Advancing Proficiency in Lacrimal Syringing: Comparative study of Two Different Syringing Techniques and Designing of a Self-serve Training Model

Abstract

Aim: This study compares two lacrimal syringing techniques and introduces a simplified self-serve training model for ophthalmology residents to acquire proficient skills. Methods: A cross-sectional survey involved lacrimal syringing novices divided into Group A and Group B. Group A underwent an 8-hour training session covering both techniques and completed post-training questionnaires. Based on Group A's feedback, a simplified self-serve training model was developed. Group B received training, with or without the new model, to assess its effectiveness in improving syringing skills. Results: The study included 92 participants, with 47 in Group A and 45 in Group B. In Group A, 70.2% preferred Technique 1 (Group A1) and 29.8% opted for Technique 2 (Group A2). No significant differences were found between A1 and A2 in baseline skill, practice duration, or mastery levels (p > 0.05). Both techniques had similar perceived difficulty (p > 0.05), but Technique 2 was easier for injection (p < 0.05). Lack of suitable training models (63.8%) and psychological barriers (25.5%) were the main obstacles to proficiency. Group B1, using the training model, showed increased confidence scores (p < 0.05) and a tendency towards better skill assessment, although not statistically significant compared to Group B2 (p > 0.05). Conclusion: Both lacrimal syringing techniques are easily mastered, with Technique 1 preferred by the majority and Technique 2 ideal for pressed irrigation. Our self-serve training model presents a cost-effective means to boost confidence and facilitate lacrimal syringing skill acquisition among ophthalmology residents.