Influence of specialized medical devices intended for microsurgeries on the dynamic characteristics of the IOP-level, refraction and the ocular surface of ophthalmic surgeons

Author:

Kosakovskaya M. V.1ORCID,Gorodnichii V. V.2ORCID,Kuroedov A. V.3ORCID,Kulikov A. N.4ORCID,Bakunina N. A.5ORCID,Basinskii A. S.6ORCID,Gar’kavenko V. V.7ORCID,Getmanova A. M.8ORCID,Gusarevich A. A.9ORCID,Zhavoronkov S. A.10ORCID,Isakov I. N.11ORCID,Konovalov K. A.12ORCID,Korytin S. M.13ORCID,Nagornova Z. M.14ORCID,Pavlov V. A.15ORCID,Podyanov D. A.13ORCID,Rozhko Yu. I.16ORCID,Seleznev A. V.14ORCID,Serik A. N.17ORCID

Affiliation:

1. Pirogov Russian National Research Medical University

2. Mandryka Central Military Clinical Hospital

3. Pirogov Russian National Research Medical University; Mandryka Central Military Clinical Hospital

4. Kirov Military Medical Academy

5. Pirogov Clinical Сity Hospital No. 1

6. Prof. Basinsky Ophthalmological Center

7. Prof. Voino-Yasenetsky Krasnoyarsk State Medical University

8. Bryansk Regional Hospital

9. Clinical Hospital “RZD-Medicine”

10. Davydovsky City Clinical Hospital

11. Novokuznetsk City Clinical Hospital No. 1

12. 1586 Military Clinical Hospital

13. Burdenko Main Military Clinical Hospital (Branch № 1)

14. Ivanovo State Medical Academy

15. Burdenko Main Military Clinical Hospital

16. Republican Scientific and Practical Center for Radiation Medicine and Human Ecology

17. 3rd Vishnevsky Central Military Clinical Hospital

Abstract

Most ophthalmic interventions are examples of microinvasive surgery using microscopes of various modifications, which can have a negative impact on the eye condition of ophthalmic surgeons. Thus, presumably, a prolonged and repeated change in the accommodation of surgeons can contribute to a change in the dynamic refraction of the eye; separate articles began to appear describing the development of artifical dry eye syndrome (DES). It seems obvious that systematic work in the operating room and the conduct of microsurgical operations affect the organ of vision of ophthalmic surgeons.Purpose: to determine the degree of influence of equipment intended for microsurgical ophthalmic operations on the dynamic characteristics of the level of intraocular pressure, refraction and the state of the eye surface of ophthalmic surgeons.Materials and Methods. As part of a multicenter analytical scientific cross‑sectional study, data from 48 people (48 eyes, men – 50% and women – 50%) were analyzed. The indicators of total tear production (Schirmer test, I), as well as individual tonometry and refractive index characteristics of volunteers at the beginning and at the end of the surgical day, were studied. Individual risk factors for the development and progression of the dry eye syndrome (age, smoking, use of hormonal systemic drugs, wearing soft contact lenses), as well as instillation of artificial tears, were recorded. Additionally, all subjects completed the Ocular Surface Disease Index (OSDI) questionnaire.Results. After the operation day, which averaged 2.8 ± 0.2 hours, the subjects (mean age – 41.9 ± 1.1 years) had a statistically significant change in the index of tear production (from 11.9 ± 0.9 to 10.8 ± 1.7 mm, p = 0.01; Z = 2.407). A significant decrease in the parameters of the Schirmer test 1 was found in the age group of surgeons under 40 years old (p = 0.018; Z = 2.353), and in persons over 40 years old, there was a tendency for a decrease in tear production parameters, which was not statistically significant (p = 0.213; Z = 1.244). There was a tendency to increase the IOP‑level in surgeons of both age groups (p = 0.314; Z = 1.006 and p = 0.632; Z = 0.407, respectively). In addition, in surgeons older than 40 years, there was a change in accommodation, expressed in an increase in myopic refraction by 0.5 diopters at the end of the surgical day (p = 0.076; Z = 1.771).Conclusions. The use of specialized professional equipment (operating microscope) was found to have a negative effect on total tear production regardless of the presence of traditional risk factors for DES. The severity of violations depended on the age category of the subjects. The data obtained are of particular relevance in the period of development and progression of methods of surgical treatment of ophthalmic diseases and substantiate the need to develop specific preventive measures.

Publisher

Academy of Medical Optics and Optometry

Subject

General Medicine

Reference17 articles.

1. Krasnov M.M. Glaucoma microsurgery. Moscow: Medicine, 1980. (In Russ.)

2. Vorontsova T.N., Brzheskiy V.V., Efimova E.L., Markova E.Yu., Sidorenko E.I. Methods of correction and treatment of accommodation disorders. In: Accommodation. Manual for doctors. Katargina L.A., ed. Moscow: April, 2012:94–110. (In Russ.)

3. Kuroyedov A.V., Zavadski P.C., Brezhnev A.Yu. et al. Influence of personal respiratory and visual protective equipment on the development and progression of dry eye syndrome. Ophthalmology in Russia. 2020;17(3):519–526. (In Russ.) https://doi.org/10.18008/1816-5095-2020-3-519-526

4. Stapleton F., Optom M.C., Alves M. et al. TFOS DEWS II epidemiology report. The Ocular Surface. 2017;15:334–365. https://doi.org/10.1016/j.jtos.2017.05.003

5. Order of the Ministry of Health of the Russian Federation dated January 28, 2021 No. 29n “On approval of the Procedure for conducting mandatory preliminary and periodic medical examinations of employees provided for by part four of Article 213 of the Labor Code of the Russian Federation, a list of medical contraindications for work with harmful and (or) dangerous industrial factors, as well as work, during the performance of which mandatory preliminary and periodic medical examinations are carried out” (registered on January 29, 2021 No. 62277). Available from: http://publication.pravo.gov.ru/Document/View/0001202101290043 [Accessed 5 May 2022]. (In Russ.)

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