An objective evaluation of simulated surgical outcomes among surgical trainees using manual small-incision cataract surgery virtual reality simulator

Purpose: The purpose of this study was to evaluate trainee performance across six modules of a virtual reality (VR) simulator. Methods: A retrospective observational study was conducted on 10 manual small-incision cataract surgery (MSICS) trainees who practiced cataract surgery on an MSICS VR simula...

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Veröffentlicht in:Indian journal of ophthalmology Jg. 70; H. 11; S. 4018 - 4025
Hauptverfasser: Sankarananthan, R, Prasad, R Senthil, Koshy, Tony Alex, Dharani, Padam, Bacchav, Ashish, Lansingh, Van Charles, Ahiwalay, Chetan, Balagiri, K, Shekhar, Madhu
Format: Journal Article
Sprache:Englisch
Veröffentlicht: India Medknow Publications & Media Pvt Ltd 01.11.2022
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Ausgabe:2
Schlagworte:
Capsulorhexis
Cataract
Cataract Extraction - methods
Cataracts
Clinical Competence
Computer applications
Eye surgery
helpmesee simulator
Humans
Intraocular lenses
Methods
msics
Original
Original Article
Simulated patients
Surgeons
Surgery
Surgical outcomes
trainee surgeons
Training
Treatment Outcome
Virtual Reality
vr simulator
India
MSICS
trainee surgeons
HelpMeSee simulator
VR simulator
ISSN:0301-4738, 1998-3689, 1998-3689
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Zusammenfassung:Purpose: The purpose of this study was to evaluate trainee performance across six modules of a virtual reality (VR) simulator. Methods: A retrospective observational study was conducted on 10 manual small-incision cataract surgery (MSICS) trainees who practiced cataract surgery on an MSICS VR simulator for one month. They were assessed in six major steps which included scleral groove, tunnel dissection, keratome entry, capsulorhexis, nucleus delivery, and intraocular lens (IOL) insertion under a trainer's supervision. The information included in their score metrics was collected, and their overall performance was evaluated. Results: Thirty attempts were evaluated for scleral groove, tunnel dissection, and capsulorhexis and 15 attempts for keratome entry. Candidates had varied results in the dimensional aspects and their rates of complications with a mean satisfactory score of 3.1 ± 4.17, 6.8 ± 5.75, 5.8 ± 7.74, and 1.8 ± 2.57, respectively. Nucleus delivery (n = 5) had more of iris pull and IOL insertion (n = 5) had more of lost IOL as complications but both had a higher satisfactory outcome. Conclusion: A VR simulator is a useful tool for training surgeons before their entry into live surgery. It is an effective method for evaluating objectively the structural characteristics of each phase in MSICS and their associated complications, helping them anticipate it earlier during live surgery by giving them a near real world experience.
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ISSN:0301-4738
1998-3689
1998-3689
DOI:10.4103/ijo.IJO_1600_22