Is it justifiable for us Is it justifiable for us teaching toteaching to next generation knowingly next generation knowingly

nonprecise medical termsnonprecise medical terms when we when we are talking of precision of every are talking of precision of every

fraction of nanosecondfraction of nanosecond??

*No financial interest at all*No financial interest at all

(Dr.G.Ramachandra rao)-

ConceptConcept

Study of ophthalmic grumblings Study of ophthalmic grumblings

- Off the dias- Off the dias

Scientific speak-out Scientific speak-out

- On the daisOn the dais

Thanks to APOS-2010 for Thanks to APOS-2010 for accepting accepting

our Appeal-my Lordour Appeal-my Lord

Presentation of this paper, Presentation of this paper, is neither of is neither of

criticismcriticism nor of intentionnor of intention of leg-pulling of leg-pulling

exercise to anybody.exercise to anybody.

- Appellants- Appellants

Present NeedPresent Need

Warrant of AttentionWarrant of Attention

More than 100 years agoMore than 100 years ago: Retinoscopy: Retinoscopy, , syringing, R.D, ICCEsyringing, R.D, ICCE

40 years ago40 years ago : : ECCEECCE

28 years ago28 years ago : : Phaco emulsificationPhaco emulsification

10 years ago10 years ago : : SicsSics

8 years ago8 years ago : : Manual phaco, NonphacoManual phaco, Nonphaco

5 years ago5 years ago : : CVSCVS

AimAim

FreeFree ophthalmic literature from ophthalmic literature from

non-precise scientific termsnon-precise scientific terms & &

provide precision to avoid provide precision to avoid

answerability to next generationanswerability to next generation

Materials & MethodsMaterials & MethodsSeptember 01 to July '02September 01 to July '02

394 eye specialists394 eye specialists at and around Hyderabad at and around Hyderabad

Guest speakersGuest speakers from Mumbai, Delhi, Chennai, from Mumbai, Delhi, Chennai, Bangalore, UK & USABangalore, UK & USA

Analytical study in conveyance of the meaning Analytical study in conveyance of the meaning in in dictionaries, books, journalsdictionaries, books, journals

E-mailsE-mails

LettersLetters

Telephonic discussionsTelephonic discussions

Habituated use of literatureHabituated use of literature

Above 55Above 55 Retired prof-------52Retired prof-------52 Senior prof--------25Senior prof--------25 Senior practioners-Senior practioners-

110110

Total-187Total-187

Below 55Below 55 Asst.prof-----------50Asst.prof-----------50 Registrars---------10Registrars---------10 Senior residents-28Senior residents-28 Residents---------12Residents---------12 Post-graduates—32Post-graduates—32 Practitioners-------75Practitioners-------75 Total---------------207Total---------------207

Stetho-Scope (Laennac)Stetho-Scope (Laennac)

Steth: G.algos: ChestSteth: G.algos: Chest

G. Skopeo: to viewG. Skopeo: to view

Douglas M. Anderson Donald Douglas M. Anderson Donald illustrated medical dictionary - illustrated medical dictionary -

28th ed. 1994: 157928th ed. 1994: 1579

Majory spraycon Stedman's Majory spraycon Stedman's medical dictionary - 26th ed. medical dictionary - 26th ed.

1995-16771995-1677

StethophoneStethophone

RetinoscopyRetinoscopy

Retina - scopie: viewRetina - scopie: view

Are we viewing the retina ?Are we viewing the retina ?

PupilloscopyPupilloscopy

Shadow testShadow test

Macdonald critchley, Butterworthi Medical Macdonald critchley, Butterworthi Medical dictionary 2nd ed, 1989: 1468dictionary 2nd ed, 1989: 1468

SyringingSyringing

VL test (Voie lacrimal = Route lacrimal)VL test (Voie lacrimal = Route lacrimal)(In French)(In French)

Lacrimal patency testLacrimal patency test

Intra-Capsular cataract extraction (ICCE)Intra-Capsular cataract extraction (ICCE)

Macdonald critchley, Butterworth's Medical Macdonald critchley, Butterworth's Medical Dictionary 2nd ed. 1989:635Dictionary 2nd ed. 1989:635 expresses: "Within the expresses: "Within the capsule cataract extraction“capsule cataract extraction“

Instead, Instead, WCCE = With capsule cataract WCCE = With capsule cataract extractionextraction

Or Or TCE = Total cataract extractionTCE = Total cataract extraction

Or Or CatarectomyCatarectomy

Extra-capsular cataract extraction (ECCE)Extra-capsular cataract extraction (ECCE)

