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Nagamoto T, Kubono H, Kawamura M, Suzuki K. A custom-made vitreoretinal surgical simulator using a silicone mold. BMC Ophthalmol 2023; 23:311. [PMID: 37434127 DOI: 10.1186/s12886-023-03070-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Accepted: 07/05/2023] [Indexed: 07/13/2023] Open
Abstract
PURPOSE We constructed a custom-made vitreoretinal surgical simulator using a silicone mold and described its practicality. METHODS We obtained spherical silicone molds, mannequins, and spray material from an internet-based vendor and combined them with expired surgical instruments to complete the simulator. Vitreoretinal experts confirmed the practicality of the simulator after simulated vitrectomy, and the results of the questionnaires were confirmed by nonvitreoretinal experts. RESULTS Vitreoretinal experts observed that the simulated eyeball and the actual eyeball were similar in size and rigidity and that the intraocular practice swing seemed to be useful for the prevention of complications. The semitransparency and open-sky structure of the silicone material ensured visibility. The simulated membrane, which was spray glue, provided an excellent peeling sensation. In the results of the nonvitreoretinal experts' questionnaires, the average scores of all items were generally high, which supported the claims of the simulator's usefulness. CONCLUSION This report describes the simplicity and cost-effectiveness of our custom-made simulator and its contribution in creating an ideal training environment that does not necessitate travel to special facilities that offer a large number of pig eyes and vitreous surgical machines. The simple shape seems to allow many possibilities, and further verification at multiple facilities is necessary.
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Affiliation(s)
- Takashi Nagamoto
- Department of Ophthalmology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama-city, 220-8521, Kanagawa, Japan.
- Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
| | - Hirohisa Kubono
- Department of Ophthalmology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama-city, 220-8521, Kanagawa, Japan
| | - Mari Kawamura
- Department of Ophthalmology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama-city, 220-8521, Kanagawa, Japan
| | - Kotaro Suzuki
- Department of Ophthalmology, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama-city, 220-8521, Kanagawa, Japan
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Abstract
Ophthalmology is a medical profession with a tradition in teaching that has developed throughout history. Although ophthalmologists are generally considered to only prescribe contact lenses, and they handle more than half of eye-related enhancements, diagnoses, and treatments. The training of qualified ophthalmologists is generally carried out under the traditional settings, where there is a supervisor and a student, and training is based on the use of animal eyes or artificial eye models. These models have significant disadvantages, as they are not immersive and are extremely expensive and difficult to acquire. Therefore, technologies related to Augmented Reality (AR) and Virtual Reality (VR) are rapidly and prominently positioning themselves in the medical sector, and the field of ophthalmology is growing exponentially both in terms of the training of professionals and in the assistance and recovery of patients. At the same time, it is necessary to highlight and analyze the developments that have made use of game technologies for the teaching of ophthalmology and the results that have been obtained. This systematic review aims to investigate software and hardware applications developed exclusively for educational environments related to ophthalmology and provide an analysis of other related tools. In addition, the advantages and disadvantages, limitations, and challenges involved in the use of virtual reality, augmented reality, and game technologies in this field are also presented.
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Effect of surgeon-related factors on outcome of retinal detachment surgery: analyses of data in Japan-retinal detachment registry. Sci Rep 2022; 12:4213. [PMID: 35273253 PMCID: PMC8913601 DOI: 10.1038/s41598-022-07838-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 02/22/2022] [Indexed: 11/08/2022] Open
Abstract
The purpose of this study was to investigate the effects of surgeon-related factors on the surgical outcome of pars plana vitrectomy (PPV) and scleral buckling (SB) surgery on eyes with a rhegmatogenous retinal detachment (RRD). This was a nationwide, multicenter, observational study of the data in the Japan-RD Registry. Registered cases that had undergone surgery for a RRD by 128 accredited surgeons in 26 institutions were studied. The surgeon-related factors that significantly affected surgical success and visual outcomes of simple RRD treated by PPV or SB at 6 months postoperatively were analyzed and compared. Among 3446 registered cases, 2533 cases met the inclusion criteria with 1896 in the PPV group and 637 cases in the SB group. The median total number of lifetime cases was 150 and the rate of surgeries/year was 22. Multivariate regression analyses showed that the number and rate of surgeries/year were not significantly associated with the surgical outcome in the PPV group. However, surgeons with a higher average annual number of surgeries had significantly better surgical outcomes in the SB group (P = 0.038). Analyses of a nationwide registry showed that SB but not PPV surgeries require sufficient experience and case numbers to acquire and maintain skills to treat RRDs successfully.
