The ophthalmology surgical competency assessment rubric for strabismus surgery

Golnik, Karl C.; Motley, William W.; Atilla, Hüban; Pilling, Rachel; Reddy, Aravind; Sharma, Pradeep; Yadarola, María B.; Zhao, Kang

doi:10.1016/j.jaapos.2012.04.005

Cited by 31 publications

(17 citation statements)

References 14 publications

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“…For each complete procedure (plication, recession, resection), operative time (from the creation of the conjunctival opening to the end of the conjunctival closing) and successful completion of the different steps with or without complications or unexpected events were assessed. The Ophthalmology Surgical Competency Assessment Rubric for Strabismus Surgery in resident training (OSCAR: strabismus), a standardized tool described by Golnik et al,14 was used to assess the completion of the procedures. The absence of conflicts between the instruments themselves and between the instruments and the model head was also studied.…”

Section: Methodsmentioning

confidence: 99%

Robot-Assisted Simulated Strabismus Surgery

Bourcier

Chammas

Gaucher

et al. 2019

Trans. Vis. Sci. Tech.

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Purpose This study aims to investigate the feasibility of robot-assisted simulated strabismus surgery using the new da Vinci Xi Surgical System and to report what we believe is the first use of a surgical robot in experimental eye muscle surgery. Methods Robot-assisted strabismus surgeries were performed on a strabismus eye model using the robotic da Vinci Xi Surgical System. On the lateral rectus of each eye, we performed a procedure including, successively, a 4-mm plication followed by a 4-mm recession of the muscle to end with a 4-mm resection. Operative time from conjunctival opening to closing and successful completion of the different steps with or without complications or unexpected events were assessed. Results Robot-assisted strabismus procedures were successfully performed on six eyes. The feasibility of robot-assisted simulated strabismus surgery is confirmed. The da Vinci Xi system provided the appropriate dexterity and operative field visualization necessary to perform conjunctival and Tenon's capsule opening and closing, muscle identification, suturing, desinsertion, sectioning, and resuturing. The mean duration to complete the whole procedure was 27 minutes (range, 22–35). There were no complications or unexpected intraoperative events. Conclusions Experimental robot-assisted strabismus surgery is technically feasible using the new robotic da Vinci Xi Surgical System. This is, to our knowledge, the first use of a surgical robot in ocular muscle surgery. Translational Relevance Further experimentation will allow the advantages of robot-assisted microsurgery to be identified while underlining the improvements and innovations necessary for clinical use.

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Section: Methodsmentioning

confidence: 99%

Robot-Assisted Simulated Strabismus Surgery

Bourcier

Chammas

Gaucher

et al. 2019

Trans. Vis. Sci. Tech.

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“…[46] It is also important to ensure a proper learning of the strabismus procedures by the residents and fellows. The International Council of Ophthalmology's-Ophthalmology Surgical Competency Assessment Rubric for Strabismus Surgery[47] guidelines in this regards serve the purpose of this and have been validated. [48]…”

Section: Minimally Invasive Strabismus Surgerymentioning

confidence: 99%

What's new for us in strabismus?

Sharma

Gaur

Phuljhele

et al. 2017

Indian J Ophthalmol

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Strabismus is one of the most challenging subspecialties encountered in the field of ophthalmology. The concept of etiology of strabismus is being advanced with the development of newer imaging modalities and increased understanding of the genetics of strabismus. Imaging is also being used to aid in the planning of strabismus surgery. Newer horizons are being explored in the amblyopia management. The good old eye-pad is being replaced with the iPad. Early detection of loss of stereopsis is being used to decide the timing for strabismus surgery. Improvement of binocular summation has been discovered as a benefit of corrective strabismus surgery. Newer surgical techniques such as new transposition procedures are being developed to correct complex strabismus. Strabismus surgeries aided by adjustable sutures have increased the precision of a strabismologist. A new light has been thrown on the psychosocial impact of strabismus. A present-day strabismologist has advanced from the goal of ocular alignment to a bigger perspective “to regain the paradise lost: stereopsis.”

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“…Furthermore, it was subsequently shown to have inter-rater reliability 12. In a similar fashion internationally applicable assessment tools for extracapsular cataract surgery (ICO-OSCAR: ECCE),11 small incision cataract surgery (ICO-OSCAR: SICS),13 lateral tarsal strip surgery (ICO-OSCAR: LTS),14 and strabismus surgery (ICO-OSCAR: Strabismus)15 were developed. Additional ICO-OSCARS are being developed for panretinal photocoagulation, corneal transplant, vitrectomy, trabeculectomy and epiretinal membrane peeling.…”

Section: Assessment Toolsmentioning

confidence: 99%