DECEMBER 2021 | EYEWORLD | 93
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Contact
Campos-Möller:
xavocampos@yahoo.com
Shah: manjool@gmail.com
Relevant disclosures
Campos-Möller: None
Shah: None
He mentioned some surgeons may use
heads-up technology, which allows them to sit
upright rather than bending over the patient.
Specific considerations in
glaucoma surgeries
Dr. Shah said that glaucoma surgeries are often
longer, so ergonomics is that much more import-
ant. "Complex anterior segment surgery is also
often longer and requires particularly fine and
sometimes awkward hand positions and maneu-
vers, so being comfortable, secure, and steady is
paramount," he said.
Dr. Shah said he has switched to a temporal
approach for most surgeries as opposed to supe-
rior because he finds that having a single seat-
ing position enables him to be more efficient.
Dr. Campos-Möller said he thinks a lot of
the understanding of the positions and postures
comes from MIGS experience, where in order to
visualize the angle, "we tilt the patient's head
away from us and tilt the scope toward us."
"I think that's where we started realizing
that by tilting the scope toward you, you're
going to sit more upright," he said.
It's not just about being comfortable and
pain-free, but proper ergonomics can also in-
crease your performance, he said.
Dr. Campos-Möller mentioned the impor-
tance of range of motion and hand positioning
in ergonomics, which also plays a major role in
getting the technique right in MIGS procedures.
It is important to consider ergonomics in
ophthalmic surgery, both to help optimize the
surgery and to ensure physician comfort. Sur-
geons should be conscious of how they are po-
sitioning themselves in the OR and consider the
use of tools and equipment to help with this.