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Mahmoud A, Abid F, Ezdini M, Lahdhiri ML, Ouanes I, Messaoud R. The contribution of simulation in training for funduscopic examination. LA TUNISIE MEDICALE 2021; 99:1141-1147. [PMID: 35288920 PMCID: PMC8974430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Simulation is emerging as an essential part of health sciences training programs as it provides safer patient care by reducing the risk of error. In the healthcare environment, simulation continues to spread in emergency specialties, but it is still underdeveloped in ophthalmology and there is a shortage of publications on this subject in Tunisia. OBJECTIVE To evaluate the effectiveness of procedural simulation as a teaching tool for funduscopic examination training. Methods and population studied: This was a prospective study including students who underwent procedural simulation training sessions during their ophthalmology internship. The included students were assessed at the initiation and end of each session by a pre-test and post-test. The procedure for performing the funduscopic examination was evaluated by a specific performance score. Student satisfaction was assessed at the end of each session. RESULTS During the study period, four groups of 12 students were included, for a total of 48 participants spread over 4 simulation sessions. Simulation training improved post-test. assessment scores with an overall median delta of +4.00. It also provided specific skills for performing the funduscopic examination, with an overall median specific performance score of 5.5/8 (5/8 to 7/8). The majority of students were satisfied upon completion of the simulation session. CONCLUSION The training of fundus examination using an ophthalmoscopic simulator can improve the skills and knowledge of ophthalmic learners. This type of training can be an innovative addition to traditional learning.
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Affiliation(s)
- Anis Mahmoud
- 1- Service d’ophtalmologie, Centre hospitalo-universitaire Taher Sfar, Mahdia / Université de Monastir, Tunisie / faculté de médecine de Monastir
| | - Fatma Abid
- 1- Service d’ophtalmologie, Centre hospitalo-universitaire Taher Sfar, Mahdia / Université de Monastir, Tunisie / faculté de médecine de Monastir
| | | | - Mohamed Lahbib Lahdhiri
- 1- Service d’ophtalmologie, Centre hospitalo-universitaire Taher Sfar, Mahdia / Université de Monastir, Tunisie / faculté de médecine de Monastir
| | - Islem Ouanes
- 3- Service de Réanimation Polyvalente, Centre Hospitalo-Universitaire Fattouma Bourguiba, Monastir / Université de Monastir, Tunisie / faculté de médecine de Monastir
| | - Riadh Messaoud
- 1- Service d’ophtalmologie, Centre hospitalo-universitaire Taher Sfar, Mahdia / Université de Monastir, Tunisie / faculté de médecine de Monastir
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Doğramacı M, Steel D. The Surgeon's Role in Inducing and Controlling Motion Errors During Intraocular Membrane Peeling Procedures. Turk J Ophthalmol 2021; 51:288-293. [PMID: 34702022 PMCID: PMC8558682 DOI: 10.4274/tjo.galenos.2020.40035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Objectives: To understand the surgeon’s role in inducing and correcting movement inaccuracies during intraocular membrane peeling procedures. Materials and Methods: Optical sensors were used to record movement errors during actuation at the distal tip of 23-gauge pneumatic forceps both when the handle was handheld and when fixed with no human contact. Movements were also recorded at the proximal part of the forceps shaft (near the sclerotomy site) and compared to movement recorded at the distal end. The root mean square (RMS) and range values of the signals obtained from the sensors were calculated before and after applying high (7-13 Hz) and low (<5 Hz) frequency filters. Results: Comparison of RMS and range values of movement errors at the distal end of the forceps during actuation when the forceps handle was fixed and handheld showed that without human contact, these values were significantly lower in the X axis at all frequencies and in the Z axis at high frequencies compared to handheld (p<0.05), while there were no significant differences in the Y axis. Comparison of values from the distal and proximal ends of the forceps showed that when the forceps were fixed, RMS and range values were significantly higher for movement errors at the distal end compared to the proximal end at all frequencies (p<0.05). There was significant positive correlation between the extent of actuation and the RMS and range values for high-frequency movement errors but not low-frequency errors in all three axes with the fixed pneumatic handle (r=0.21-0.51, p<0.05). Conclusion: Surgeon- and non-surgeon-related errors are apparent in all axes, but skilled surgeons correct these errors through visual feedback, resulting in better correction in the visible planes. Sclerotomy sites provide a pivoting and stabilizing point for the shaft of the forceps and it is likely that skilled surgeons make use of the sclerotomy point to dampen motion errors, a skill worth teaching to beginners.
