Ophthalmology

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Ophthalmologist
)
Ophthalmology
ocular muscles, ocular neoplasms (malignancies, or cancers, and benign eye tumors), neuro-ophthalmologic disorders (including disorders of the optic nerve)
Significant testsOphthalmoscopy, visual field test, optical coherence tomography
SpecialistOphthalmologist
GlossaryGlossary of medicine
Ophthalmologist
Occupation
NamesPhysician
Surgeon
Occupation type
Specialty
Activity sectors
Medicine, surgery
Description
Education required
Doctor of Medicine (MD),
Doctor of Osteopathic Medicine (DO),
Bachelor of Medicine, Bachelor of Surgery (MBBS),
Bachelor of Medicine, Bachelor of Surgery (MBChB)
Fields of
employment
Hospitals, Clinics

Ophthalmology (/ˌɒfθælˈmɒləi/, OFF-thal-MOL-ə-jee)[1] is a clinical and surgical specialty within medicine that deals with the diagnosis and treatment of eye disorders.[2] A former term is oculism.

An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care.[3] Following a medical degree, a doctor specialising in ophthalmology must pursue additional postgraduate residency training specific to that field. This may include a one-year integrated internship that involves more general medical training in other fields such as internal medicine or general surgery. Following residency, additional specialty training (or fellowship) may be sought in a particular aspect of eye pathology.[4]

Ophthalmologists prescribe medications to treat ailments, such as eye diseases, implement laser therapy, and perform surgery when needed.[5] Ophthalmologists provide both primary and specialty eye care—medical and surgical.[5] Most ophthalmologists participate in academic research on eye diseases at some point in their training and many include research as part of their career.[6] Ophthalmology has always been at the forefront of medical research with a long history of advancement and innovation in eye care.[7]

Diseases

A brief list of some of the most common diseases treated by ophthalmologists:[8][9]

The most valued pharmaceutical companies worldwide whose leading products are in Ophthalmology are

Regeneron (United States) for AMD treatment and Bausch Health (Canada) for Front of eye.[10]

Diagnosis

Indirect ophthalmoscopy
Fluorescein angiography

Eye examination

Following are examples of examination methods performed during an eye examination that enables diagnosis[citation needed]

Specialized tests

Optical coherence tomography (OCT) is a medical technological platform used to assess ocular structures. The information is then used by physicians to assess staging of pathological processes and confirm clinical diagnoses. Subsequent OCT scans are used to assess the efficacy of managing diabetic retinopathy, age-related macular degeneration, and glaucoma.

Optical coherence tomography angiography (OCTA) and Fluorescein angiography to visualize the vascular networks of the retina and choroid.

bipolar and amacrine cells), and the ganglion cells
.

eye movements
.

brain tumours
or other neurological deficits.

non-invasive medical imaging technique for mapping the anterior curvature of the cornea, the outer structure of the eye
.

Ultrasonography of the eyes may be performed by an ophthalmologist.

Ophthalmic surgery

An ophthalmologist performing surgery

Eye surgery, also known as ocular surgery, is surgery performed on the eye or its adnexa by an ophthalmologist. The eye is a fragile organ, and requires extreme care before, during, and after a surgical procedure. An eye surgeon is responsible for selecting the appropriate surgical procedure for the patient and for taking the necessary safety precautions.

Subspecialties

Ophthalmology includes subspecialities that deal either with certain diseases or diseases of certain parts of the eye. Some of them are:[11]

Medical retina and vitreo-retinal surgery sometimes are combined and together they are called

posterior segment
subspecialisation

Etymology

The Greek roots of the word ophthalmology are ὀφθαλμός (ophthalmos, "eye") and -λoγία (-logia, "study, discourse"),[14][15] i.e., "the study of eyes". The discipline applies to all animal eyes, whether human or not, since the practice and procedures are quite similar with respect to disease processes, although there are differences in the anatomy or disease prevalence.

History

Ancient near east and the Greek period

In the Ebers Papyrus from ancient Egypt dating to 1550 BC, a section is devoted to eye diseases.[2]

Prior to

Alcamaeon (fifth century BC) and others, that this fluid was the medium of vision and flowed from the eye to the brain by a tube. Aristotle
advanced such ideas with empiricism. He dissected the eyes of animals, and discovering three layers (not two), found that the fluid was of a constant consistency with the lens forming (or congealing) after death, and the surrounding layers were seen to be juxtaposed. He and his contemporaries further put forth the existence of three tubes leading from the eye, not one. One tube from each eye met within the skull.