Expresses "Outside the capsule cataract extraction"Expresses "Outside the capsule cataract extraction"

RPCCE :RPCCE : Retained posterior capsule cataract Retained posterior capsule cataract extractionextraction

Whenever ECCE fails, people are habituated in Whenever ECCE fails, people are habituated in calling ICCEcalling ICCE

CEPCB :CEPCB : Cataract extraction with posterior capsule Cataract extraction with posterior capsule breakbreak

Phaco Emulsification (Kelman)Phaco Emulsification (Kelman) Majory spraycon, Stedman's Medical dictionary Majory spraycon, Stedman's Medical dictionary

26th ed, 1995:133826th ed, 1995:1338 Douglas M Anderson: Donald's illustrated Douglas M Anderson: Donald's illustrated

medical dictionary 28th ed, 1994:1270medical dictionary 28th ed, 1994:1270 Macdonald critchley, Butterworth's Medical Macdonald critchley, Butterworth's Medical

dictionary 2nd ed, 1989-1289dictionary 2nd ed, 1989-1289 Gr. Phakos: Crystalline lensGr. Phakos: Crystalline lens L. Emilgere: to mix outL. Emilgere: to mix out Are we doing crystallin lens Are we doing crystallin lens

emulsification when we talk of phaco?emulsification when we talk of phaco? Kelman’s emulsificationKelman’s emulsification

Small Incision Cataract Surgery (SICS)Small Incision Cataract Surgery (SICS)

Sufficient sized incisionSufficient sized incision is bound to undergo to is bound to undergo to remove the nucleus and implant the IOLremove the nucleus and implant the IOL

How can we call "small" when we are bound to do How can we call "small" when we are bound to do the optimum incision to facilitate the nucleus and the the optimum incision to facilitate the nucleus and the IOL to go out and to go in ?IOL to go out and to go in ?

Is there any big incision ?Is there any big incision ?

"Small" the word is a relative"Small" the word is a relative

- Tunnel incision cataract surgery (TICS)- Tunnel incision cataract surgery (TICS)

Stethoscope(?)-Stethoscope(?)-stethophonestethophone Retinoscopy(?)-Retinoscopy(?)-pupilloscopypupilloscopy Syringing(?)-Syringing(?)-lacrimal patency testlacrimal patency test RD(?)-RD(?)-sensory retina separationsensory retina separation ICCE(?)-ICCE(?)-WCCEWCCE ECCE(?)-ECCE(?)-RPCCERPCCE Phacoemulsification(?)-Phacoemulsification(?)- cataract emulsificationcataract emulsification SICS(?)-SICS(?)-TICSTICS Nonphacosics(?)-Nonphacosics(?)-NETICSNETICS Phaco to sics or sics to phaco-Phaco to sics or sics to phaco- TICETICE CVS(?)-CVS(?)-FDOVSFDOVS

Our collective study resultsOur collective study results

Above 55 years(187):76 (40.6%) Above 55 years(187):76 (40.6%) do not want do not want changechange56 (30.2%) silent but56 (30.2%) silent but grumblegrumble55 (29.2%) 55 (29.2%) want changewant change but how ?but how ?

Below 55 years(207):145 (Below 55 years(207):145 (77.3%) 77.3%) want changewant change but how ?but how ?

62 (32.7%) nothing can be 62 (32.7%) nothing can be done at this stagedone at this stage

Nil % Nil % : : SilentSilent

Our analysis of resultsOur analysis of results

Psychology plays prominent rolePsychology plays prominent role than than precision, because of habituation even precision, because of habituation even in text-booksin text-books

Is it difficult to change psychology ? (or) Is it difficult to change psychology ? (or) shall medical terms play with psychology shall medical terms play with psychology than science ?than science ?

Present NeedPresent Need

How to provide both to future generation ?How to provide both to future generation ?

To avoid answerability to the future generationsTo avoid answerability to the future generations

ConclusionConclusion

Changing of terminology is difficult but not Changing of terminology is difficult but not impossible impossible (History says) papillitis to optic (History says) papillitis to optic neuritisneuritis

Habituation is continued as long as Habituation is continued as long as communicative precision is not questioned. communicative precision is not questioned. When precision is questioned, habituation is to When precision is questioned, habituation is to be altered but how ?be altered but how ?

