An approach to the characteristics of ophthalmologists' daily work in five Peruvian Amazonian departments

Objective: The objective of the study was to describe the characteristics of the daily work of ophthalmologists in five Peruvian Amazonian departments, including aspects of professional practice, eye health services, and the effectiveness of the strategies implemented in the fight for vision. Materials and Methods: A descriptive case study based on a survey prepared and executed by the clinic's team of ophthalmologists in the teaching and research area. Results: Of the 16 participating ophthalmologists, 56.3% have dual practice in the public and private sectors. The primary pathologies identified from their professional practice include cataracts, glaucoma, and refractive errors. More than 80% indicate that information on visual health in the Peruvian Amazonian departments is unavailable, insufficient, and outdated. Regarding the availability of visual health services, 68.8% agree that such services are accessible, whereas 75% agree that clinical and surgical ophthalmologists are available. However, 81.3% disagree that subspecialty ophthalmologists are readily available. Furthermore, over 80% disagree that visual health services are accessible to all population sectors geographically. In addition, more than 60% disagree that the information provided to patients regarding diagnosis and treatment has a culturally relevant approach. Key criteria for designing and implementing strategies to fight for vision include epidemiological analysis and fieldwork. Among the main strategies employed, there is a notable emphasis on the consultation process and coordination with various stakeholders. Notably, the applied strategies have increased through early detection and prevention actions. Lessons learned from this case study highlight the importance of training medical and nonmedical personnel as good practice while cautioning against the inappropriate handling of patient information. Conclusions: The findings provide valuable insights into the characteristics of ophthalmologists' field of action and shed light on various aspects, such as the focus of professional practice, prevalent pathologies encountered in daily care, dimensions of information, availability, access, and cultural relevance of visual health services. In addition, the study examines the criteria used, strategies implemented, resulting outcomes, and lessons learned in the fight for vision.