Abstract：
OBJECTIVE: The aim of the study was to map the behavior of ophthalmologists regarding protective equipment during the COVID-19 pandemic (coronavirus disease 2019), both during the time of the mandatory restrictive measures and after their relaxation. Another aim was to evaluate the awareness of ophthalmologists in the Czech Republic about the possible impact of nose and mouth protective measures (masks, respirators) on the quality of eye examinations, especially on the results of standard automated perimetry (SAP) and intraocular pressure (IOP) measurement.
METHODS: As part of two professional ophthalmological events in the Czech Republic, which took place in 2022, we obtained and evaluated data from the ophthalmologists in attendance using a questionnaire. We evaluated demographic parameters, frequency of use and type of nose and mouth protective equipment and their influence on the quality of ophthalmological examination as well as the awareness of ophthalmologists about their possible influence on the outcome of SAP and IOP measurements.
RESULTS: We obtained data from a total of 212 respondents (148 women, 44 men, in 20 cases gender was not stated). In 91.5% of cases, ophthalmologists agreed that the use of respirators and masks makes ophthalmological examination more difficult. The most common problems were eyepiece fogging (85.8%), examination lens fogging (85.8%), and lens fogging when spectacles correction was prescribed (79.2%). The respondents most often combated these problems either by completely removing the respirator (24.1%) or at least by pulling it under the nose (39.2%). At the time when the measures were relaxed, significantly more men did not use any nose and mouth protection at all during ophthalmological examinations (15.8% of men vs. 4.2% of women; p = 0.032). An alarming finding was the fact that 35.6% of respondents did not know whatsoever whether the nurse was performing a perimetry examination on a patient with a respirator/mask or without protective equipment, i.e. they were not aware whatsoever of the possible formation of artifacts. Only 21.2% of respondents were aware of the possible difficulties of measuring IOP while wearing a respirator, while 59.9% of respondents were not aware of this risk (39.6% had never considered this problem, 20.3% of respondents were convinced that a respirator could not have an effect on the measurement of IOP).
CONCLUSIONS: The use of nose and mouth protective equipment clearly affects the ophthalmological examination and makes it more difficult. Although ophthalmologists belong to a group at high risk for the possible transmission of infection in the performance of their profession, they often removed nose and mouth protection in an effort to eliminate fogging of eyepieces and examination lenses. The awareness of ophthalmologists regarding the possible influence on the results of SAP and IOP measurement by wearing a respirator was low in our questionnaire survey. It is therefore advisable to discuss this issue more widely and warn doctors about these risks.
METHODS: As part of two professional ophthalmological events in the Czech Republic, which took place in 2022, we obtained and evaluated data from the ophthalmologists in attendance using a questionnaire. We evaluated demographic parameters, frequency of use and type of nose and mouth protective equipment and their influence on the quality of ophthalmological examination as well as the awareness of ophthalmologists about their possible influence on the outcome of SAP and IOP measurements.
RESULTS: We obtained data from a total of 212 respondents (148 women, 44 men, in 20 cases gender was not stated). In 91.5% of cases, ophthalmologists agreed that the use of respirators and masks makes ophthalmological examination more difficult. The most common problems were eyepiece fogging (85.8%), examination lens fogging (85.8%), and lens fogging when spectacles correction was prescribed (79.2%). The respondents most often combated these problems either by completely removing the respirator (24.1%) or at least by pulling it under the nose (39.2%). At the time when the measures were relaxed, significantly more men did not use any nose and mouth protection at all during ophthalmological examinations (15.8% of men vs. 4.2% of women; p = 0.032). An alarming finding was the fact that 35.6% of respondents did not know whatsoever whether the nurse was performing a perimetry examination on a patient with a respirator/mask or without protective equipment, i.e. they were not aware whatsoever of the possible formation of artifacts. Only 21.2% of respondents were aware of the possible difficulties of measuring IOP while wearing a respirator, while 59.9% of respondents were not aware of this risk (39.6% had never considered this problem, 20.3% of respondents were convinced that a respirator could not have an effect on the measurement of IOP).
CONCLUSIONS: The use of nose and mouth protective equipment clearly affects the ophthalmological examination and makes it more difficult. Although ophthalmologists belong to a group at high risk for the possible transmission of infection in the performance of their profession, they often removed nose and mouth protection in an effort to eliminate fogging of eyepieces and examination lenses. The awareness of ophthalmologists regarding the possible influence on the results of SAP and IOP measurement by wearing a respirator was low in our questionnaire survey. It is therefore advisable to discuss this issue more widely and warn doctors about these risks.