The Greek physician Rufus of Ephesus (first century AD) recognised a more modern concept of the eye, with conjunctiva, extending as a fourth epithelial layer over the eye.[2] Rufus was the first to recognise a two-chambered eye, with one chamber from cornea to lens (filled with water), the other from lens to retina (filled with a substance resembling egg whites).

Celsus the Greek philosopher of the second century AD gave a detailed description of cataract surgery by the couching method.

The Greek physician

tear ducts
.

Ancient India

The Indian surgeon Sushruta wrote the Sushruta Samhita in Sanskrit in approximately the sixth century BC,[16] which describes 76 ocular diseases (of these, 51 surgical) as well as several ophthalmological surgical instruments and techniques.[17][18] His description of cataract surgery was compatible with the method of couching.[19] He has been described as one of the first cataract surgeons.[20][21]

Medieval Islam

Anatomy of the Eye, 1200 A.D.

Medieval Islamic Arabic and Persian scientists (unlike their classical predecessors) considered it normal to combine theory and practice, including the crafting of precise instruments, and therefore, found it natural to combine the study of the eye with the practical application of that knowledge.[22] Hunayn ibn Ishaq, and others beginning with the medieval Arabic period, taught that the crystalline lens is in the exact center of the eye.[23] This idea was propagated until the end of the 1500s.[23]

Ibn al-Nafis, an Arabic native of Damascus, wrote a large textbook, The Polished Book on Experimental Ophthalmology, divided into two parts, On the Theory of Ophthalmology and Simple and Compounded Ophthalmic Drugs.[24]

Avicenna wrote in his Canon "rescheth", which means "retiformis", and Gerard of Cremona translated this at approximately 1150 into the new term "retina".[25]

Modern period

Early Ophthalmology instruments

In the seventeenth and eighteenth centuries,

Petit. This allowed for detailed study of the eye and an advanced model. Some mistakes persisted, such as: why the pupil changed size (seen to be vessels of the iris filling with blood), the existence of the posterior chamber, and the nature of the retina. Unaware of their functions, Leeuwenhoek noted the existence of photoreceptors,[26] however, they were not properly described until Gottfried Reinhold Treviranus
in 1834.

Jacques Daviel performed the first documented planned primary cataract extraction on Sep. 18, 1750 in Cologne.[27] Georg Joseph Beer (1763–1821) was an Austrian ophthalmologist and leader of the First Viennese School of Medicine. He introduced a flap operation for treatment of cataract (Beer's operation), as well as having popularized the instrument used to perform the surgery (Beer's knife).[28]

In North America, indigenous healers treated some eye diseases by rubbing or scraping the eyes or eyelids.[29]

Ophthalmic surgery in The United Kingdom

The first ophthalmic surgeon in the UK was

King George III of Great Britain in 1772. His skill at removing cataracts legitimized the field.[30] The first dedicated ophthalmic hospital opened in 1805 in London; it is now called Moorfields Eye Hospital. Clinical developments at Moorfields and the founding of the Institute of Ophthalmology (now part of the University College London) by Sir Stewart Duke-Elder established the site as the largest eye hospital in the world and a nexus for ophthalmic research.[31]

Central Europe

In Berlin, ophthalmologist Albrecht von Graefe introduced iridectomy as a treatment for glaucoma and improved cataract surgery, he is also considered the founding father of the German Ophthalmological Society.

Numerous ophthalmologists fled Germany after 1933 as the Nazis began to persecute those of Jewish descent. A representative leader was

University of Istanbul, he built a modern clinic and trained students. In 1939, he went to the United States, becoming a professor at Tufts University.[32] German ophthalmologist, Gerhard Meyer-Schwickerath
is widely credited with developing the predecessor of laser coagulation, photocoagulation.

In 1946, Igersheimer conducted the first experiments on light coagulation. In 1949, he performed the first successful treatment of a retinal detachment with a light beam (light coagulation) with a self-constructed device on the roof of the ophthalmic clinic at the University of Hamburg-Eppendorf.[33][34]

Polish ophthalmology dates to the thirteenth century. The Polish Ophthalmological Society was founded in 1911. A representative leader was Adam Zamenhof (1888–1940), who introduced certain diagnostic, surgical, and nonsurgical eye-care procedures. He was executed by the German Nazis in 1940.[35]

Zofia Falkowska (1915–93) head of the Faculty and Clinic of Ophthalmology in Warsaw from 1963 to 1976, was the first to use lasers in her practice.

