Document Detail


Convergence insufficiency: a treatable cause of problems in microsurgery.
MedLine Citation:
PMID:  15712211     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Microsurgical training concentrates on the practical mechanisms of performing vessel anastomoses, with little attention given to medical problems that may adversely affect the trainee's performance. Undiagnosed vision problems are rarely considered in microsurgical training, and may not be manifested until other limiting factors, such as basic instrument and suture handling, are mastered. While vision problems tend to be diagnosed and treated immediately among ophthalmology trainees, visual and ocular pathology is poorly understood outside of that specialty. We present a case of a surgeon who had been performing microsurgery for 10 years with an undiagnosed binocular vision problem that consistently affected microsurgical proficiency. Once diagnosed, the problem responded to therapeutic exercises within weeks. We suggest ophthalmologic referral of any surgeon who has unexplained problems with microsurgical technique (especially problems involving stereoscopic vision) to exclude a treatable visual cause.
Authors:
Gillian D Smith; Paul J Rychwalski; Russell A D Shatford
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Microsurgery     Volume:  25     ISSN:  0738-1085     ISO Abbreviation:  Microsurgery     Publication Date:  2005  
Date Detail:
Created Date:  2005-03-01     Completed Date:  2005-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309230     Medline TA:  Microsurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-7     Citation Subset:  IM    
Copyright Information:
(c) 2005 Wiley-Liss, Inc.
Affiliation:
Christine M. Kleinert Institute for Hand and Microsurgery, 225 Abraham Flexner Way, Louisville, KY 40202, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Competence
Female
Humans
Internship and Residency
Microsurgery*
Ocular Motility Disorders / diagnosis,  therapy*
Surgery, Plastic
Task Performance and Analysis
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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