Wallace R B
Wallace Eye Surgery, Alexandria, Louisiana 71303, USA.
J Cataract Refract Surg. 1999 Feb;25(2):174-6. doi: 10.1016/s0886-3350(99)80122-9.
The ergonomics of ocular surgery has received little attention even though the usual positioning of the patient and surgeon during traditional cataract surgery places the surgeon at risk for back, neck, and arm strain. The recent development of the temporal cataract incision allows the operating microscope to be tilted and the patient's head to be turned 45 degrees, permitting the surgeon to assume better posture during ocular procedures. The 45 degree tilt helps the surgeon avoid cervical and lumbar flexion by leaning back in the chair, which produces cervical and lumbar extension and avoids repetitive stress injuries to the neck and lower back.
尽管在传统白内障手术中患者和外科医生的常规体位会使外科医生面临背部、颈部和手臂劳损的风险,但眼科手术的人体工程学却很少受到关注。颞侧白内障切口的最新进展使得手术显微镜能够倾斜,患者头部能够转动45度,从而使外科医生在眼科手术过程中能够采取更好的姿势。45度倾斜有助于外科医生通过向后靠在椅子上避免颈椎和腰椎屈曲,从而实现颈椎和腰椎伸展,避免颈部和下背部的重复性应力损伤。