Contributions by physicists

The prominent physicists of the late nineteenth and early twentieth centuries included

ophthalmoscope
in 1851. They both made theoretical calculations on image formation in optical systems and also had studied the optics of the eye.

Professional requirements

Ophthalmologists are

/DOMS/DNB, who typically complete an undergraduate degree, general medical school, followed by a residency in ophthalmology. Ophthalmologists typically perform optical, medical and surgical eye care.

Australia and New Zealand

In Australia and New Zealand, the FRACO or FRANZCO is the equivalent postgraduate specialist qualification. The structured training system takes place over five years of postgraduate training. Overseas-trained ophthalmologists are assessed using the pathway published on the RANZCO website. Those who have completed their formal training in the UK and have the CCST or CCT, usually are deemed to be comparable.

Bangladesh

In Bangladesh to be an ophthalmologist the basic degree is an MBBS. Then they have to obtain a postgraduate degree or diploma in an ophthalmology specialty. In Bangladesh, these are diploma in ophthalmology, diploma in community ophthalmology, fellow or member of the College of Physicians and Surgeons in ophthalmology, and Master of Science in ophthalmology.

Canada

In

Royal College
exam in either English or French.

India

In India, after completing MBBS degree, postgraduate study in ophthalmology is required. The degrees are doctor of medicine, master of surgery, diploma in ophthalmic medicine and surgery, and diplomate of national board. The concurrent training and work experience are in the form of a junior residency at a medical college, eye hospital, or institution under the supervision of experienced faculty. Further work experience in the form of fellowship, registrar, or senior resident refines the skills of these eye surgeons. All members of the India Ophthalmologist Society and various state-level ophthalmologist societies hold regular conferences and actively promote continuing medical education.

Nepal

In Nepal, to become an ophthalmologist, three years of postgraduate study is required after completing an MBBS degree. The postgraduate degree in ophthalmology is called medical doctor in ophthalmology. Currently, this degree is provided by Tilganga Institute of Ophthalmology, Tilganga, Kathmandu, BPKLCO, Institute of Medicine, TU, Kathmandu, BP Koirala Institute of Health Sciences, Dharan, Kathmandu University, Dhulikhel, and National Academy of Medical Science, Kathmandu. A few Nepalese citizens also study this subject in Bangladesh, China, India, Pakistan, and other countries. All graduates have to pass the Nepal Medical Council Licensing Exam to become a registered ophthalmologists in Nepal. The concurrent residency training is in the form of a PG student (resident) at a medical college, eye hospital, or institution according to the degree providing university's rules and regulations. Nepal Ophthalmic Society holds regular conferences and actively promotes continuing medical education.

Ireland

In

PhD
degrees and to undertake clinical fellowships in the UK, Australia, and the United States.

Pakistan

In Pakistan, after MBBS, a four-year full-time residency program leads to an exit-level FCPS examination in ophthalmology, held under the auspices of the College of Physicians and Surgeons, Pakistan. The tough examination is assessed by both highly qualified Pakistani and eminent international ophthalmic consultants. As a prerequisite to the final examinations, an intermediate module, an optics and refraction module, and a dissertation written on a research project carried out under supervision is also assessed.

Moreover, a two-and-a-half-year residency program leads to an MCPS while a two-year training of DOMS is also being offered.[36] For candidates in the military, a stringent two-year graded course, with quarterly assessments, is held under Armed Forces Post Graduate Medical Institute in Rawalpindi.

The M.S. in ophthalmology is also one of the specialty programs. In addition to programs for physicians, various diplomas and degrees for allied eyecare personnel are also being offered to produce competent optometrists, orthoptists, ophthalmic nurses, ophthalmic technologists, and ophthalmic technicians in this field. These programs are being offered, notably by the College of Ophthalmology and Allied Vision Sciences, in Lahore and the Pakistan Institute of Community Ophthalmology in Peshawar.[37] Subspecialty fellowships also are being offered in the fields of pediatric ophthalmology and vitreoretinal ophthalmology. King Edward Medical University, Al Shifa Trust Eye Hospital Rawalpindi, and Al- Ibrahim Eye Hospital Karachi also have started a degree program in this field.

