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首页> 外文期刊>Transactions of the American Ophthalmological Society. >The 'demise' of diagnostic and research ocular pathology: temporary or forever?
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The 'demise' of diagnostic and research ocular pathology: temporary or forever?

机译：诊断和研究眼病理的“消亡”：是暂时的还是永久的？

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PURPOSE: Several authorities have documented a significant decrease in support for modern eye pathology/pathology research laboratories. Indeed, many laboratories have closed or suffered marked cutbacks. The purpose of this report is to ask why this is so and to seek a possible means for reversing this trend. METHODS: Observations from the senior author's experience and a case from author's facility are analyzed. RESULTS: There are several reasons for ocular pathologists' difficulties, such as financial problems, lack of vision, personality conflicts, and problems with the departmental administration. Until recently, most research and development in several subspecialty fields of ophthalmology, including biodevices research, has been done primarily by engineers and in-house workers in industry. This precludes proper independent, nonbiased control and guidance from academia. Most ocular pathologists have not participated in this relatively new and wide-open field. CONCLUSIONS: We suggest a new realm of activity for today's newly trained ocular pathologists. Based on personal experience of two decades of fruitful collaboration with industry, we believe that ocular pathologists are uniquely trained to apply their expertise to various new fields of research that most pathologists today have not utilized. An important example is research on clinicopathological aspects of implantable biodevices. In addition, support and oversight should be provided by the major ophthalmic societies, such as the American Academy of Ophthalmology, in order to retain (even regain) control over this field. This is mandatory in order to control the safety and efficacy of new drugs and devices being introduced almost daily. Only then can clear differentiation between profit and patient welfare be achieved as potentially dangerous devices and techniques are let loose on the market. The field of "routine, descriptive" eye pathology is severely wounded and will return only in an attenuated fashion. In general, full-time support for ocular pathologists will not be possible unless they seek extra support from the private sector, engage in a concurrent clinical practice, or are supported by an endowed chair (a wonderful alternative).
机译：目的：一些权威机构已证明对现代眼病理学/病理学研究实验室的支持大大减少。的确，许多实验室已经关闭或遭受了明显的削减。本报告的目的是要问为什么会这样，并寻求一种扭转这种趋势的可能方法。方法：从资深作者的经验观察和作者设施中的案例进行分析。结果：眼科病理学家遇到困难的原因有很多，例如财务问题，视力不足，人格冲突以及部门管理方面的问题。直到最近，眼科学的几个亚专业领域的大多数研究和开发，包括生物设备研究，主要是由工程师和行业内的内部工作者完成的。这排除了学术界适当的独立，无偏见的控制和指导。大多数眼科病理学家没有参加这个相对较新的，开放的领域。结论：我们为当今训练有素的眼病理学家提出了一个新的活动领域。基于与行业二十年卓有成效的合作的个人经验，我们认为眼病理学家经过专门培训，可以将其专业知识应用于当今大多数病理学家尚未利用的各种新的研究领域。一个重要的例子是对可植入生物设备的临床病理方面的研究。此外，主要的眼科协会，例如美国眼科学院，应提供支持和监督，以保持（甚至重新获得）对该领域的控制权。为了控制几乎每天引入的新药和新设备的安全性和有效性，这是强制性的。只有这样，才能将潜在危险的设备和技术投放市场，从而实现利润与患者福利之间的明确区分。 “常规的，描述性的”眼部病理学领域受到严重伤害，并且只会以减弱的方式返回。一般而言，除非他们寻求私营部门的额外支持，同时从事临床实践或由有资格的椅子支持（这是一个不错的选择），否则无法为眼科病理学家提供全职支持。

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