Effect of distraction on simulated anterior segment surgical performance

Park, Jonathan; Waqar, Salman; Kersey, Thomas; Modi, Neil; Ong, Chin Siang; Sleep, Tamsin

doi:10.1016/j.jcrs.2011.01.031

Cited by 31 publications

(33 citation statements)

References 10 publications

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“…This differs from the 2010 study by Park [7], where performance in the cognitive task declined significantly when the candidates were dual-tasking -studies with larger sample sizes, or more challenging tasks, would be helpful to investigate this further.…”

Section: Discussionmentioning

confidence: 77%

“…With the advent of virtual reality simulators it is now possible to study the effects of different conditions on surgical outcomes without compromising patient safety [7][8][9][10]. Simulators have been used to study how distractions can influence surgical outcomes [11], including during intraocular procedures involving the anterior segment by Park et al [7].…”

Section: Discussionmentioning

confidence: 99%

“…Simulators have been used to study how distractions can influence surgical outcomes [11], including during intraocular procedures involving the anterior segment by Park et al [7].…”

Section: Discussionmentioning

confidence: 99%

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QUIET PLEASE! Effect of distraction on simulated posterior segment surgical performance

McGowan¹,

Jawaheer²,

Young

et al. 2018

Graefes Arch Clin Exp Ophthalmol

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Purpose To determine the effect of distraction on posterior segment surgical performance using a virtual reality simulator in expert and novice ophthalmic surgeons. Methods Twenty subjects were given 6 min to read an unpublished research paper and then were randomized into two groups. Group 1 subjects were allowed 3 min to complete a standardized vitreoretinal simulated task undistracted. Group 2 subjects were asked six questions on the research paper whilst completing the same task. Each subject then performed the alternate scenario. Finally, all participants were asked six questions on the research paper whilst not operating. Results There was no evidence of a difference in the odometer values (p = 0.127), cognitive task score (p = 0.390) or overall surgical task scores (p = 0.113) between the two groups. The time taken by the distracted group was significantly greater (95% CI −26.03 to −1.67, t-test p = 0.028). Conclusion Distraction significantly increases the time taken to perform a simulated vitreoretinal surgical task for all grades of surgeon. More studies are required to understand the impact on different types of distraction on surgical performance.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

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QUIET PLEASE! Effect of distraction on simulated posterior segment surgical performance

McGowan¹,

Jawaheer²,

Young

et al. 2018

Graefes Arch Clin Exp Ophthalmol

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“…It is, however, possible to do so with the use of an ophthalmic simulator, which we previously used to show other variables that cannot be observed on real patients, such as the effect of distraction, fatigue, and loss of stereopsis on surgical performance. [1][2][3] The aim of this study was to establish the safety of nondominant-hand simulated intraocular surgery.…”

mentioning

confidence: 99%

Safety of nondominant-hand ophthalmic surgery

Park¹,

Williams²,

Waqar³

et al. 2012

Journal of Cataract and Refractive Surgery

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“…Certain modules on this simulator have been validated, such that performance on the simulator has been shown to reflect performance in the operating theatre (Mahr & Hodge 2008). Waqar et al (2011) and Park et al (2011) have demonstrated this, as a useful tool to investigate parameters relevant to an ophthalmic surgeon such as fatigue and distraction.…”

Section: Introductionmentioning

confidence: 99%