Philippines

In the Philippines, Ophthalmology is considered a medical specialty that uses medicine and surgery to treat diseases of the eye. There is only one professional organization in the country that is duly recognized by the PMA and the PCS: the Philippine Academy of Ophthalmology (PAO).[38] PAO and the state-standard Philippine Board of Ophthalmology (PBO) regulates ophthalmology residency programs and board certification. To become a general ophthalmologist in the Philippines, a candidate must have completed a doctor of medicine degree (MD) or its equivalent (e.g. MBBS), have completed an internship in Medicine, have passed the physician licensure exam, and have completed residency training at a hospital accredited by the Philippine Board of Ophthalmology (accrediting arm of PAO).[39] Attainment of board certification in ophthalmology from the PBO is essential in acquiring privileges in most major health institutions. Graduates of residency programs can receive further training in ophthalmology subspecialties, such as neuro-ophthalmology, retina, etc. by completing a fellowship program that varies in length depending on each program's requirements.

United Kingdom

In the

specialist registrar and one of these degrees is required for specialization in eye diseases
. Such clinical work is within the NHS, with supplementary private work for some consultants.

Only 2.3 ophthalmologists exist per 100,000 population in the UK – fewer pro rata than in any nations in the European Union.[40]

United States

New York Ophthalmic Hospital, 1893

Ophthalmologists typically complete four years of undergraduate studies, four years of medical school and four years of eye-specific training (residency). Some pursue additional training, known as a fellowship - typically one to two years. Ophthalmologists are physicians who specialize in the eye and related structures. They perform medical and surgical eye care and may also write prescriptions for corrective lenses. They often manage late stage eye disease, which typically involves surgery.[41]

Ophthalmologists must complete the requirements of continuing medical education to maintain licensure and for recertification.

Notable ophthalmologists

The following is a list of physicians who have significantly contributed to the field of ophthalmology:

18th–19th centuries

  • Theodor Leber (1840–1917) discovered Leber's congenital amaurosis, Leber's hereditary optic neuropathy, Leber's miliary aneurysm, and Leber's stellate neuroretinitis
  • Carl Ferdinand von Arlt (1812–1887), the elder (Austrian), proved that myopia is largely due to an excessive axial length, published influential textbooks on eye disease, and ran annual eye clinics in needy areas long before the concept of volunteer eye camps became popular; his name is still attached to some disease signs, e.g., von Arlt's line in trachoma and his son, Ferdinand Ritter von Arlt, the younger, was also an ophthalmologist
  • Jacques Daviel (1696–1762) (France) performed the first documented planned primary cataract extraction on Sep. 18, 1750 in Cologne.[27]
  • Franciscus Donders (1818–1889) (Dutch) published pioneering analyses of ocular biomechanics, intraocular pressure, glaucoma, and physiological optics and he made possible the prescribing of combinations of spherical and cylindrical lenses to treat astigmatism
  • Joseph Forlenze (1757–1833) (Italy), specialist in cataract surgery, became popular during the First French Empire, healing, among many, personalities such as the minister Jean-Étienne-Marie Portalis and the poet Ponce Denis Lebrun; he was nominated by Napoleon "chirurgien oculiste of the lycees, the civil hospices and all the charitable institutions of the departments of the Empire",[42] and he also was known for his free interventions, mainly in favour of poor people
Albrecht von Graefe
  • Albrecht von Graefe (1828–1870) (Germany) probably the most important ophthalmologist of the nineteenth century, along with Helmholtz and Donders, one of the 'founding fathers' of ophthalmology as a specialty, he was a brilliant clinician and charismatic teacher who had an international influence on the development of ophthalmology, and was a pioneer in mapping visual field defects and diagnosis and treatment of glaucoma, and he introduced a cataract extraction technique that remained the standard for more than 100 years, and many other important surgical techniques such as iridectomy. He rationalised the use of many ophthalmically important drugs, including mydriatics and miotics; he also was the founder of one of the earliest ophthalmic societies (German Ophthalmological Society, 1857) and one of the earliest ophthalmic journals (Graefe's Archives of Ophthalmology)
  • constructed international auxiliary language known as Esperanto
    .
Allvar Gullstrand
  • Allvar Gullstrand (1862–1930) (Sweden) was a Nobel Prize-winner in 1911 for his research on the eye as a light-refracting apparatus, he described the 'schematic eye', a mathematical model of the human eye based on his measurements known as the 'optical constants' of the eye; his measurements are still used today
  • Hermann von Helmholtz (1821–1894), a great German polymath, invented the ophthalmoscope (1851) and published important work on physiological optics, including colour vision.
  • Julius Hirschberg (1843–1925) (Germany) in 1879 became the first to use an electromagnet to remove metallic foreign bodies from the eye and in 1886 developed the Hirschberg test for measuring strabismus
  • Peter Adolph Gad (1846 – 1907), Danish-Brazilian ophthalmologist who founded the first eye infirmary in São Paulo, Brazil
  • Socrate Polara (1800–1860, Italy) founded the first dedicated ophthalmology clinic in Sicily in 1829, entirely as a philanthropic endeavor; later he was appointed as the first director of the ophthalmology department at the Grand Hospital of Palermo, Sicily, in 1831 after the Sicilian government became convinced of the importance of state support for the specialization[43]
  • Herman Snellen (1834–1908) (Netherlands) introduced the Snellen chart to study visual acuity