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Affiliation(s)
- Mahmut Doğramacı
- Princess Alexandra Hospital, Clinic of Ophthalmology, Essex, United Kingdom
| | - David Steel
- Sunderland Eye Infirmary, Queen Alexandra Rd, Sunderland, UK and Bioscience Institute, Newcastle University, Newcastle Upon Tyne, United Kingdom
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Mishra D, Shanmugam MP, Chaitanya EV, Murali K, Ramanjulu R, Kulkarni M, Nair S. A questionnaire-based assessment of Safe Eye Examination (SEE) technique. Indian J Ophthalmol 2021; 69:2321-2325. [PMID: 34427210 PMCID: PMC8544113 DOI: 10.4103/ijo.ijo_3316_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Purpose: This study aims to assess the novel and innovative method of Safe Eye Examination (SEE) technique using the model eye for the purpose of teaching, training, and resident examination. Methods: A questionnaire-based study (Descriptive Data) with 53 participants, including ophthalmology residents, fellows in various subspecialties, and trainee optometrists was used. In our study, we used the Reti Eye model, but instead of the usual retina template sheet, we used prominent pathological fundus photographs loaded into the model eye. The study participants were asked to view prominent pathological fundus images printed on a matte finish paper. A circular image was cut and was placed in the Reti Eye model. The candidates were made to perform indirect ophthalmoscopy with a + 20D lens and to fill up a Google image assessment scale questionnaire with characteristics, including pixelation, sharpness, contrast, reflexes, blotchy appearance, and diagnostic confidence, which were then analyzed and depicted. Association between categorical variables was analyzed using Fisher exact test and Chi-square test. A P value of less than 0.05 was considered statistically significant. All data were analyzed with a statistical software package (SPSS, Version 16.0 for Windows). Results: The number of positive responses (>90%) obtained for the pixelation, sharpness, contrast, reflexes, blotchy appearance, and diagnostic confidence of the image viewed were statistically more significant than the negative responses (P < 0.05). Conclusion: The SEE technique of using the model eye can be incorporated for teaching, training, and skill assessment in the examinations in these difficult times of COVID-19 (coronavirus disease 2019) pandemic.
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Affiliation(s)
- Divyansh Mishra
- Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
| | - Mahesh P Shanmugam
- Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
| | - E Vivek Chaitanya
- Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
| | - Kaushik Murali
- Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
| | - Rajesh Ramanjulu
- Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
| | - Mayur Kulkarni
- Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
| | - Sukanya Nair
- Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India
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Joshi S, Vibhute G, Ayachit A, Ayachit G. Commentary: A questionnaire-based assessment of Safe Eye Examination (SEE) technique. Indian J Ophthalmol 2021; 69:2326. [PMID: 34427212 PMCID: PMC8544070 DOI: 10.4103/ijo.ijo_710_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
- Shrinivas Joshi
- Department of Vitreoretina, M. M. Joshi Eye Institute, Hubli, Karnataka, India
| | - Giriraj Vibhute
- Department of Vitreoretina, M. M. Joshi Eye Institute, Hubli, Karnataka, India
| | - Apoorva Ayachit
- Department of Vitreoretina, M. M. Joshi Eye Institute, Hubli, Karnataka, India
| | - Guruprasad Ayachit
- Department of Vitreoretina, M. M. Joshi Eye Institute, Hubli, Karnataka, India
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Rasmussen RC, Grauslund J, Vergmann AS. Simulation training in vitreoretinal surgery: a systematic review. BMC Ophthalmol 2019; 19:90. [PMID: 30975112 PMCID: PMC6460826 DOI: 10.1186/s12886-019-1098-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Accepted: 03/28/2019] [Indexed: 11/10/2022] Open
Abstract
Background The purpose of this study was to perform a systematic review of the current literature on simulator-based training in vitreoretinal surgery (VRS). We examined the results regarding simulated VRS and provided an overview of how the current results may be employed in VRS training. Lastly, we evaluated the quality of these results. Methods The databases of Pubmed, Embase and Cochrane Library were searched for articles in English involving simulated VRS training. A qualitative analysis was performed, since the studies which met our inclusion criteria did not allow for a quantitative meta-analysis. Results We identified 203 articles of which seven met the inclusion criteria. Of these, six studies investigated simulation with EyeSi® Surgical (VRMagic, Mannheim, Germany). Six studies reported positive performance curves. Four studies showed construct validity. One study attempted to show skill transfer from simulator to vitrectomies performed on cadavers. Methodological quality of the included studies was moderate but lacking in instrument validation. Conclusion Simulator-based training in VRS can assess and possibly assist acquisition of a variety of VRS skills. Further research is needed to support transfer from simulator to operating room. Future studies should strive to follow established validation frameworks and streamline study designs. Electronic supplementary material The online version of this article (10.1186/s12886-019-1098-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Rasmus Christian Rasmussen
- Department of Ophthalmology, Odense University Hospital, J.B. Winsløws Vej 4, DK-5000, Odense C, Denmark.
