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Year : 1992  |  Volume : 40  |  Issue : 3  |  Page : 70

Orbit-The often omitted structure by ophthalmic surgeons

CBM Opthalmic Institute, Little Flower Hospital, Angamally-683 572, Kerala, India

Correspondence Address:
T P Ittyerah
CBM Opthalmic Institute, Little Flower Hospital, Angamally-683 572, Kerala
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Source of Support: None, Conflict of Interest: None

PMID: 1302227

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How to cite this article:
Ittyerah T P. Orbit-The often omitted structure by ophthalmic surgeons. Indian J Ophthalmol 1992;40:70

How to cite this URL:
Ittyerah T P. Orbit-The often omitted structure by ophthalmic surgeons. Indian J Ophthalmol [serial online] 1992 [cited 2023 Dec 3];40:70. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?1992/40/3/70/24398

Even though there is some amount of controversy whether an ophthalmologist can be called as ophthalmic surgeon or ophthalmic physician as evidenced by the M.D. or M.S. awarded for Post Graduate degree, by and large almost all ophthalmologists are eye surgeons. When it comes to eye surgery, there are hardly 20% of eye surgeons who really do orbital surgery either by way of their preoccupation in cataract surgery or lack of interest in structures other than the eye ball. It is true that we have enough number of cataracts waiting for the skilful hands of the eye surgeon; but that is not an excuse for ophthalmologists to neglect orbital surgeries.

Orbital surgeries may require the assistance of the otorhinolaryngologist and neurosurgeon but the oph­thalmologist should be the main performer. Unfor­tunately often orbital surgeries are left to neurosurgeons or general surgeons and an average ophthalmologist gets contented with the intraocular surgeries he performs.

This situation is perhaps the creation of the training programme the ophthalmic surgeons undergo during their post graduate studies. An M.S. student hardly get a chance to assist in an orbital surgery. Neither the post graduate student nor the post graduate teacher is very much bothered about performing and teaching orbital surgery.

This leaves the eye surgeon in a helpless situation when he or she is confronted with the orbital diseases requiring surgery. It is indeed gratifying that a sort of super specialisation is being developed for orbital surgery as a part of ophthalmic plastic surgery. Once we have enough orbital eye surgeons our dependence on the neurosurgeons and otorhinolaryn­gologists can be considerably reduced for tackling orbital diseases. Let us hope - Orbit - the seat of the eye ball will not be neglected either in ophthalmic training or in the practice of Ophthalmology.


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