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

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dc.contributor.authorSankarananthan, Ren_US
dc.contributor.authorPrasad, R Senthilen_US
dc.contributor.authorKoshy, Tony Alexen_US
dc.contributor.authorDharani, Padamen_US
dc.contributor.authorBacchav, Ashishen_US
dc.contributor.authorLansingh, Van Charlesen_US
dc.contributor.authorAhiwalay, Chetanen_US
dc.contributor.authorBalagiri, Ken_US
dc.contributor.authorShekhar, Madhuen_US
dc.date.accessioned2023-08-25T06:35:11Z
dc.date.available2023-08-25T06:35:11Z
dc.date.issued2022-11
dc.description.abstractPurpose: 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抯 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.en_US
dc.identifier.affiliationsDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, Indiaen_US
dc.identifier.citationSankarananthan R, Prasad R Senthil, Koshy Tony Alex, Dharani Padam, Bacchav Ashish, Lansingh Van Charles, Ahiwalay Chetan, Balagiri K, Shekhar Madhu. An objective evaluation of simulated surgical outcomes among surgical trainees using manual small-incision cataract surgery virtual reality simulator. Indian Journal of Ophthalmology. 2022 Nov; 70(11): 4018-4025en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224693
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber11en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_1600_22en_US
dc.subjectHelpMeSee simulatoren_US
dc.subjectMSICSen_US
dc.subjecttrainee surgeonsen_US
dc.subjectVR simulatoren_US
dc.titleAn objective evaluation of simulated surgical outcomes among surgical trainees using manual small-incision cataract surgery virtual reality simulatoren_US
dc.typeJournal Articleen_US
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