Does Cataract Surgery Simulation Correlate with Real-life Experience?

Abstract

Objectives:To evaluate the correlation of cataract surgical simulator and real-life surgical experience and its contribution to surgical training.Materials and Methods:Sixteen doctors in our department were divided into three groups based on their surgical experience. After being familiarized with the device, the participants were evaluated while performing the navigation, forceps, bimanual practice, anti-tremor and capsulorhexis stages. The capsulorhexis stage was repeated five times. Participants were also assessed while performing capsulorhexis again with their non-dominant hand. The influence of repetition and surgical experience on the recorded points was evaluated. P values below 0.05 were considered statistically significant.Results:There was correlation between the participants’ surgical experience and their scores in the capsulorhexis module. Their dominant hand was more successful than the non-dominant hand in capsulorhexis (p=0.004). Capsulorhexis scores increased with repetition (p=0.001).Conclusion:Results achieved with the cataract surgery simulation device correlate with surgical experience. The increase in performance upon repeated practice indicates that the simulator supports surgical training.

Can simulators be applied to improve cataract surgery training: a systematic review

“…Rohipoor et al 20 correlated GRASIS scores with EyeSi proficiency scores. Motion tracking-based grading of cataract surgeries was also found to be correlated with EyeSi scores by Thomsen et al 17 Lastly, the total number of surgeries performed by surgeons was also correlated with their EyeSi scores by Bozkurt et al 19 Through this the concurrent validity of the EyeSi cataract simulator was validated across four independent indices: OSCASS, GRASIS, motion-tracking grading and surgical experience.…”

“…Specific modules of the EyeSi were also construct validated. The capsulorhexis module, in particular, was validated by both Rohipoor et al 20 and Bozkurt et al 19 which showed that EyeSi was able to accurately differentiate between novice and experienced surgeons. Capsulorhexis is generally believed to be the most accurately simulated step currently available in the EyeSi cataract simulator 18 and these findings corroborate that belief.…”

“…Bozkurt et al 19 conducted a study evaluating if real-life surgical experience correlates with scores in the EyeSi cataract surgery simulator. A total of 16 participants were divided into three groups based on the number of cataract surgeries they had performed in the past.…”

The Utility of Virtual Reality Simulation in Cataract Surgery Training: A Systematic Review

“…Most compared computed module performance across first-time operators and found expert/intermediate surgeons to outperform novices. [26][27][28][29][30][31][32][33] Banerjee et al found simulator scores to correlate with prior live surgical performance, 34 while others described similar associations with additional stratification by experience level. 35,36 Meanwhile, Sikder et al endorsed improvement in capsulorhexis scores from baseline after 6 months of residency training.…”

Yeni Bir El Aleti Kullanarak Bimanuel Kapsüloreksis: Koyun Gözünde Deneysel Çalışma

“…It is known that the rhexis edge created using the highly priced Femtosecond Laser Assisted Cataract Surgery System (FLACS) is not as smooth and strong as that which created by the classical manual capsulorhexis [3] . Studies are conducted on animal eyes or surgical simulators to enhance surgical training and practice, while new instruments are continuously developed in order to facilitate capsulorhexis [4][5][6][7][8][9][10][11] . However, many of the instruments developed so far have not been applied to clinical-use with sufficient success due to either their high cost or lack of practicality [12][13][14][15] .…”