
一项调查针对的是参加 2016 年美国白内障和屈光手术学会（ASCRS）年会的与会者，以及学会的在线会员。在 429 名自我认定的处于培训阶段或从业不足 5 年的外科医生中，83%的人使用虹膜扩张器或囊袋张力环进行了复杂白内障手术（63%），70%的人植入了散光人工晶状体（IOL）。少数受访者进行了激光辅助白内障手术（27%）或植入了多焦点 IOL（39%），只有一半（50%）进行了激光视力矫正（LVC）。随着手术量的增加，外科医生对复杂白内障和 IOL 手术的舒适度有所提高，直到手术量超过 10 例。由此我们可以得出结论，年轻外科医生有足够的机会接触复杂的白内障，但在屈光手术和新的 IOL 技术方面缺乏经验。报告的外科医生的信心随着经验和接触的增加而提高。