摘要：
目的：研究的目的是绘制眼科医生在COVID-19大流行（2019年冠状病毒病）期间对防护设备的行为图，在强制性限制措施期间和放松之后。另一个目的是评估捷克共和国眼科医生对鼻子和口腔保护措施可能产生的影响的认识（口罩，呼吸器)对眼睛检查的质量，特别是标准自动视野（SAP）和眼内压（IOP）测量的结果。
方法：作为捷克共和国两个专业眼科活动的一部分，这是在2022年进行的,我们使用问卷从出席的眼科医生那里获得并评估了数据.我们评估了人口统计参数，口鼻防护设备的使用频率和类型及其对眼科检查质量的影响，以及眼科医生对SAP和IOP测量结果可能影响的认识。
结果：我们从总共212名受访者（148名女性，44人,在20例病例中，没有说明性别)。在91.5%的案例中，眼科医生一致认为，使用呼吸器和口罩使眼科检查更加困难。最常见的问题是目镜起雾（85.8%），检查镜片雾化（85.8%），规定矫正眼镜时镜片起雾(79.2%)。受访者最常通过完全卸下呼吸器（24.1％）或至少将其拉到鼻子下面（39.2％）来解决这些问题。在放松措施的时候，在眼科检查期间，更多的男性根本没有使用任何鼻子和口腔保护(15.8%的男性与4.2%的女性；p=0.032)。一个令人震惊的发现是，35.6％的受访者不知道护士是否在使用呼吸器/口罩或没有防护设备的情况下对患者进行视野检查，也就是说，他们根本不知道人工制品的可能形成。只有21.2％的受访者意识到佩戴呼吸器时测量眼压可能存在困难，而59.9%的受访者没有意识到这种风险(39.6%从未考虑过这个问题，20.3％的受访者确信呼吸器不会对IOP的测量产生影响）。
结论：使用口鼻保护设备明显影响眼科检查，使其更加困难。尽管眼科医生在其职业中属于可能传播感染的高风险人群，他们经常去除鼻子和嘴巴保护，以消除目镜和检查镜片的起雾。在我们的问卷调查中，眼科医生对戴呼吸器对SAP和IOP测量结果的可能影响的认识较低。因此，建议更广泛地讨论这个问题，并警告医生这些风险。
方法：作为捷克共和国两个专业眼科活动的一部分，这是在2022年进行的,我们使用问卷从出席的眼科医生那里获得并评估了数据.我们评估了人口统计参数，口鼻防护设备的使用频率和类型及其对眼科检查质量的影响，以及眼科医生对SAP和IOP测量结果可能影响的认识。
结果：我们从总共212名受访者（148名女性，44人,在20例病例中，没有说明性别)。在91.5%的案例中，眼科医生一致认为，使用呼吸器和口罩使眼科检查更加困难。最常见的问题是目镜起雾（85.8%），检查镜片雾化（85.8%），规定矫正眼镜时镜片起雾(79.2%)。受访者最常通过完全卸下呼吸器（24.1％）或至少将其拉到鼻子下面（39.2％）来解决这些问题。在放松措施的时候，在眼科检查期间，更多的男性根本没有使用任何鼻子和口腔保护(15.8%的男性与4.2%的女性；p=0.032)。一个令人震惊的发现是，35.6％的受访者不知道护士是否在使用呼吸器/口罩或没有防护设备的情况下对患者进行视野检查，也就是说，他们根本不知道人工制品的可能形成。只有21.2％的受访者意识到佩戴呼吸器时测量眼压可能存在困难，而59.9%的受访者没有意识到这种风险(39.6%从未考虑过这个问题，20.3％的受访者确信呼吸器不会对IOP的测量产生影响）。
结论：使用口鼻保护设备明显影响眼科检查，使其更加困难。尽管眼科医生在其职业中属于可能传播感染的高风险人群，他们经常去除鼻子和嘴巴保护，以消除目镜和检查镜片的起雾。在我们的问卷调查中，眼科医生对戴呼吸器对SAP和IOP测量结果的可能影响的认识较低。因此，建议更广泛地讨论这个问题，并警告医生这些风险。
