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. 2021 Sep;69(9):2321-2325.
doi: 10.4103/ijo.IJO_3316_20.

A questionnaire-based assessment of Safe Eye Examination (SEE) technique

Divyansh Mishra  1 , Mahesh P Shanmugam  1 , E Vivek Chaitanya  1 , Kaushik Murali  1 , Rajesh Ramanjulu  1 , Mayur Kulkarni  1 , Sukanya Nair  1
Affiliations

A questionnaire-based assessment of Safe Eye Examination (SEE) technique

Divyansh Mishra et al. Indian J Ophthalmol. 2021 Sep.

Abstract

Purpose: This study aims to assess the novel and innovative method of Safe Eye Examination (SEE) technique using the model eye for the purpose of teaching, training, and resident examination.

Methods: A questionnaire-based study (Descriptive Data) with 53 participants, including ophthalmology residents, fellows in various subspecialties, and trainee optometrists was used. In our study, we used the Reti Eye model, but instead of the usual retina template sheet, we used prominent pathological fundus photographs loaded into the model eye. The study participants were asked to view prominent pathological fundus images printed on a matte finish paper. A circular image was cut and was placed in the Reti Eye model. The candidates were made to perform indirect ophthalmoscopy with a + 20D lens and to fill up a Google image assessment scale questionnaire with characteristics, including pixelation, sharpness, contrast, reflexes, blotchy appearance, and diagnostic confidence, which were then analyzed and depicted. Association between categorical variables was analyzed using Fisher exact test and Chi-square test. A P value of less than 0.05 was considered statistically significant. All data were analyzed with a statistical software package (SPSS, Version 16.0 for Windows).

Results: The number of positive responses (>90%) obtained for the pixelation, sharpness, contrast, reflexes, blotchy appearance, and diagnostic confidence of the image viewed were statistically more significant than the negative responses (P < 0.05).

Conclusion: The SEE technique of using the model eye can be incorporated for teaching, training, and skill assessment in the examinations in these difficult times of COVID-19 (coronavirus disease 2019) pandemic.

Keywords: Image assessment scale; Reti Eye model; Safe Eye Examination.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
The Approach for our SEE technique: (a) Reti Eye with wooden holder; (b) Interior of the Reti Eye with template retina; (c) Indistinct painted lesion on template retina; (d) Cutout of printer paper used originally; (e) Calculation of appropriate fit for fundus lesions; (f) Pathological fundus lesions printed on matte finish paper; (g) Nicks in periphery for proper fit; and (h) End result
Figure 2
Figure 2
The final images showing clear, distinct fundus lesions viewed through (a) Indirect ophthalmoscopy using +20D lens; (b) Slit-lamp biomicroscopy using +90D lens
Figure 3
Figure 3
Graphical representation of the analysis of various characteristics of the final image viewed via SEE technique: a. Pixelation; (b) Sharpness; (c) Contrast; (d) Reflexes; (e) Blotchy appearance; and (f) Diagnostic confidence
Figure 4
Figure 4
Ophthalmology practical examination for residents conducted with the help of SEE technique at our center during COVID-19 times
See this image and copyright information in PMC

Comment in

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