| | - Jakob Grauslund
- Department of Ophthalmology, Odense University Hospital, J.B. Winsløws Vej 4, DK-5000, Odense C, Denmark.,Department of Clinical Research, University of Southern Denmark, Winløwsparken 19, DK-5000, Odense C, Denmark
| | - Anna Stage Vergmann
- Department of Ophthalmology, Odense University Hospital, J.B. Winsløws Vej 4, DK-5000, Odense C, Denmark.,Department of Clinical Research, University of Southern Denmark, Winløwsparken 19, DK-5000, Odense C, Denmark
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Payal AR, Kim YJ, Gonzalez Gonzalez LA, Daly MK. Comparison of training effect on tremor using 2 training modules. J Cataract Refract Surg 2017; 43:656-661. [PMID: 28602328 DOI: 10.1016/j.jcrs.2017.01.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Revised: 01/27/2017] [Accepted: 01/29/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE To compare training effect of 2 training models-a surgical simulator anti-tremor module and a paper version-on tremor and time-to-task completion. SETTING Ophthalmology Department, Veterans Affairs Boston Healthcare System, Jamaica Plain, Massachusetts, USA. DESIGN Prospective crossover study. METHODS Trainees completed simulator and paper training modules (baseline test, 3 training sessions, posttraining test, and final test) with their dominant and nondominant hands. The change in tremor, number of paper errors, and time-to-task completion in dominant and nondominant hands were compared. The 2 training modules were compared using nonparametric tests. RESULTS The study comprised 19 trainees. There was a moderate correlation between average tremor values (simulator, 3-dimensional module) and paper errors (paper, 2-dimensional module) (Spearman ⍴ = 0.35, P < .0001). Practice on the simulator or paper modules did not reduce tremor significantly from baseline to final tasks for both hands combined (P = .12, simulator; P = .2, paper). Practice on the training modules improved time-to-task completion in the simulator module and paper module (both P < .0001). The improvement in time from baseline to final tasks was greater in the nondominant hands in the simulator module (improvement 64.5% over baseline time) than in the paper module (53.6% over baseline time). CONCLUSION Practice might not reduce tremor but improved the outcome measure of time, and results suggest that trainees can learn to compensate for tremor in both hands, which is important in bimanual microsurgery.
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Affiliation(s)
- Abhishek R Payal
- From the Departments of Ophthalmology, Veterans Affairs Boston Healthcare System (Payal, Kim, Gonzalez Gonzalez, Daly), Jamaica Plain, and Boston University School of Medicine (Kim, Daly) and Harvard Medical School (Payal, Daly), Boston, Massachusetts, USA
| | - Yonwook J Kim
- From the Departments of Ophthalmology, Veterans Affairs Boston Healthcare System (Payal, Kim, Gonzalez Gonzalez, Daly), Jamaica Plain, and Boston University School of Medicine (Kim, Daly) and Harvard Medical School (Payal, Daly), Boston, Massachusetts, USA
| | - Luis A Gonzalez Gonzalez
- From the Departments of Ophthalmology, Veterans Affairs Boston Healthcare System (Payal, Kim, Gonzalez Gonzalez, Daly), Jamaica Plain, and Boston University School of Medicine (Kim, Daly) and Harvard Medical School (Payal, Daly), Boston, Massachusetts, USA
| | - Mary K Daly
- From the Departments of Ophthalmology, Veterans Affairs Boston Healthcare System (Payal, Kim, Gonzalez Gonzalez, Daly), Jamaica Plain, and Boston University School of Medicine (Kim, Daly) and Harvard Medical School (Payal, Daly), Boston, Massachusetts, USA.
