Ophthalmic microsurgery: adjustment problems.
More ophthalmic surgeons should be encouraged to use the operating microscope, one of the most important and spectacular advances in surgery in this century. Its advantages are established. This paper discusses practical recommendations based on observations made from a decade of personal experience and from the problems encountered by students at microsurgical courses. The recommendations are as follows: (i) instrumentation. Surgeons must understand the structure and limitations of the microscopes and the microinstruments; (ii) inherent disadvantages. There are several disadvantages inherent in performing surgery under the operating microscope, e.g., the ophthalmic surgeon becomes "immobile", and the operating field of vision is narrow. All these disadvantages require adjustment. With an understanding of these problems, more surgeons will eventually be able to overcome the difficulties.
D000328:Adult; D002387:Cataract Extraction / Q000379:methods; D016039:Corneal Transplantation; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D007089:Image Enhancement; D007910:Lenses, Intraocular / Q000379:methods; D008853:Microscopy / Q000295:instrumentation; D008866:Microsurgery / Q000295:instrumentation; D013508:Ophthalmologic Surgical Procedures; D013525:Surgical Instruments; D014822:Vitreous Body / Q000601:surgery