Efficacy of surgical simulator training versus traditional wetlab training on the complication rate during capsulorrhexis portion of cataract surgery in trainees

Abstract Purpose The aim of this article is to investigate the impact of a 1-minute video describing resident training with a cataract surgical simulator on patients' perceptions regarding resident involvement in cataract surgery and to identify factors associated with patient willingness to have cataract surgery performed by a resident. Design Cross-sectional survey. Methods An anonymous Likert-style survey was conducted among 430 consecutive adult patients who presented for eye examination at the Penn State Health Eye Center. The survey included questions regarding demographics, understanding of the medical training hierarchy, and patient willingness to have a resident perform their cataract surgery. There were six questions regarding patient willingness to have residents perform their cataract surgery and the second question in this set informs the patient that residents are supervised by an experienced cataract surgeon. Patients were randomly assigned to one of two groups: patients in Group 1 completed the survey only, while patients in Group 2 watched a 1-minute video describing resident training with a cataract surgical simulator prior to completing the survey. Results Four hundred fourteen of the 430 patients (96.3%) completed the survey. Overall, 24.7% (n = 102) of respondents expressed willingness to allow an ophthalmology resident to perform their cataract surgery, and that proportion increased to 54.0% (n = 223) if the patient was informed that the resident would be supervised by an experienced cataract surgeon. Patients in Group 2 were twice as likely compared with patients in Group 1 to express willingness to allow an ophthalmology resident to perform their cataract surgery (odds ratio 1.92 [1.18–3.11], p = 0.009). Conclusions A thorough informed consent process including information regarding attending supervision and a brief video detailing resident training with a cataract surgery simulator may increase patient willingness to allow resident participation in cataract surgery.

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Faculty of 1000 evaluation for Efficacy of surgical simulator training versus traditional wet-lab training on operating room performance of ophthalmology residents during the capsulorhexis in cataract surgery.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718158895.793489036 ◽

2013 ◽

Author(s):

George Beiko

Keyword(s):

Cataract Surgery ◽

Operating Room ◽

Simulator Training ◽

Surgical Simulator ◽

Wet Lab

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Surgical simulator training reduces operative times in resident surgeons learning phacoemulsification cataract surgery

American Journal of Ophthalmology Case Reports ◽

10.1016/j.ajoc.2019.100576 ◽

2020 ◽

Vol 17 ◽

pp. 100576 ◽

Cited By ~ 1

Author(s):

Cristina Lopez-Beauchamp ◽

Gemini A. Singh ◽

Soo Y. Shin ◽

M. Teresa Magone

Keyword(s):

Cataract Surgery ◽

Simulator Training ◽

Surgical Simulator ◽

Phacoemulsification Cataract Surgery

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Efficacy of wet-lab training versus surgical-simulator training on performance of ophthalmology residents during chopping in cataract surgery

International Journal of Ophthalmology ◽

10.18240/ijo.2021.03.05 ◽

2021 ◽

Vol 14 (3) ◽

pp. 366-370

Author(s):

Ya-Guang Hu ◽

◽

Ning Gao ◽

Chang-Rui Wu ◽

Jian Zhang ◽

...

Keyword(s):

Cataract Surgery ◽

Demographic Characteristics ◽

Ultrasonic Energy ◽

Simulator Training ◽

Posterior Capsule ◽

Training Curriculum ◽

Surgical Simulator ◽

Wet Lab ◽

Second Year ◽

Better Than

AIM: To analyze whether wet-lab training (WLT) or surgical-simulator training (SST) is better for ophthalmology residents to master the chopping technique. METHODS: Sixty ophthalmology residents (in their second year) and three cataract surgeons participated in the study. The residents were randomly separated into two groups, WLT group and SST group. The residents in WLT group were asked to perform 10 trials of chopping using pig eyes and scored by the surgeons, and then they performed and scored using simulator for one time. The residents in SST group underwent 10 trials of chopping using simulator, and the simulator scored each trail. Then, this group were asked to perform the chopping using pig eyes and scored by the surgeons. At last, we investigated the residents' satisfaction about the training. RESULTS: The demographic characteristics had no significant differences between the two groups. Recorded by the simulator, the residents in SST group got significantly higher overall score (83.90±1.31) than WLT group (78.73±1.92, P=0.03). And the residents in SST group got less corner area injured, and they spend less time than WLT group (P<0.05). Moreover, the residents in WLT group used more ultrasonic energy value than SST group (P=0.03). However, scored by the surgeons, the residents in two groups got nearly the same overall score. The residents in WLT group performed better on the frequencies of posterior capsule torn and incisional stress (P=0.03, 0.008, respectively). In the survey, the residents in two groups held the same opinion that the training was helpful and they strongly recommended this training. And all of them enjoyed the training, and enjoyed being randomized in their own group. However, with respect to the realistic character, the residents thought that WLT was better than SST (P<0.001). CONCLUSION: Both of the Eyesi surgical-stimulator and the wet-lab improve the residents' chopping ability and each has its own advantages. The combination of the two training ways could be considered to be a part of the training curriculum for new residents.

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Predictors of Manual Dexterity in Simulation-Based Cataract Surgery

Journal of Academic Ophthalmology ◽

10.1055/s-0040-1718570 ◽

2020 ◽

Vol 12 (02) ◽

pp. e239-e243

Author(s):

Laura Palazzolo ◽

Anna Kozlova ◽

John J. Laudi ◽

Allison E. Rizzuti

Keyword(s):

Medical Students ◽

Video Games ◽

Cataract Surgery ◽

Prior Experience ◽

Musical Instruments ◽

Fine Motor ◽

Surgical Simulator ◽

Technical Ability ◽

Simulation Based ◽

And Training

Abstract Introduction The aim of this study is to determine if prior experience with fine motor hobbies influences a surgeon-in-training's performance on a cataract surgical simulator. Materials and Methods Medical students (n = 70) performed navigation, forceps, and capsulorhexis simulations using the Eyesi Ophthalmosurgical Simulator. Participants were surveyed regarding fine motor hobby experiences, including musical instruments, video games, sewing, knitting, origami, painting, crafting, jewelry making, drawing, and extracurricular dissection. Results Medical students with extracurricular dissection experience, including work in research laboratories involving microscopic animal dissection, did significantly better on the forceps simulator task (p = 0.009). Medical students with drawing experience performed better on capsulorhexis (p = 0.031). No other fine motor hobbies were significant for improving simulator scores. Conclusion Drawing and extracurricular dissection lend to improved technical ability on the cataract surgical simulator. This research continues the conversation regarding fine motor hobbies that correlate with microsurgical ability and adds to the growing area of research regarding the selection and training of ophthalmology residents.

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