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Lorch AC, Kloek CE. An evidence-based approach to surgical teaching in ophthalmology. Surv Ophthalmol 2017; 62:371-377. [PMID: 28104385 DOI: 10.1016/j.survophthal.2017.01.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Revised: 01/05/2017] [Accepted: 01/09/2017] [Indexed: 01/22/2023]
Abstract
An apprenticeship model has traditionally been used in procedural and surgical teaching. As the pressures of work hours and patient outcome monitoring increase, surgical teachers need a more flexible plan for teaching procedural skills. We attempt to delineate a program of preprocedural, intraprocedural, and postprocedural teaching that can be used in the field of ophthalmology to maximize a resident's skill acquisition in a constructive learning environment. We review the literature on surgical teaching from within ophthalmology as well as other surgical fields and combine this with teaching experience in an ophthalmic surgical training program to produce a collection of procedural teaching guidelines. These guidelines are structured to serve in both individual teaching settings and in curriculum design.
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Affiliation(s)
- Alice C Lorch
- Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
| | - Carolyn E Kloek
- Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA
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Ting DSW, Sim SSKP, Yau CWL, Rosman M, Aw AT, Yeo IYS. Ophthalmology simulation for undergraduate and postgraduate clinical education. Int J Ophthalmol 2016; 9:920-4. [PMID: 27366698 DOI: 10.18240/ijo.2016.06.22] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2015] [Accepted: 09/06/2015] [Indexed: 11/23/2022] Open
Abstract
This is a review education paper on the current ophthalmology simulators utilized worldwide for undergraduate and postgraduate training. At present, various simulators such as the EYE Exam Simulator (Kyoto Kagaku Co. Ltd., Kyoto, Japan), Eyesi direct ophthalmoscope simulator (VRmagic, GmbH, Mannheim, Germany), Eyesi indirect ophthalmoscope simulator (VRmagic, GmbH, Mannheim, Germany) and Eyesi cataract simulators (VRmagic, GmbH, Mannheim, Germany). These simulators are thought to be able to reduce the initial learning curve for the ophthalmology training but further research will need to be conducted to assess the effectiveness of the simulation-assisted Ophthalmology training. Future research will be of great value to assess the medical students and residents' responses and performance regarding the usefulness of the individual eye simulator.
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Affiliation(s)
- Daniel Shu Wei Ting
- Third Hospital Avenue, Singapore National Eye Centre, 168751, Singapore; College Road, DUKE-NUS Medical School Singapore, 169857, Singapore
| | | | | | - Mohamad Rosman
- Third Hospital Avenue, Singapore National Eye Centre, 168751, Singapore; College Road, DUKE-NUS Medical School Singapore, 169857, Singapore
| | - Ai Tee Aw
- Third Hospital Avenue, Singapore National Eye Centre, 168751, Singapore
| | - Ian Yew San Yeo
- Third Hospital Avenue, Singapore National Eye Centre, 168751, Singapore; College Road, DUKE-NUS Medical School Singapore, 169857, Singapore
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Kozak I, Banerjee P, Luo J, Luciano C. Virtual reality simulator for vitreoretinal surgery using integrated OCT data. Clin Ophthalmol 2014; 8:669-72. [PMID: 24729681 PMCID: PMC3976234 DOI: 10.2147/opth.s58614] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Operative practice using surgical simulators has become a part of training in many surgical specialties, including ophthalmology. We introduce a virtual reality retina surgery simulator capable of integrating optical coherence tomography (OCT) scans from real patients for practicing vitreoretinal surgery using different pathologic scenarios.
