METHODS: Ocularists from two countries were invited to participate in an online questionnaire. Data were collected on demographics, anophthalmic socket and EOP management (manufacturing, use, cleaning), complications, follow-up visits and multidisciplinary care. The frequency and proportions of the responses were statistically analysed.
RESULTS: The questionnaire was addressed to 20 Brazilian and 17 Spanish ocularists, obtaining a response rate of 65% and 64.7%, respectively. 62.5% of respondents were men. The most common cause of anophthalmia in Brazil (69.2%) and Spain (36.4%) is an eye disease (chi square: p = 0.188). Polymethylmethacrylate (PMMA) is the most commonly used material in EOP manufacture (chi square: p = 0.448), and 70.8% reported using customized EOPs (chi square: p = 0.069). Deposits are frequently observed in both countries (chi square: p = 0.157). Changing the prosthesis is recommended after 5 to 10 years by Brazilian ocularists, and after less than 5 years of use by Spanish ocularists (81.8%) (chi square: p = 0.041). Annual follow-up is recommended by Spanish ocularists (45.5%), while semestral (38.5%) and case-dependent (38.5%) follow-up is recommended by Brazilian ocularists (chi square: p = 0.267). Daily cleaning is advocated by 61.5% of Brazilian ocularists and once a month by 45.5% of Spanish ocularists (chi square: p = 0.098), with 75% of ocularists from both countries not recommending EOP removal at night (Fisher´s exact test: p = 0.166). Good communication between ocularists and ophthalmologists was reported by 87.5% of our responders (chi square: p = 0.642).
CONCLUSIONS: Although there are no unified protocols on the management of EOPs, Brazilian and Spanish ocularists follow similar guidelines. Differences between countries were the patients´ referral and the prosthesis´ useful life.
方法:邀请来自两个国家的Ocularists参加在线问卷调查。收集了人口统计数据,眼科插座和EOP管理(制造,使用,cleaning),并发症,后续访问和多学科护理。对反应的频率和比例进行统计分析。
结果:问卷发给了20名巴西和17名西班牙眼科医生,获得65%和64.7%的反应率,分别。62.5%的受访者是男性。在巴西(69.2%)和西班牙(36.4%),无眼症的最常见原因是眼病(卡方:p=0.188)。聚甲基丙烯酸甲酯(PMMA)是EOP制造中最常用的材料(卡方:p=0.448),70.8%报告使用定制的EOP(卡方:p=0.069)。在这两个国家经常观察到存款(卡方:p=0.157)。巴西眼科医生建议在5到10年后更换假体,西班牙眼科医生使用不到5年(81.8%)(卡方:p=0.041)。西班牙眼科医师建议每年随访(45.5%),巴西眼科医师建议进行半祖先(38.5%)和病例依赖性(38.5%)随访(卡方:p=0.267)。61.5%的巴西眼科医生提倡每日清洁,45.5%的西班牙眼科医生提倡每月清洁一次(卡方:p=0.098),来自这两个国家的75%的眼科医生不建议在夜间去除EOP(Fisher精确检验:p=0.166)。我们的响应者中有87.5%报告了眼科医生和眼科医生之间的良好沟通(卡方:p=0.642)。
结论:尽管没有关于EOP管理的统一协议,巴西和西班牙的眼科医生遵循类似的指导方针。国家之间的差异是患者的转诊和假体的使用寿命。