Questionnaire
Ocular injuries, Conjunctivitis and use of eye protection among dental technicians/technologists in South Africa.
This study is conducted on in order to write a research paper. Participation in the study is voluntary and all information will be treated as confidential. You may stay anonymous, but please fill in the section on age, gender and region, as this is crucial to the research.
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What is your age? 20-30
30-40
40-50
50-70
What is your sex? Male
Female
What region do you work in?
1. Do you have prescription glasses?
Yes
No
2. Do you wear your prescription glasses while working in the lab?
Yes
No
3. Are you dependant on your prescription glasses to execute our daily work in the lab?
Yes
No
4. Do you prefer to wear contact lenses to glasses while working in the lab?
Yes
No
5. If you are not wearing prescription glasses, do you wear eye protection on a frequent
basis while working in the lab?
Yes
No
6. What kind of eye protection do you wear?
Safety glasses that seals off the side of the face.
Normal glasses with neutral lenses.
Face Shield
7. Do you use a extraction unit while trimming dies and plaster models?
Yes
No
8. Are you aware that your eyes are the most direct path of infection for airborne bacteria
and viruses distributed through trimming dies and plaster models?
Yes
No
9.Have you ever contracted a contiguous disease through the course of your duties in the
laboratory?
Yes
No
If so, please state the disease:
10. Have you ever suffered an eye injury during the cause of your duties in the lab?
Yes
No
11. What injuries have you suffered? (Please mark if applicable)
Acrylic in the eye while working off dentures of orthodontic appliances
Metal in the eye while working of metal copings
Metal in the eye while working off chrome cobalt frameworks
Metal into the eyes while casting metal
Monomer got into the eyes
‘Jap glue’ into the eyes
Other chemicals got into the eyes
12. How many times have you suffer eye injuries while working in the lab?
Regular (at least once a month)
Not very regular
Hardly ever
13. How severe has these injuries been?
Not severe, symptoms disappeared within an hour or so
Moderate, I had discomfort for a day or so
Severe, I had to get medical treatment for the injury
14. Have you suffered permanent damage to our eye/s due to injury in the laboratory?
Yes
No
15. How serious is the damage that you have suffered due to injury?
I have never suffered severe ocular injury due to my work
I have suffered severe injury to my eyes
I have lost my eyesight due to injury sustained in the lab.
16. In the case of eye injuries that you suffered, were you wearing eye protection at the
time of the injury?
Yes
No
17. Have you found that objects got into your eye even while wearing eye protection?
Yes
No
18. In case you answered yes to the previous question, what kind of eye protection do
you use?
Prescription glasses
Safety glasses
Face shield
19. Has a cutting disk ever exploded while you were using it, damaging your eye
protection?
Yes
No
20. Has a ‘lollipop’ or ‘cross cut’ ever broken due to the shaft bending and damaging your
eye protection?
Yes
No
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