20th–21st centuries

  • Vladimir Petrovich Filatov (1875–1956) (Ukraine) contributed the tube flap grafting method, corneal transplantation, and preservation of grafts from cadaver eyes and tissue therapy; he founded the Filatov Institute of Eye Diseases and Tissue Therapy
    , Odessa, one of the leading eye-care institutes in the world.
  • Shinobu Ishihara (1879-1963) (Japan), in 1918, invented the Ishihara Color Vision Test, a common method for determining Color blindness; he also made major contributions to the study of Trachoma and Myopia.
  • Ignacio Barraquer (1884–1965) (Spain), in 1917, invented the first motorized vacuum instrument (erisophake) for intracapsular cataract extraction; he founded the Barraquer Clinic in 1941 and the Barraquer Institute in 1947 in Barcelona, Spain.
  • Ernst Fuchs (1851–1930) was an Austrian ophthalmologist known for his discovery and description of numerous ocular diseases and abnormalities including Fuchs' dystrophy and Fuchs heterochromic iridocyclitis.[44]
  • Tsutomu Sato (1902–1960) (Japan) pioneer in incisional refractive surgery, including techniques for astigmatism and the invention of radial keratotomy for myopia.
  • Jules Gonin (1870–1935) (Switzerland) was the "father of retinal detachment surgery".
  • Sir Harold Ridley (1906–2001) (United Kingdom), in 1949, may have been the first to successfully implant an artificial intraocular lens after observing that plastic fragments in the eyes of wartime pilots were well tolerated; he fought for decades against strong reactionary opinions to have the concept accepted as feasible and useful.
  • Charles Schepens (1912–2006) (Belgium) was the "father of modern retinal surgery" and developer of the Schepens indirect binocular ophthalmoscope whilst at Moorfields Eye Hospital; he was the founder of the Schepens Eye Research Institute, associated with Harvard Medical School and the Massachusetts Eye and Ear Infirmary, in Boston, Massachusetts.
  • Tom Pashby (1915–2005) (Canada) was Canadian Standards Association and a sport safety advocate to prevent eye injuries and spinal cord injuries, developed safer sports equipment, named to the Order of Canada, inducted into Canada's Sport Hall of Fame.[45]
  • Marshall M. Parks (1918–2005) (United States) was the "father of pediatric ophthalmology".[46]
  • microlathe
    .
  • Tadeusz Krwawicz (1910–1988) (Poland), in 1961, developed the first cryoprobe for intracapsular cataract extraction.
  • Svyatoslav Fyodorov (1927–2000) (Russia) was the "father of ophthalmic microsurgery" and he improved and popularized radial keratotomy, invented a surgical cure for cataract, and he developed scleroplasty.
  • Charles Kelman (1930–2004) (United States) developed the ultrasound and mechanized irrigation and aspiration system for phacoemulsification, first allowing cataract extraction through a small incision.
  • Helena Ndume (b.1960) (Namibia) is a renowned ophthalmologist notable for her charitable work among people with eye-related illnesses.
  • Rand Paul (b. 1963) (United States) worked as an ophthalmologist before becoming a US senator.

See also

References

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External links