Preferred practice patterns for the evaluation of the ocular surface among ophthalmologists in Latin America
DOI:
https://doi.org/10.70313/2718.7446.v17.n01.290Keywords:
ocular surface, evaluation techniques, Latin America, ophthalmologists, questionnairesAbstract
Objectives: The aim of this study is to describe the preferred practices related to the evaluation of the ocular surface among the ophthalmology community in Latin America.
Materials and methods: This was an observational and descriptive study. To conduct it, a questionnaire was developed and distributed via email, with the assistance of a group of collaborators specially selected for distribution through other digital media. The purpose was to reach all ophthalmologists, both specialists and those in training, in Latin America, based on data collected from ICO in the year 2020.
Results: We obtained 559 responses, which represent 1.56% of all ophthalmologists in Latin America. Most answers were from Argentina, the country that leaded the study. Female responses were predominated. Data were segmented based on the participants’ academic background, including sub-specialists, general ophthalmologists, physicians in training or specialization, and another group of “other specialists” with different sub-specialties. Data were collected regarding slit lamp evaluation, assesment of the surface with and without staining, and the use of symptom questionnaires and complementary studies to evaluate Meibomian glands, conjunctiva, and tears.
Conclusion: This study describes the preferred practices in the assessment of the ocular surface among a group of ophthalmologists in Latin America. The findings show the importance to keep researching how ophthalmologists evaluate the ocular surface and the necessity to develop standardized protocols.
References
Craig JP, Nichols KK, Akpek EK et al. TFOS DEWS II definition and classification report. Ocul Surf 2017; 15: 276-283.
Khanna RC. Ocular surface disorders. Community Eye Health 2017; 30: S1-S2.
Stapleton F, Alves M, Bunya VY et al. TFOS DEWS II epidemiology report. Ocul Surf 2017; 15: 334-365.
Bunya VY, Fernández KB, Ying GS et al. Survey of ophthalmologists regarding practice patterns for dry and Sjogren syndrome. Eye Contact Lens 2018; 44 Suppl 2: S196-S201.
Elhusseiny AM, Khalil AA, El Sheikh RH et al. New approaches for diagnosis of dry eye disease. Int J Ophthalmol 2019; 12: 1618-1628.
Han SB, Liu YC, Mohamed-Noriega K et al. Objective imaging diagnostics for dry eye disease. J Ophthalmol 2020; 2020: 3509064.
Arita R, Minoura I, Morishige N et al. Development of definitive and reliable grading scales for Meibomian gland dysfunction. Am J Ophthalmol 2016; 169: 125-137.
Masumoto H, Tabuchi H, Yoneda T et al. Severity classification of conjunctival hyperaemia by deep neural network ensembles. J Ophthalmol 2019; 2019: 7820971.
Schiffman RM, Christianson MD, Jacobsen G et al. Reliability and validity of the ocular surface disease index. Arch Ophthalmol 2000; 118: 615-621.
Begley C, Caffery B, Chalmers R et al. Review and analysis of grading scales for ocular surface staining. Ocul Surf 2019; 17: 208-220.
Tsubota K, Nakamori K. Effects of ocular surface area and blink rate on tear dynamics. Arch Ophthalmol 1995; 113: 155-158.
Wolffsohn JS, Arita R, Chalmers R et al. TFOS DEWS II diagnostic methodology report. Ocul Surf 2017; 15: 539-574.
Starr CE, Gupta PK, ASCRS Cornea Clinical Committee et al. An algorithm for the preoperative diagnosis and treatment of ocular surface disorders. J Cataract Refract Surg 2019; 45: 669-684.
López García S, García Lozano I, Viso Garrote M. Innovación tecnológica: un paso más en el abordaje del ojo seco. Bol Soc Oftalmol Madrid 2018; 58. Disponible en: https://sociedadoftalmologicademadrid.com/revistas/revista-2018/m2018-04.html
Tsubota K, Yokoi N, Asia Dry Eye Society et al. New perspectives on dry eye definition and diagnosis: a consensus report by the Asia Dry Eye Society. Ocul Surf 2017; 15: 65-76.
Korb DR. Survey of preferred tests for diagnosis of the tear film and dry eye. Cornea 2000; 19: 483-486.
Nuijts RMMA, Cochener-Lamard B, Kohnen T, Findi O. ESCRS survey on COVID 19: practice patterns of ophthalmologists. EuroTimes 2020, June 8. Disponible en: https://www.escrs.org/media/ukdkq4ah/et25-6_covid19-survey.pdf
Drack AV, Utz VM, Wang K et al. Survey of practice patterns for the management of ophthalmic genetic disorders among AAPOS members: report by the AAPOS Genetic Eye Disease Task Force. J AAPOS 2019; 23: 226.e1-228.e1.
Turner AW, Layton CJ, Bron AJ et al. Survey of eye practitioners’ attitudes towards diagnostic tests and therapies for dry eye disease. Clin Exp Ophthalmol 2005; 33: 351-355.
Echavez MI, Siong RLB. Survey on the knowledge, attitudes, and practice patterns of ophthalmologists in the Philippines on the diagnosis and management of dry eye disease. Philipp J Ophthalmol 2019; 44: 68-74.
Tran EM, Tran MM, Clark MA et al. Assessing the quality of published surveys in ophthalmology. Ophthalmic Epidemiol 2020; 27: 339-343.
Ophthalmologists worldwide. En: International Council of Ophthalmology [sitio web]. Geneva, [2012]. Disponible en: https://icoph.org/advocacy/data-on-ophthalmologists-worldwide/
Begley CG, Caffery B, Nelson JD, Situ P. The effect of time on grading corneal fluorescein and conjunctival lissamine green staining. Ocul Surf 2022; 25: 65-70.
Kim J, Foulks GN. Evaluation of the effect of lissamine green and rose bengal on human corneal epithelial cells. Cornea 1999; 18: 328-332.
Kawai M, Yamada M, Kawashima M et al. Quantitative evaluation of tear meniscus height from fluorescein photographs. Cornea 2007; 26: 403-406.
Vidas Pauk S, Petriček I, Jukić T et al. Noninvasive tear film break-up time assessment using handheld lipid layer examination instrument. Acta Clin Croat 2019; 58: 63-71.
Graham JE, McGilligan VE, Berrar D et al. Attitudes towards diagnostic tests and therapies for dry eye disease. Ophthalmic Res 2010; 43: 11-17.
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Consejo Argentino de Oftalmología
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Con esta licencia no se permite un uso comercial de la obra original, ni la generación de obras derivadas. Las licencias Creative Commons permiten a los autores compartir y liberar sus obras en forma legal y segura.
