Panda Bijnya Birajita, Mishra Chitaranjan, Nayak Bhagabat, Roy Avik Kumar, Balakrishnan Logesh, Mishra Priyadarshini
Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India.
Department of Vitreo-Retina, Trilochan Netralaya, Sambalpur 768004, India.
World J Clin Cases. 2025 Jan 6;13(1):94284. doi: 10.12998/wjcc.v13.i1.94284.
Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure. Some oculoplastic conditions, like nasolacrimal duct obstruction, have been extensively studied, whereas others, like eyelid malposition and thyroid eye disease, have received minimal or no research.
To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.
A cross-sectional survey was disseminated among ophthalmologists all over India. The survey included questions related to pre-operative evaluation, anaesthetic and surgical techniques preferred, post-operative care, the use of adjunctive therapies, and patient follow-up patterns.
A total of 180 ophthalmologists responded to the survey. Most practitioners (89%) felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised. The most common surgical techniques employed were lacrimal drainage procedures (Dacryocystorhinostomy) (63.3%), eyelid malposition repair (36.9%), and ptosis repair (58.7%). Post-operatively, 47.7 % of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries. Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.
Approximately 50% of ophthalmologists handle prevalent oculoplastic issues themselves, seeking the expertise of an oculoplastic surgeon under particular conditions. Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery. Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.
在术前阶段处理眼整形问题可确保任何眼科手术的安全性和功能成功。一些眼整形问题，如鼻泪管阻塞，已得到广泛研究，而其他问题，如眼睑位置异常和甲状腺眼病，研究极少或尚未开展。
调查眼科医生在进行任何眼科亚专业干预之前治疗合并眼整形问题时的当前实践模式。
在印度各地的眼科医生中开展了一项横断面调查。该调查包括与术前评估、首选的麻醉和手术技术、术后护理、辅助治疗的使用以及患者随访模式相关的问题。
共有180名眼科医生回复了调查。大多数从业者（89%）认为在建议进行任何亚专业手术之前，ROPLAS测试在术前评估中就足够了。最常用的手术技术是泪道引流手术（泪囊鼻腔吻合术）（63.3%）、眼睑位置异常修复（36.9%）和上睑下垂修复（58.7%）。术后，47.7%的受访者强调泪道引流手术和眼睑手术后应至少间隔4周。67%的眼科医生认为在甲状腺眼病患者进行眼部手术时应首选局部麻醉手术。
约50%的眼科医生自己处理常见的眼整形问题，在特定情况下寻求眼整形外科医生的专业意见。许多眼科医生在进行白内障手术前仍倾向于使用ROPLAS作为初步筛查方法。与鼻泪管阻塞和眼周感染等问题相比，在亚专业手术前较少处理眼睑疾病和甲状腺眼病。
