Department of Ophthalmology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
Ampang Hospital, Ampang, Malaysia.
BMC Res Notes. 2023 Jun 22;16(1):116. doi: 10.1186/s13104-023-06391-2.
To describe the preferred cataract surgery practices among Malaysian ophthalmologists and medical officers in comparison with the recommended practices.
An online questionnaire was sent out in April 2021, to Malaysian Ophthalmologists and medical officers who perform cataract surgeries. The questions were focused on the preferred cataract surgery practices of the participants. All data obtained were collected, tabulated and analysed.
A total of 173 participants responded to the online questionnaire. 55% of the participants were within 31-40 years of age. 56.1% preferred peristaltic pump over venturi system. 91.3% of participants practised povidone iodine instillation to the conjunctival sac. With regards to the main wound incision, more than half of the surgeons (50.3%) preferred fixed superior incision and 72.3% of them preferred 2.75 mm microkeratome blade. Most of the participants (63%) were inclined towards C-Loop clear intraocular lens (IOL) with a single-handed push preloaded system. 78.6% of the surgeons routinely use carbachol in their cataract surgery.
This survey provides some insight into the current practices among Malaysian ophthalmologists. Most of the practices are in line with international guidelines for preventing postoperative endophthalmitis. This article could help trainees and ophthalmologists benchmark and observe the common cataract surgery practices among their seniors and peers in Malaysia.
本研究旨在描述马来西亚眼科医生和医务官的白内障手术偏好与推荐做法的差异。
本研究于 2021 年 4 月向实施白内障手术的马来西亚眼科医生和医务官发放了在线问卷，问卷内容聚焦于参与者的白内障手术偏好。收集、列表和分析所有获得的数据。
共有 173 名参与者对在线问卷做出回应。55%的参与者年龄在 31-40 岁之间。56.1%的参与者更喜欢蠕动泵而不是文丘里系统。91.3%的参与者习惯将聚维酮碘滴入结膜囊。至于主切口，超过一半的外科医生（50.3%）更喜欢固定的上方切口，72.3%的人更喜欢 2.75 毫米的微型角膜刀。大多数参与者（63%）倾向于使用 C 型环推注式预装单手持载晶状体（IOL）。78.6%的外科医生在白内障手术中常规使用卡巴胆碱。
本调查提供了一些关于马来西亚眼科医生当前实践的见解。大多数做法与预防术后眼内炎的国际指南一致。本文可以帮助学员和眼科医生了解马来西亚的同行和上级的常见白内障手术实践，并作为基准。