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Affiliation(s)
- Igor Kozak
- King Khaled Eye Specialist Hospital, Vitreoretinal Division, Riyadh, Kingdom of Saudi Arabia
| | - Pat Banerjee
- College of Engineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Jia Luo
- College of Engineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Cristian Luciano
- College of Engineering, University of Illinois at Chicago, Chicago, IL, USA
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Daly MK, Gonzalez E, Siracuse-Lee D, Legutko PA. Efficacy of surgical simulator training versus traditional wet-lab training on operating room performance of ophthalmology residents during the capsulorhexis in cataract surgery. J Cataract Refract Surg 2013; 39:1734-41. [DOI: 10.1016/j.jcrs.2013.05.044] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 05/22/2013] [Accepted: 05/26/2013] [Indexed: 10/26/2022]
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McClatchey SK, Lane RG, Kubis KC, Boisvert C. Competency checklists for strabismus surgery and retinopathy of prematurity examination. J AAPOS 2012; 16:75-9. [PMID: 22370670 DOI: 10.1016/j.jaapos.2011.09.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2011] [Revised: 09/19/2011] [Accepted: 09/21/2011] [Indexed: 11/26/2022]
Abstract
PURPOSE To evaluate two checklist tools that are designed to guide, document, and assess resident training in strabismus surgery and examination of infants at risk for retinopathy of prematurity (ROP). METHODS A panel of staff surgeons from several teaching institutions evaluated the checklists and provided constructive feedback. All former residents who had been trained via the use of these checklist tools were asked to take self-assessment surveys on competency in strabismus surgery and ROP examination. A Likert 5-point scale was used for all evaluations, with 1 being the lowest rating and 5 the highest rating. RESULTS Six experts in strabismus and seven in ROP rated the checklists. Their comments were used to revise the checklists, which were sent to the same group for reevaluation. The mean Likert score for the final checklists was 4.9 of 5.0 for both checklists. Of 16 former residents, 9 responded to the self-assessments with a mean overall score of 4.1 (of 5.0) for strabismus surgery and 3.9 for ROP examination. CONCLUSIONS These checklist tools can be used to assess the quality of a resident's training and experience in these specific ophthalmology skills. They are complementary to other curriculum and assessment tools and can serve to organize the educational experience while ensuring a uniformity of training.
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Affiliation(s)
- Scott K McClatchey
- Ophthalmology Department, Naval Medical Center San Diego, San Diego, California, USA.
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Yeh S, Chan-Kai BT, Lauer AK. Basic training module for vitreoretinal surgery and the Casey Eye Institute Vitrectomy Indices Tool for Skills Assessment. Clin Ophthalmol 2011; 5:1249-56. [PMID: 21966195 PMCID: PMC3180492 DOI: 10.2147/opth.s23772] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Background The purpose of this study was to design and implement a vitreoretinal training module that would be useful for ophthalmology residents and fellows to learn the basic maneuvers required in vitreoretinal surgery. Methods A prospective pilot study evaluating the training module was undertaken in 13 ophthalmology trainees (residents and vitreoretinal fellows) with varying levels of vitreoretinal training experience. A vitreoretinal training module was designed and consisted of a three-port vitrectomy setup (sclerotomy wound construction, infusion placement), intraocular tasks (core vitrectomy, driving the operating microscope, membrane peel, air–fluid exchange), and wound closure. Standard vitrectomy instrumentation, the VitRet eye (Phillips Studio, Bristol, UK) and vitreous-like fluid using dairy creamer and balanced saline were utilized. A five-point Likert scale, ie, the Casey Eye Institute Vitrectomy Indices Tool for Skills Assessment (CEIVITS), was devised to evaluate each component of the module. Vitreoretinal surgical maneuvers were digitally recorded and graded by an attending vitreoretinal surgeon. Linear regression and correlation were performed to evaluate the relationship between prior vitreoretinal experience and CEIVITS performance. The main outcome measures were correlation of vitreoretinal surgical experience and CEIVITS performance on simulated tasks using a basic vitreoretinal training module. Results Thirteen participants from postgraduate year 2 to postgraduate year 6 levels were evaluated. Nine participants were male and four were female. The median age of participants was 32 (range 30–36) years and surgical experience was 0–410 prior vitreoretinal surgical procedures. A positive correlation (P < 0.05) was observed between vitreoretinal surgical experience and CEIVITS performance on the following tasks: total score (P = 0.021), sclerotomy wound construction (P = 0.047), infusion line placement (P = 0.012), air–fluid exchange (P = 0.004), and wound closure (P = 0.032). Post module surveys showed that the majority of trainees felt that the vitreoretinal training module improved their understanding of vitreoretinal surgery. The nonbiohazardous nature of the setup was advantageous from sanitation and cost perspectives. Conclusion The implementation of our training module for residency and vitreoretinal fellowship was feasible and the CEIVITS adequately assessed basic vitrectomy maneuvers. Given that ophthalmologic and subspecialty instruction migrates from an apprenticeship to a competency-based model, the face and content validity makes the CEIVITS module a promising one in vitreoretinal surgical instruction.
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Affiliation(s)
- Steven Yeh
- Emory Eye Center, Emory University School of Medicine, Atlanta, GA, USA
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