Table 4.
Number | Category | Disease Conditions†† | Details/Agents |
---|---|---|---|
1 | Allergic | Contact dermatitis, pruritus, urticaria, chronic cough, and asthma | Betadine, (Sagrosept), fluorescent strips, gloves, latex, topical anesthetics, tape |
2 | Ergonomic - mechanical | Neck, shoulder, and back pain; intervertebral disk diseases, and varicose veins | Operating microscope, slit lamp, indirect ophthalmoscope |
3 | Ergonomic - ophthalmologic | Transient visual disturbances, permanent diminished visual acuity (and contrast sensitivity), and ocular discomfort | Laser (and the aiming beam), exposure to dim and intense light |
4 | Stress -related | Peptic disease, Postoperative headache, irritable bowel syndrome, central serous chorioretinopathy, hypertension, asthma, and IHD | High workload, high demand for precision, intra- and postoperative complications |
5 | Infectious | HIV, HBV, HCV, and TB transmission; infectious conjunctivitis (especially adenoviral), and common cold | Close contact to the patients at examination, needlestick, contact with mucosal discharges, and contact with blood during operations |
6 | Psychosocial | Anxiety, depression, insomnia, amnesia, chronic headache, fatigue and eye strain, marital and parent-child conflicts, and suicide | High workload and less free time, costly instruments, lengthy training, lengthy operations, challenge of being a specialist of a rapidly developing specialty, early retirement |
7 | Miscellaneous | Abortion | Nitrous oxide in operating room? |
TB = tuberculosis; PPD = purified protein derivative
IHD = ischemic heart disease; HBV = hepatitis B virus; HCV = hepatitis C virus; TB = tuberculosis
*This table is not intended to cover the conditions that are not specific to ophthalmology. Those in parentheses were not reported by our participants.
††By the term "disease condition," we may mean just a symptom or a full-blown illness, such as major depression.