Trends in cataract surgery training curricula

Lotfipour, Mona; Rolius, Ramunas; Lehman, Erik; Pantanelli, Seth

doi:10.1016/j.jcrs.2016.10.020

Cited by 39 publications

(29 citation statements)

References 9 publications

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“…This is comparable to the observed response rate in other studies utilizing an AUPO listserv for survey distribution (44-51%). 5,6 In this study, frequent access to trained OR staff in the emergency setting seems to be the most important predictor of clinician satisfaction. Although access to eye-trained OR staff, a functioning microscope, and surgical supplies were all predictive of significantly higher clinician satisfaction scores, the majority of ophthalmology training programs have access to a functional microscope and adequate materials and equipment, whereas only half of all programs have after-hours access to OR staff with training to support ocular cases.…”

Section: Discussionmentioning

confidence: 64%

“…In our study, we sought to gain a better understanding of how many programs have access to key resources during after-hours surgical cases, and how access to these resources affect clinician satisfaction. Surveys have been successfully utilized to gather data regarding national trends in ophthalmology residency education, 4,5 as well as in trends in compensation of retinopathy of prematurity screening. 6 Ophthalmology listservs are a useful resource for distributing online surveys to clinicians to quickly gather data.…”

Section: Discussionmentioning

confidence: 99%

“…6 Ophthalmology listservs are a useful resource for distributing online surveys to clinicians to quickly gather data. [4][5][6] To our knowledge, this is the first study to utilize an AUPO listserv surveying ophthalmology program directors regarding access to surgical resources after hours. This is also the first study to assess the relationship between clinician satisfaction and access to ophthalmic surgical resources.…”

Section: Discussionmentioning

confidence: 99%

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Availability of Resources for After-Hours Surgical Management of Eye Injuries

et al. 2018

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Background Approximately 2.4 million eye injuries per year occur in the United States. Because of the complexity of these injuries, many of these cases present to academic institutions. Ophthalmology residency programs have a wide range of resources available for eye injuries requiring after-hours surgical intervention. Purpose The purpose of this study was to determine availability of resources for after-hours eye surgery and their effect on clinician satisfaction. Methods Association of University Professors of Ophthalmology (AUPO) program directors were surveyed to assess the availability of eye-trained operating room (OR) nurses, functional operating microscopes, and suitable surgical supplies. The primary outcome measure was the availability of resources for after-hours eye surgery. Secondary outcome measures included the impact of resources on clinician satisfaction. Results Fifty-seven program directors completed the survey. Most programs operated at level 1 trauma centers (95%), had access to a functional microscope (95%), and had frequent adequate surgical supplies (88%). On the other hand, only 28 (49%) programs reported consistent access to OR nurses with ophthalmologic training. Clinician satisfaction scores were three times higher for programs with frequent access to trained surgical OR staff than for programs without (p < 0.001). Conclusion Approximately half of programs report consistent access to ophthalmologic-trained OR staff after hours. In contrast, most programs report access to a functional microscope and surgical supplies. The results of this survey suggest that directing resources toward improving access to after-hours staffing with specialty OR staff may improve clinician satisfaction.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Availability of Resources for After-Hours Surgical Management of Eye Injuries

et al. 2018

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“…With regard to treatments, cataract surgery is generally regarded as safe and effective [8,9]. For treatment of nAMD, intravitreal anti-vascular endothelial growth factor (VEGF) injection and photodynamic therapy are common approaches with robust supporting evidence [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Effects of cataract surgery in Japanese patients with neovascular age-related macular degeneration

Nishiguchi

Ishikawa

Amaki

et al. 2020

Graefes Arch Clin Exp Ophthalmol

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Purpose To investigate the effects of cataract surgery in Japanese patients with neovascular age-related macular degeneration (nAMD). Methods The primary endpoint in this prospective, observational study was patient satisfaction at 6 months after cataract surgery in patients with nAMD. Secondary endpoints comprised changes in best-corrected visual acuity (BCVA), M-chart score, central retinal thickness (CRT), AMD status, and number of AMD treatments. All examinations were performed before surgery, and at 1, 3, and 6 months postoperatively. Results Fifty patients (52 eyes) were included in this study (32 men; mean age, 76.1 ± 7.1 years). Thirty-nine patients (75.0%) reported satisfaction with cataract surgery. BCVA significantly improved at all postoperative timepoints (all p < 0.0001), whereas differences in M-chart scores were not statistically significant. The number of eyes with BCVA ≤ 0.3 logarithm of the minimum angle of resolution (logMAR) increased from 21 to 38; however, CRT did not change. The number of AMD treatments did not change during follow-up. All questionnaire scores showed postoperative improvement. Univariate and multivariate analyses revealed that final BCVA ≤ 0.3 logMAR was significantly associated with patient satisfaction. Conclusion Cataract surgery significantly improved vision in Japanese patients with nAMD, without affecting AMD status. Patients were satisfied with cataract surgery, especially with respect to improvement of distance vision.

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“…Training institutions in developed countries have set standards for residency programs on how many phacoemulsification surgeries must be performed before ophthalmologists graduate. [7] These high numbers may, however, be unrealistic in many low-and middle-income countries of the world.…”

mentioning

confidence: 99%

Do Africans really need to go overseas for Phaco training? Performance audit of a locally trained phaco surgeon in rural Kenya

Niyonzima¹,

Gichuhi

Sitati

et al. 2019

Preprint

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Purpose: To audit phacoemulsification cataract surgeries performed independently after a short - term training completed in a rural hospital in Kenya, and to benchmark the outcomes against WHO recommendations. Methods: This retrospective case-series study recruited patients who had had phacoemulsification cataract surgery at Sabatia Eye Hospital from January to December 2018. All the surgeries were performed by a single surgeon following a brief training in the same center. Data were collected retrospectively using a detailed questionnaire. Results: Of the one hundred and twenty eyes operated on during this period, one-hundred and sixteen eyes of 86 patients met the inclusion criteria. The mean age was 62 years and the majority of the eyes (83.6%) had vision less than 6/18 preoperatively. Co-morbidities included diabetic retinopathy (3.4%), age-related macular degeneration (2.6%), trauma (1.7%) and glaucoma (0.9%). Surgical complications were not severe enough to affect the final best-corrected visual acuity, unlike the comorbidities that were negatively correlated with visual outcomes (p-value< 0.001). Good outcomes were 81% against a WHO target of 80% for uncorrected visual acuity category, and 96.6% in the best-corrected visual acuity category against a target of 90%. The Royal College of Ophthalmology database of cataract surgery outcomes and the European Registry of Quality Outcomes for cataract and refractive surgery had comparable results. Conclusions: This local training model was based on apprenticeship and skills transfer. It can achieve high-quality visual outcomes meeting WHO recommendations.

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Trends in cataract surgery training curricula

Cited by 39 publications

References 9 publications

Availability of Resources for After-Hours Surgical Management of Eye Injuries

Availability of Resources for After-Hours Surgical Management of Eye Injuries

Effects of cataract surgery in Japanese patients with neovascular age-related macular degeneration

Do Africans really need to go overseas for Phaco training? Performance audit of a locally trained phaco surgeon in rural Kenya

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