Private Practice, Ankara, Turkey.
Ankara City Hospital, Clinic of Ophthalmology, Ankara, Turkey.
Turk J Ophthalmol. 2021 Feb 25;51(1):7-18. doi: 10.4274/tjo.galenos.2020.46020.
The aim of this study was to show at what rate the technological equipment used in cataract surgery by Turkish ophthalmologists and their knowledge are reflected in practice and how up to date they are.
A questionnaire conducted using SurveyMonkey was used to evaluate the answers to 17 questions from 823 members of the Turkish Ophthalmological Association. Results were evaluated in subgroups according to the participants' age, occupational status, institutions, and whether they conducted relevant academic activities, and the data were compared as inadequate, standard, and contemporary approaches according to the determined criteria.
Optical biometry devices were used at rates of 77.7% and 67.3% for intraocular lens (IOL) power calculations and keratometric measurements in preparation for cataract surgery, respectively. For IOL power calculation, third-generation formulas, especially the SRK-T, were used most commonly (46.2%), followed by second-generation formulas (21.9%), and fourth/fifth-generation formulas and multiple evaluations for different axial lengths (31.9%). The most common incision size was 2.8 mm (51.6%), while the percentage of 2.2 mm and shorter incisions considered to be neutral in terms of surgically induced astigmatism was 18.8%. When selecting incision location, approaches to reduce corneal astigmatism were reported by 28.9%, neutral approaches by 26.2%, and insensitive approaches by 44.9%. Additionally, 55.6% of participants never implanted toric IOLs and 50.7% did not use presbyopia-correcting IOLs. The proportion of surgeons who have experience with femtosecond laser-assisted cataract surgery was 10.3% and the rate of intracameral antibiotic injection at the end of the operation was 89.4%.
It was seen that Turkish cataract surgeons were able to use high technology for surgical preparation and surgery at high rates, but this was not reflected in practice at same rate in terms of achieving contemporary standards of refractive cataract surgery.
本研究旨在展示土耳其眼科医生在白内障手术中使用的技术设备及其知识在实践中的应用率和更新率，以及他们的应用情况如何。
采用 SurveyMonkey 在线问卷调查表，对土耳其眼科医师协会的 823 名会员的 17 个问题进行评估。根据参与者的年龄、职业状况、机构以及是否进行相关学术活动，将结果分为亚组进行评估，并根据确定的标准将数据评估为不足、标准和现代方法。
在白内障手术准备中，分别有 77.7%和 67.3%的眼科医生使用光学生物测量设备进行人工晶状体（IOL）的计算和角膜曲率测量。在 IOL 计算方面，第三代公式，尤其是 SRK-T，最常用（46.2%），其次是第二代公式（21.9%），第四/五代公式和不同眼轴的多次评估（31.9%）。最常见的切口尺寸为 2.8mm（51.6%），而被认为在手术性散光方面中性的 2.2mm 及更小的切口比例为 18.8%。在选择切口位置时，有 28.9%的医生报告采用减少角膜散光的方法，26.2%的医生报告采用中性方法，44.9%的医生报告采用不敏感方法。此外，55.6%的医生从未植入过散光 IOL，50.7%的医生未使用过矫正老视的 IOL。有经验的医生中，接受飞秒激光辅助白内障手术的比例为 10.3%，手术结束时行眼内抗生素注射的比例为 89.4%。
尽管土耳其白内障外科医生能够在手术准备和手术中以较高的比例使用高科技，但在实现屈光性白内障手术的现代标准方面，这并没有以同样的速度反映在实践中。
