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Objective: To determine the popular subspeciality choices among ophthalmology residents, to explore the factors affecting that choice, and to identify the obstacles that they face while selecting a subspeciality fellowship.
Study Design: Mixed-methods study. Place and Duration of the Study: Department of Ophthalmology of Hayatabad Medical Complex and Lady Reading Hospital, Peshawar, from 1st September to 30th November, 2021.
Methodology: The qualitative (1st) phase comprised of focussed group discussion (FGD) followed by an online in-depth interview (IDI). Quantitative (2nd) phase was conducted as online survey and consisted of currently enrolled FCPS-ophthalmology residents. Themes were generated and used to modify the pre-designed questionnaire. Questionnaire was piloted and necessary adjustments were made. In the 2nd phase, the online link of the questionnaire was shared with the eligible participants all over the country. For the association between categorical variables, the Pearson Chi-square test was used with significance at p-value <0.05. Results: Nine participants were recruited in the first phase and three themes were generated. In the second phase, a total of 138 responses were received, among which mean age was 29.37 + 3.9 years, and 74 (53.6%) participants were males. The top three subspeciality choices were cataract and refractive surgery (n = 31, 22.5%), vitreoretinal surgery (n = 30, 21.7%) and orbit and oculoplasty (n = 13, 9.4%). Sixty-two (48.8%) participants stated interest in the career to be the main reason to choose a particular fellowship, and 54 (42.5%) participants identified challenging subspeciality as the main obstacle. An association between gender and the intended subspeciality showed significant results (p = 0.029).
Conclusion: Ophthalmology residents of Pakistan have different approaches and motivations for selecting a fellowship programme. Professional needs and scientific reasons are their main motivations.
Key Words: Ophthalmology, Fellowship, Motivations, Career choices, Mentor, Pakistan.
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http://dx.doi.org/10.29271/jcpsp.2023.12.1433 | DOI Listing |
Int J Surg Case Rep
September 2025
Pediatric Ophthalmology and Strabismus Division, King Khalid Eye Specialist Hospital, Riyadh, Saudi Arabia.
Introduction And Clinical Importance: To present a case of traumatic third cranial nerve palsy and discuss the management challenges associated with this condition.
Case Presentation: A 27-year-old male patient was referred to our hospital following a road traffic accident that resulted in multiple injuries, including traumatic brain injury, orbital injury. The patient presented with left complete upper lid ptosis, a fixed dilated pupil, and restricted extraocular muscle movements in the left eye except abduction with large exotropia >90 PD and hypotropia 25 PD diagnosed as left oculomotor nerve palsy.
J Virol
September 2025
Department of Biological Sciences, Indian Institute of Science Education and Research Kolkata, Mohanpur, West Bengal, India.
High morbidity and mortality associated with human β-coronavirus (CoV) infection highlight the need to determine host responses to infection and develop anti-viral therapies. Gap junction intercellular communication (GJIC), particularly involving Connexin43 (Cx43), is vital for maintaining central nervous system (CNS) homeostasis, and disruption of GJIC is a well-documented pathogenic mechanism among β-coronaviruses. Specifically, murine β-coronavirus, mouse hepatitis virus (MHV-A59) inoculation in the mouse brain causes acute-stage CNS viral spread and chronic neuroinflammatory demyelination while causing pronounced downregulation of Cx43 at the acute stage, reflecting a critical role in CNS pathology.
View Article and Find Full Text PDFBr J Ophthalmol
September 2025
Lions Aravind Institute of Community Ophthalmology, Aravind Eye Care System, Madurai, India
Background: The Vision Centre (VC) model evolved to meet primary eye care needs in rural and underprivileged communities, overcoming workforce and resource challenges. Despite over two decades of operation, its impact is not well-documented. We evaluated its effectiveness by comparing prevalence of visual impairment (VI), eyecare utilisation and service coverage among residents within and beyond a 5 km radius of VCs in Theni district, India.
View Article and Find Full Text PDFOphthalmol Glaucoma
September 2025
Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Ophthalmology, Sahlgrenska University Hospital, Region Västra Götaland, Mölndal, Sweden.
Purpose: To investigate the impact of potential predictor variables on selective laser trabeculoplasty (SLT) efficacy in the Swedish Optimal SLT (OSLT) trial.
Design: Post hoc analysis of a multicenter, masked, randomized controlled trial.
Subjects: 512 eyes from 399 patients enrolled in the OSLT trial.
Ophthalmologie
September 2025
Klinik für Augenheilkunde, Universitätsklinikum Freiburg, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Deutschland.
Background: The increasing shortage of specialists in ophthalmology and the rising burden on university eye clinics raise questions about the appropriateness of the utilization of university resources. This study investigates the relationship between various sociodemographic determinants, such as age or social status, and the appropriateness of first presentation in a university ophthalmology outpatient clinic.
Methods: A retrospective analysis was conducted using routine data from 182,170 patients of the university outpatient clinic at the University Medical Center Freiburg (2006-2023).