Remote corneal suturing wet lab: microsurgical education during the COVID-19 pandemic

Pasricha, Neel D; Haq, Zeeshan; Ahmad, Tessnim R; Chan, Lawrence Wing Chi; Redd, Travis K.; Seitzman, Gerami D.; Parikh, Neeti; Kim, Tyson N.; Schallhorn, Julie M.; Ramanathan, Saras

doi:10.1097/j.jcrs.0000000000000374

Cited by 27 publications

(26 citation statements)

References 25 publications

(23 reference statements)

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“…The mean suture depth generated using the proposed device was 447.1 μm, 81.3% of corneal thickness. This depth lies in the empirically reported safety boundary [ 15 ]. There may be several reasons why the depth is shallower than the target depth.…”

Section: Resultsmentioning

confidence: 78%

Sensor-Embedded Automatic Grasping Forceps for Precise Corneal Suture in Penetrating Keratoplasty

et al. 2021

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In penetrating keratoplasty (PKP), the proper corneal suture placement is very important for successful transplantation and restoring functional vision. Generating sutures with accurate depth is difficult for the surgeon because of the tissue’s softness, lack of depth information, and hand tremors. In this paper, an automatic cornea grasping device is proposed, which detects when the device reaches the target suture depth. When the device reaches the target depth, the device rapidly grasps the cornea to prevent error induced by human hand tremors. In the paper, the performance of the proposed sensor, the actuator, and the device are experimentally verified with ex vivo experiment. The result showed that the proposed device could enhance the accuracy and precision of the corneal suture depth.

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Section: Resultsmentioning

confidence: 78%

Sensor-Embedded Automatic Grasping Forceps for Precise Corneal Suture in Penetrating Keratoplasty

et al. 2021

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“…Permanent restructuring of surgical training programmes is mandatory to maintain rigorous education standards in the unfortunate event of another unpredictable crisis within the healthcare system. Moreover, the possibilities of a remote wet lab,[ 18 ] which can be functional in the eventuality of a complete future lockdown, should also be explored.…”

Section: Discussionmentioning

confidence: 99%

Reworking protocols of ophthalmic resident surgical training in the COVID-19 era – Experiences of a tertiary care institute in northern India

Gupta

Singh

Khurana

et al. 2021

Indian Journal of Ophthalmology

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Purpose: Coronavirus Disease 2019 (COVID-19) pandemic has negatively impacted medical professionals in all fields of medicine and surgery in their academic, clinical and surgical training. The impact of surgical training has been described as ‘severe’ by most ophthalmology residents worldwide due to their duties in COVID-19 wards, disruption of outpatient and camp services. Methods: Ophthalmic surgery demands utmost accuracy and meticulousness. Fine motor proficiencies, stereoscopic skills and hand–eye coordination required can only be achieved by practice. So, a multileveled structured wet-lab teaching schedule was prepared for the residents and implemented to bridge this gap between theory and practice at our tertiary care institute. A semester-wise training schedule was made with the proper distribution of wet-lab and simulator training. Surgeries like phacoemulsification, scleral buckling, pars plana lensectomy and vitrectomy, trabeculectomy and intravitreal injections were practised by the residents on the goat eyes. Simulator training was provided for phacoemulsification and vitrectomy to increase the hand–eye coordination of the residents. Results: Residents noticed improvement in their surgical skills and ambidexterity post wet-lab and simulator training . It also increased their confidence and provided essential surgical skills required to be used in the operation theater later. Conclusion: It is imperative that wet-lab training be included in the residency training programme in this COVID-19 era.

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“…These requirements significantly increase the cost of microsurgical courses and drive ethical reasons [6]. Therefore, accessibility of this type of training is reduced especially among younger doctors in low-income countries [6,9,10].…”

Section: Living Modelsmentioning

confidence: 99%

Current trends in microsurgical education – review of types of training and skill assessment instruments

Stogowski¹,

Białek²,

Dąbrowski³

et al. 2021

Chir. Narzadow Ruchu Ortop. Pol.

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Microsurgery became an essential part of various specialties. Hand replantation, vascular free flap reconstruction, and cerebral bypasses are impossible to conduct without mastering microsurgical skills. Currently, the gold standard of microsurgical training is the course with living models during which participants perform basic microsurgical procedures under the supervision of an experienced tutor. However, due to high cost of training and ethical issues new training models, which reduce the usage of living animals, appeared. Widespread availability of personal digital technology has caused creation of new types of in-house training using training videos and non-living models. The key factor of microsurgical training is assessment of obtained skills. For this reason, several evaluation scores have been developed: from comprehensive questionaries filled by experienced tutor to simple scales suitable for selfassessment. In this article authors review current types of microsurgical training and scores for assessment of the microsurgical competence.

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Remote corneal suturing wet lab: microsurgical education during the COVID-19 pandemic

Abstract: A new remote wet lab allowing residents to maintain social distancing during the COVID-19 pandemic and perform a corneal suturing task on porcine eyes with remote attending feedback is described.

Cited by 27 publications

References 25 publications

Sensor-Embedded Automatic Grasping Forceps for Precise Corneal Suture in Penetrating Keratoplasty

Sensor-Embedded Automatic Grasping Forceps for Precise Corneal Suture in Penetrating Keratoplasty

Reworking protocols of ophthalmic resident surgical training in the COVID-19 era – Experiences of a tertiary care institute in northern India

Current trends in microsurgical education – review of types of training and skill assessment instruments

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