Effect of wet-laboratory training on resident-performed manual small-incision cataract surgery

Parikshit, Gogate

doi:10.4103/ijo.ijo_702_18

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…For the Indian scenario, in particular where the Manual Small Incision Cataract Surgery (MSICS) is a commonly performed surgery, the HelpMeSee Eye Surgery Simulator can be extremely useful for training residents. [ 24 ] The HMS simulator is the only virtual reality based simulator that supports the training for MSICS and combines realistic computer graphics, physics modelling, motion controls and tactile feedback to accurately recreate the MSICS procedure. Each feature of this high-fidelity simulator, such as the training tools and customisable starting points, make it an extremely useful asset for training, given that surgical opportunities for elective surgeries is likely to reduce in the near future.…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 related lockdown on ophthalmology training programs in India – Outcomes of a survey

Mishra

Nair

Gandhi³

et al. 2020

Indian J Ophthalmol

145

101

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Purpose: In 2020, in response to the emergence and global spread of the disease COVID-19, caused by a new variant of coronavirus 2019-nCoV, the government of India ordered a nationwide lockdown for 21 days, which was then extended to a total of over 50 days. The aim of this study is to assess the effect of the lockdown on ophthalmic training programs across India. Methods: An online survey was sent across to trainee ophthalmologists across India through various social media platforms. Results: In all, 716 trainees responded; the average age was 29.1 years. Results showed that majority of the respondents were enrolled in residency programs (95.6%; 685/716) and the others were in fellowship programs. About 24.6% (176/716) of the trainees had been deployed on 'COVID-19 screening' duties. Nearly 80.7% (578/716) of the trainees felt that the COVID-19 lockdown had negatively impacted their surgical training. Furthermore, 54.8% (392/716) of the trainees perceived an increase in stress levels during the COVID-19 lockdown and 77.4% (554/716) reported that their family members had expressed an increased concern for their safety and wellbeing since the lockdown began. In all, 75.7% (542/716) of the respondents felt that online classes and webinars were useful during the lockdown period. Conclusion: Our survey showed that majority ophthalmology trainees across the country felt that the COVID-19 lockdown adversely affected their learning, especially surgical training. While most found online classes and webinars useful, the trainees' perceived stress levels were higher than normal during the lockdown. Training hospitals should take cognizance of this and reassure trainees; formulate guidelines to augment training to compensate for the lost time as well as mitigate the stress levels upon resumption of regular hospital services and training. Going ahead, permanent changes such as virtual classrooms and simulation-based training should be considered.

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Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 related lockdown on ophthalmology training programs in India – Outcomes of a survey

Mishra

Nair

Gandhi³

et al. 2020

Indian J Ophthalmol

145

101

View full text Add to dashboard Cite

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“…Reasons for inconsistencies in the reported vitreous loss rates in various studies on MSICS could be due to differences in the surgical technique, exclusion criteria, training program schedules in the institutes, and supervised or unsupervised training. Designing of a surgical schedule may ensure uniformity in postgraduate training in surgical procedures [24][25] . PCR identification is crucial to prevent further postoperative complications occurring due to vitreous loss.…”

Section: Resultsmentioning

confidence: 99%

Incidence and risk factors for vitreous loss in residents performing manual small-incision cataract surgery

Joshi¹,

Wadekar²,

Patil³

et al. 2022

Int J Ophthalmol

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AIM: To assess the incidence of vitreous loss and associated risk factors in residents performing manual small-incision cataract surgery (MSICS). METHODS: The present retrospective record review study was performed on 490 patients who underwent MSICS performed between November 2018 and December 2019 by 7 third-year postgraduate residents. The study group comprised of patients having intraoperative vitreous prolapse. All the surgeries were performed under supervision of a trained assistant. RESULTS: The mean age of the participants at the time of surgery was 68.42±2.05y. Of the 490 patients, 250 patients were male, and 240 patients were female (P=0.23). A total of 215 (43.9%) eyes had mature white cataract, 185 (37.8%) eyes had brown cataract, and 90 (18.3%) eyes had immature senile cataract. The incidence of intraoperative vitreous loss among residents was 2% (10/490). Vitreous loss occurred during hydrodissection [1/10 (10%)], nucleus delivery [3/10 (30%)], irrigation and aspiration [5/10 (50%)], and intraocular lens insertion [1/10 (10%)]. Multivariate stepwise Logistic regression analysis confirmed immature senile cataract [odds ratio (OR)=3.99; P=0.02], irrigation and aspiration of cortical material (OR=3.07; P=0.03), and anterior capsular extension (OR=3.22, P=0.03) as independent risk factors for vitreous loss. CONCLUSION: Immature senile cataract, irrigation and aspiration of cortical material, and anterior capsular extension are independent risk factors for vitreous loss. Our findings may serve as a guide for future trainers or residents learning MSICS.

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“…[ 25 26 27 ] Many developed countries have tried to obviate this by using simulation and wet labs. [ 20 21 22 ]…”

Section: Discussionmentioning

confidence: 99%

Ophthalmology residency trainers‘ perspective on standardization of residency training in India

Gogate

Biswas²,

Honavar

et al. 2021

Indian Journal of Ophthalmology

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Purpose: The aim of this study was to study the perception of residency trainers about an optimum residency program. Methods: A survey, using a pre-validated questionnaire, was conducted by the Academic and Research Committee of the All India Ophthalmological Society, in 2019-20 with questions directed to teachers in medical colleges and national board of examination‘s ophthalmology residency programs on demography, teaching experience, imparting clinical and surgical skills, ideal academic schedule and dissertation in the post-graduate residency program. Results: The response rate in the survey was 47.6%. Valid responses were obtained from 309 residency trainers. Of these, 132 of 309 (42.7%) were females. The mean age was 45.3 ± 9.5 years, range 26-68 years. The trainers believed that on a scale of 0-10, clinical skills teaching should be taught, mean ± SD: slit lamp 9.8 ± 0.7; indirect ophthalmoscopy 9.3 ± 1.3; gonioscopy 9.2 ± 1.5; perimetry 8.9 ± 1.5; OCT 8.4 ± 1.9; applanation tonometry 9.5 ± 1.2 and orthoptic evaluation 8.1 (±1.9). A resident should ideally perform independently surgeries (median, inter-quartile range IQR): SICS 50 (IQR 40-100); phaco 50 (20-60); pterygium excision 20 (10-40); DCR 10 (5-20); chalazion 20 (10-50), trabeculectomy 7 (5-15); strabismus 5 (2-10), LASIK and retinal detachment 0. Ideally there should be four lectures, four seminars, four case presentations, five journal clubs and four wet labs every month. Conclusion: Teachers expected their wards to become competent professionals. There was near unanimity about the content of clinical skills training, non-medical skills and academics, but there was a significant variation on extent of surgical training that should be imparted to the residents.

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Effect of wet-laboratory training on resident-performed manual small-incision cataract surgery

Cited by 5 publications

References 5 publications

The impact of COVID-19 related lockdown on ophthalmology training programs in India – Outcomes of a survey

The impact of COVID-19 related lockdown on ophthalmology training programs in India – Outcomes of a survey

Incidence and risk factors for vitreous loss in residents performing manual small-incision cataract surgery

Ophthalmology residency trainers‘ perspective on standardization of residency training in India

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