Barnett-Itzhaki Guy, Friehmann Asaf, Barnett-Itzhaki Zohar, Ela-Dalman Noa
a Department of Ophthalmology , Meir Medical Center , Kfar Saba , Israel.
b Sackler faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.
J Binocul Vis Ocul Motil. 2019 Jan-Mar;69(1):34-41. doi: 10.1080/2576117X.2019.1581552. Epub 2019 Mar 21.
To investigate the diagnosis and management practice patterns of different aspects of pediatric ophthalmology among pediatric ophthalmologists and orthoptists in Israel.
A 21-question survey was delivered to all registered pediatric ophthalmologists and orthoptists in Israel.
The response rate was 58.3%. Most pediatric ophthalmology personnel in Israel do not document intermittent exotropia (IXT) with a control scale, do not use modalities other than patching for amblyopia, and do not use distance stereoacuity tests. There was no consensus regarding patching and over minus treatments in IXT. In contrast to frequent use of prism adaptation test (PAT) for evaluating strabismus, most Israeli pediatric ophthalmology personnel do not use postoperation diplopia test (PODT). While most orthoptists use a questionnaire when diagnosing convergence insufficiency (CI), most pediatric ophthalmologists do not.
This study highlights the current areas of consensus and disagreement regarding pediatric ophthalmology diagnosis and management practices in Israel. Adopting a uniform approach regarding diagnosing CI, including using a questionnaire by pediatric ophthalmologists and orthoptic exercises in the management of IXT, is warranted to enable unified treatment by pediatric ophthalmologist and orthoptists in Israel.
调查以色列小儿眼科医生和视光师在小儿眼科不同方面的诊断和管理实践模式。
向以色列所有注册的小儿眼科医生和视光师发放了一份包含21个问题的调查问卷。
回复率为58.3%。以色列大多数小儿眼科工作人员未用控制量表记录间歇性外斜视（IXT），除遮盖疗法外未使用其他治疗弱视的方法，也未使用远距离立体视锐度测试。在IXT的遮盖疗法和过矫治疗方面没有达成共识。与频繁使用棱镜适应试验（PAT）评估斜视形成对比的是，大多数以色列小儿眼科工作人员未使用术后复视试验（PODT）。虽然大多数视光师在诊断集合不足（CI）时使用问卷，但大多数小儿眼科医生不使用。
本研究突出了以色列在小儿眼科诊断和管理实践方面目前达成共识和存在分歧的领域。采用统一的CI诊断方法，包括小儿眼科医生使用问卷以及在IXT管理中采用视光训练，对于以色列小儿眼科医生和视光师进行统一治疗是必要的。
