Virtual reality ophthalmic surgical simulation as a feasible training and assessment tool: results of a multicentre study

Le, Tran; Adatia, Feisal A.; Lam, Wai Ching

doi:10.3129/i10-051

Cited by 40 publications

(33 citation statements)

References 21 publications

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“…; Le et al. ). In the past 5 years, work has been performed to evaluate the validity of several training modules in this simulator (Mahr & Hodge ; Privett et al.…”

Section: Introductionmentioning

confidence: 98%

Establishment of a validated training programme on the Eyesi cataract simulator. A prospective randomized study

Bergqvist

Person

Vestergaard

et al. 2014

Acta Ophthalmologica

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ABSTRACT.Purpose: To establish and evaluate a systematic training programme to be included into the ophthalmologic resident curriculum. Methods: Medical students (n = 20) within a year from graduation and with no previous ophthalmic experience were included in this prospective study and randomized into two groups. Group A (n = 10) completed the Eyesi cataract simulator training programme once a week for 4 weeks, while Group B (n = 10) completed it once a week at the first and the last week. Two cataract surgeons were used to determine two different levels of reference scores. Score per analysed module [two different levels of Capsulorhexis (A and B), Hydromaneuver, Phaco divide and conquer], Overall score, Total time, Cornea injury, Capsule rupture and Capsule damage by ultrasound were recorded. Results: Group A outperformed Group B in several modules, reached a significant higher number of reference scores (p < 0.01) and caused fewer complications with regard to Capsule rupture (p = 0.01) and Capsule damage by ultrasound (p < 0.05). Both Groups A and B improved their performance and also became more time efficient (p < 0.01 for both groups). Group A showed positive learning curves for Overall score (p < 0.01), Capsulorhexis A (p < 0.01), Capsulorhexis B (p < 0.01) and Hydromaneuver (p = 0.01). Group B showed a significant improvement for Overall score (p < 0.01), Hydromaneuver (p = 0.02) and Phaco divide and conquer (p < 0.01). Conclusion: Repetitive training with a systematic training programme, based on validated modules in the Eyesi simulator, was shown to improve simulated cataract surgery skills. Higher level of skills and more reference scores were reached with more training. Furthermore, the programme was optimized to be applied into the standard ophthalmological curriculum for cataract surgery training.

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“…; Le et al. ). In the past 5 years, work has been performed to evaluate the validity of several training modules in this simulator (Mahr & Hodge ; Privett et al.…”

Section: Introductionmentioning

confidence: 98%

Establishment of a validated training programme on the Eyesi cataract simulator. A prospective randomized study

Bergqvist

Person

Vestergaard

et al. 2014

Acta Ophthalmologica

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“…Several studies have looked into the validity of the simulator metrics to investigate the use of the simulator as an assessment tool (Le et al. ; Selvander & Åsman ; Thomsen et al. ).…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have looked into the validity of the simulator metrics to investigate the use of the simulator as an assessment tool (Le et al 2011;Selvander & Asman 2012; Thomsen et al 2015a). Evidence of validity has primarily been demonstrated by the ability to differentiate between novices and experienced surgeons, i.e.…”

Section: Introductionmentioning

confidence: 99%

High correlation between performance on a virtual‐reality simulator and real‐life cataract surgery

Thomsen

Smith

Subhi

et al. 2016

Acta Ophthalmologica

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Purpose: To investigate the correlation in performance of cataract surgery between a virtualreality simulator and real-life surgery using two validated, objective assessment tools.Methods: Cataract surgeons with varying levels of experience were included in the study. All participants performed and video-recorded three standard cataract surgeries before completing a proficiency-based test on the EyeSi virtual-reality simulator. Standard cataract surgeries were defined as: 1) surgery performed under local anaesthesia, 2) patient age > 60 years, and 3) visual acuity > 1/60 pre-operatively. A motion-tracking score was calculated by multiplying average path length and average number of movements from the three real-life surgical videos of full procedures. The EyeSi test consisted of five abstract and two procedural modules: intracapsular navigation, antitremor training, intracapsular antitremor training, forceps training, bimanual training, capsulorhexis, and phaco divide and conquer. Results: Eleven surgeons were enrolled. After a designated warm-up period, the proficiency-based test on the EyeSi simulator was strongly correlated to real-life performance measured by motion-tracking software of cataract surgical videos with a Pearson correlation coefficient of -0.70(p=0.017). Conclusion: Performance on the EyeSi simulator is significantly and highly correlated to real-life surgical performance. However, it is recommended that performance assessments are made using multiple data sources

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“…Sua aplicação como método de ensino para facoemulsificação inclui as etapas de capsulorrexe, hidrodissecção e delineação, emulsificação do núcleo e aspiração do córtex e já foi documentado e validado (7)(8)(9)(10)(11) . O treinamento prático com simuladores cirúrgicos (que vem sendo denominado "Dry-lab", em oposição ao tradicional "Wet-lab", onde são utilizados olhos de animais para o treinamento ex-perimental) já é realidade no Brasil.…”

Section: Editorialunclassified

Simulador cirúrgico e realidade virtual no ensino de cirurgia de catarata

Bisol¹,

Bisol²,

Rezende³

2012

Rev. bras.oftalmol.

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Virtual reality ophthalmic surgical simulation as a feasible training and assessment tool: results of a multicentre study

Cited by 40 publications

References 21 publications

Establishment of a validated training programme on the Eyesi cataract simulator. A prospective randomized study

Establishment of a validated training programme on the Eyesi cataract simulator. A prospective randomized study

High correlation between performance on a virtual‐reality simulator and real‐life cataract surgery

Simulador cirúrgico e realidade virtual no ensino de cirurgia de catarata

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