Sinha Sony, Nishant Prateek, Sinha Ranjeet K
Ophthalmology, All India Institute of Medical Sciences, Patna, Patna, IND.
Ophthalmology, Employees' State Insurance Corporation (ESIC) Medical College, Bihta, Patna, IND.
Cureus. 2025 Aug 6;17(8):e89490. doi: 10.7759/cureus.89490. eCollection 2025 Aug.
The practice patterns for patient positioning, surgical techniques, and challenges faced by ophthalmologists during eye surgery on patients with kyphosis in India are yet unknown.
A cross-sectional online survey was conducted through Google Forms amongst practicing ophthalmic surgeons over two months and communicated across email lists and social media networks of state and regional ophthalmological associations of India in 2022.
Fifty-two ophthalmologists responded (mean age 48.6 ± 8.5 years, 71.2% males), mostly from teaching hospitals in urban areas of eastern India. Overall, 1279 cases of kyphosis were reported to have been operated upon. The majority had 30-50° of kyphosis. Peribulbar or retrobulbar anesthesia was equally preferred with an ophthalmic operating table for positioning. Almost equal numbers of surgeons operate sitting superiorly or temporally. More than half the respondents (57.7%) reported no difficulty or complications, and 71.2% did not alter their settings while performing phacoemulsification. The majority of the remainder had problems due to the high level of the patient's head, microscope oculars raised beyond their comfort level, and having to adjust their posture with every movement of a restless patient. Reaching the foot pedal while sitting or operating it while standing posed challenges. Surgeons commonly reported backache, neck pain, exhaustion, stiffness, tiredness, and mental stress. Conclusions: Our study provides an Indian perspective on managing intraocular surgery in kyphotic patients with special requirements. Innovative solutions for positioning the patient and proficient surgeons can lead to the successful accomplishment of ocular surgery in such challenging patients.
在印度，脊柱后凸患者眼科手术中患者体位摆放、手术技术以及眼科医生面临的挑战的实践模式尚不清楚。
2022年，通过谷歌表单对执业眼科医生进行了为期两个月的横断面在线调查，并通过印度各邦及地区眼科协会的电子邮件列表和社交媒体网络进行传播。
52名眼科医生做出回应（平均年龄48.6±8.5岁，71.2%为男性），大多来自印度东部城市地区的教学医院。总体而言，据报告共进行了1279例脊柱后凸手术。大多数患者的脊柱后凸角度为30 - 50°。球周或球后麻醉与眼科手术台用于体位摆放同样受到青睐。几乎相同数量的外科医生选择在患者上方或颞侧坐着进行手术。超过一半的受访者（57.7%）表示没有困难或并发症，71.2%的人在进行超声乳化手术时未改变手术设置。其余大多数人遇到的问题包括患者头部位置过高、显微镜目镜超出舒适调节范围以及需要随着躁动患者的每次移动调整姿势。坐着时够不到脚踏板或站着操作脚踏板都带来了挑战。外科医生普遍报告有背痛、颈部疼痛、疲惫、僵硬、劳累和精神压力。
我们的研究提供了印度视角下对有特殊需求的脊柱后凸患者进行眼内手术管理的情况。针对患者体位摆放的创新解决方案以及熟练的外科医生能够在这类具有挑战性的患者中成功完成眼科手术。