Our answer isOur answer is

From where we have learnt, to them we representFrom where we have learnt, to them we represent

( there is no other go)( there is no other go)

View in this angleView in this angle of research workers, editors, of research workers, editors, teachers, & all ophthalmology societies is expedientteachers, & all ophthalmology societies is expedient

Need for creation of separate windowNeed for creation of separate window in journal for in journal for airing views airing views

ISO standardsISO standards for medical terms in ophthalmology for medical terms in ophthalmology

Audience write….Audience write….

Do you want change Do you want change YesYes NoNo

Do you want anonymityDo you want anonymity YesYes NoNo

Your opinions / suggestions / remarks / Your opinions / suggestions / remarks /

comments / up datecomments / up date

E-mail : drkattasv@rediffmail.comE-mail : drkattasv@rediffmail.com

Your feedback becomes direct contribution to this conceptYour feedback becomes direct contribution to this concept

Samuel Boyd's (E-mail)

Samuel Boyd's (E-mail)

Anderson's (E-mail)

Anderson's (E-mail)

Sullivan, Paul’s E-mailSullivan, Paul’s E-mail

 

 

 

 

 

Thank you it looks very interesting.Ferenc Kuhn has been doing alot of work to clear up the confusing terminology in ocular trauma - you might want to cite some of his work The Birmingham Eye Trauma Terminology system (BETT).J Fr Ophtalmol. 2004 Feb;27(2):206-10. Review. PMID: 15029055 [PubMed - indexed for MEDLINE]

[Sullivan, Paul] 

Paolo Lanzetta’s E-mailPaolo Lanzetta’s E-mail

 

Dear Doctor,Thank you for sending your presentation and asking for my opinion. I tried to understand the spirit of your material and I fully understand that there are a number of

imprecise terms in medicine and ophthalmology. I remember how hard were the concept of ICCE and ECCE to understand when I was doing my internship because the two terms do not describe the surgical procedure adequately.I would also take some more examples from the field of eye traumatology. The new terms introduced by dr. Kuhn have simplified our understanding and overall have standardized the terminology. I fully agree that there is a tremendous need for some changes in terminology.Good luck for your presentation.Best regards, Paolo

Akira Momose- FaxAkira Momose- Fax

1957- retinoscopy should be 1957- retinoscopy should be refractoscopyrefractoscopy

Wishing me to do revolutionary effort Wishing me to do revolutionary effort needed for change in nonprecisive needed for change in nonprecisive terminologyterminology

Dear Dr.Katta, Quite interesting.

good presentation,

good number of words,

good referrels

But, it looks like guest lecture with customised free paper presentation.There is no other way to expose such problems.

Let us see how our seniors react & work it out------Anonymous

Not for insistence but only for Not for insistence but only for awareness awareness PLEASEPLEASE…..…..my Lordmy Lord

IJO : Appreciation with refusalIJO : Appreciation with refusal AJO: Appreciation with refusalAJO: Appreciation with refusal ARCHIVES: RefusedARCHIVES: Refused BJO: SilentBJO: Silent HOO: SilentHOO: Silent Ferenckuhn, Ferenckuhn,

fkuhn@mindspring.com------silent fkuhn@mindspring.com------silent Springer: appreciation with refusalSpringer: appreciation with refusal AIOS: refused 3 times,4AIOS: refused 3 times,4thth time accepting time accepting

with 180 markswith 180 marks

Uniqueness of this presentationUniqueness of this presentation

First timeFirst time evidence-based controversy evidence-based controversy First timeFirst time email correspondence email correspondence First timeFirst time thought of opinions of different thought of opinions of different

societiessocieties First timeFirst time debate & controversy through net debate & controversy through net

passed on to the massespassed on to the masses For manuscript see http://www.eophtha.comFor manuscript see http://www.eophtha.com

And for more details search Google or And for more details search Google or http://www.slideshare.nethttp://www.slideshare.net

Request Appeal-my lordRequest Appeal-my lord Whether our presentatation is good? Whether our presentatation is good? Yes or noYes or no Whether our evidences are good? Whether our evidences are good? Yes or noYes or no Whether precision is to be passed on to next generation Whether precision is to be passed on to next generation

instead of habituation? instead of habituation? Yes or noYes or no

Is it justifiable for us knowingly non-precise terms Is it justifiable for us knowingly non-precise terms

passing on to next generationpassing on to next generation??when we speak of when we speak of

precision every fraction of nanosecond.precision every fraction of nanosecond.

OM TAT SAT (Sanskrit – inside your own see)OM TAT SAT (Sanskrit – inside your own see)

-Thanking you very much-Thanking you very much my lordmy lord -Appellants-Appellants