Aloqab Aysha, Alturkistany Walaa, Ali Hala M Nassim
Ophthalmology, King Fahd Hospital of the University, Khobar, Saudi Arabia.
Ophthalmology, Bahrain Defence Force Hospital, Riffa, Bahrain.
Saudi J Ophthalmol. 2024 Jul 3;39(2):166-173. doi: 10.4103/sjopt.sjopt_276_23. eCollection 2025 Apr-Jun.
To evaluate the knowledge, attitudes, and practices of surgical loupes among ophthalmologists and determine the relationship between this tool and musculoskeletal (MSK) disorders.
Between December 2020 and January 2021, ophthalmologists (trainees and consultants) working in Saudi Arabia received an anonymous, Internet-based survey through Google Forms.
The total number of surveys completed was 93, and 82% reported pain with operating during the past 12 months; 87% reported neck pain, 81% reported shoulder pain, and 73% reported lower back pain. Sixty-eight percent chose to rest without seeking professional care. Forty-seven percent of participants exercise regularly. Sixty-nine percent attributed the pain to "bending or twisting your neck." Fifty-five percent of surgeons owned loupes, and only a third used loupes regularly. Forty percent indicated a limited field of vision as the main limitation. The Chi-squared test showed that MSK pain is a risk among all ophthalmic surgeons ( = 0.348). It was more prevalent among surgeons with longer experience. Increased surgical volume and prolonged operating time were associated with higher rates of pain. In addition, more frequent loupe use was associated with an increased prevalence of pain. The study found no statistically significant association. Finally, the activity level was significantly associated with a lower prevalence of pain ( = 0.028).
The majority of participants in this study experienced occupational MSK pain. Most participants owned loupes, and only a third used them regularly. Young ophthalmologists should be encouraged to apply ergonomic principles to safeguard against future MSK injuries.
评估眼科医生对手术放大镜的知识、态度和使用习惯，并确定该工具与肌肉骨骼（MSK）疾病之间的关系。
2020年12月至2021年1月期间，在沙特阿拉伯工作的眼科医生（实习生和顾问）通过谷歌表单接受了一项匿名的基于互联网的调查。
完成的调查问卷总数为93份，82%的人报告在过去12个月的手术过程中感到疼痛；87%的人报告颈部疼痛，81%的人报告肩部疼痛，73%的人报告下背部疼痛。68%的人选择休息而不寻求专业护理。47%的参与者经常锻炼。69%的人将疼痛归因于“颈部弯曲或扭转”。55%的外科医生拥有手术放大镜，只有三分之一的人经常使用。40%的人指出视野受限是主要限制因素。卡方检验表明，MSK疼痛是所有眼科外科医生面临的风险（=0.348）。在经验更丰富的外科医生中更为普遍。手术量增加和手术时间延长与更高的疼痛发生率相关。此外，更频繁地使用手术放大镜与疼痛患病率增加相关。该研究未发现统计学上的显著关联。最后，活动水平与较低的疼痛患病率显著相关（=0.028）。
本研究中的大多数参与者经历了职业性MSK疼痛。大多数参与者拥有手术放大镜，只有三分之一的人经常使用。应鼓励年轻的眼科医生应用人体工程学原理，以预防未来的MSK损伤。
