Trusting a Resident for Retinal Laser Treatment: What You Need to Know - Ophthalmology

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Retinal laser therapy


The situation is as follows: I went to a large medical center for a fundus examination, and a few days ago, I had laser treatment at a clinic.
At the medical center, the doctor mentioned that the previous clinic had performed most of the treatment, but there were some small holes that were not addressed, and she would need to perform additional treatments next time.
She also provided a consent form for me to sign and bring back next time.

1.
I have a question regarding the doctor who seemed to be wearing a short-sleeved gown, likely a resident physician, but was in an outpatient setting.
Is it necessary for the physician performing retinal laser treatment to have significant expertise? Can I trust a resident physician (in a short-sleeved gown) to perform retinal laser treatment? The doctor mentioned the need for additional treatment and immediately presented the laser consent form after the outpatient visit.
What is your opinion on this?
2.
I have read that retinal laser treatment typically requires local anesthesia, the use of a "corneal contact lens," and an eyelid speculum.
However, my impression from the previous clinic was that they only administered local anesthesia and directly asked me to rest my chin on the eyelid speculum without using a corneal contact lens.
Is it possible that the ophthalmologist at the previous clinic forgot this step? If the corneal contact lens was not used, what could be the consequences?

Mr. Chen, 30~39 year old female. Ask Date: 2022/01/28

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Chen: 1.
It is not possible to determine a physician's specialty based solely on their attire.
Doctors in short coats are not necessarily residents; many specialists also wear short coats, as I do.
2.
There are new types of retinal lasers that do not contact the cornea.
Perhaps it is this type of machine.

Reply Date: 2022/01/28

More Info


When it comes to trusting a resident physician for retinal laser treatment, there are several important factors to consider. First, it's essential to understand the training and qualifications of the resident. Residents are medical doctors who have completed their medical degree and are undergoing specialized training in a particular field, such as ophthalmology. While they may not have the same level of experience as attending physicians, they are supervised by experienced specialists and are trained to perform various procedures, including retinal laser treatments.

1. Trusting a Resident: It is reasonable to trust a resident physician, especially if they are working in a reputable medical center. Residents typically receive extensive training in their specialty, including hands-on experience under the supervision of attending physicians. If the resident is performing the procedure as part of their training and under supervision, it is generally safe. However, if you have concerns about their experience or the complexity of your case, you can always request to speak with the attending physician or ask for a second opinion. It's your right as a patient to feel comfortable and informed about your treatment.

2. Procedure Protocol: Regarding the retinal laser procedure, it is standard practice to use a topical anesthetic to numb the eye. The use of a corneal contact lens is also common as it helps to stabilize the eye and provide a clearer view of the retina during the procedure. If the previous clinic did not use a contact lens, it could potentially lead to complications such as discomfort during the procedure or an inadequate view of the retina, which might affect the effectiveness of the treatment. However, it is also possible that the physician felt confident in performing the procedure without it, depending on the specific circumstances of your case.

If you feel that the previous clinic may have overlooked important steps in the procedure, it is crucial to communicate your concerns with the current resident or attending physician. They can clarify the protocol followed and ensure that all necessary steps are taken in your upcoming treatment.

Additional Considerations:
- Informed Consent: Before any procedure, you should be provided with an informed consent form that outlines the risks, benefits, and alternatives to the treatment. Make sure you understand what you are signing and ask any questions you may have.

- Follow-Up Care: After the laser treatment, follow-up appointments are essential to monitor your recovery and ensure that the treatment was successful. Be proactive in scheduling these appointments and discussing any changes in your vision or discomfort you may experience.

- Patient Advocacy: If at any point you feel uncomfortable with the treatment plan or the physician performing it, do not hesitate to advocate for yourself. You have the right to seek a second opinion or request a different physician if you feel it is necessary.

In conclusion, while it is generally safe to trust a resident physician for retinal laser treatment, it is important to be informed and proactive about your care. Ensure that you understand the procedure, the qualifications of the physician performing it, and the follow-up care required. Open communication with your healthcare team will help alleviate any concerns and ensure that you receive the best possible care.

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