Posters

Impact of the surgical simulator on lowering complications during cataract surgery carried out by ophthalmology residents

Poster Details

First Author: J.Toledo Martínez MEXICO

Co Author(s):    R. Baldivieso Hurtado   S. Peniche Moreno   J. Soria Viteri              

Abstract Details

Purpose:

To compare the parameters from the surgical simulator Eyesi 3.1®, with the frequency of complications during cataract surgery with the phacoemulsification technique done by second year ophthalmology residents

Setting:

Anterior segment microsurgery department at Asociación Para Evitar la Ceguera en México I.A.P. “Dr. Luis Sánchez Bulnes”.

Methods:

Cohort prospective study. All second tear ophtalmology residents from Asociación Para Evitar la Ceguera en México I.A.P. were included. The variables to study were obtained from Eyesi 3.1®, these included training hours, scores and percentage of progress in simulator, that every resident does, at one month and six months in the second year of residency. Regarding surgeries medical records were reviewed from every phacoemulsification surgery done completely by second year residents and assisted by physicians at one month and six months. All surgeries which added a high complexity rate were excluded. Complications and types of complications were recorded

Results:

A total of 18 second year residents from Asociación Para Evitar la Ceguera en México were evaluated, which 100% finished the follow-up at six months. 44% females (8 residents), 56% males (10 residents). By having a greater score (one month and six months of follow-up), grades and progress percentage of the surgical simulator there is a lower statistically significant number of complications during surgery, and posterior capsule rupture. Nevertheless the amount of hours at the simulator was not related to a lower number of complications proving that the score achieved (hours and skill) has a greater impact.

Conclusions:

This study provides evidence of how a better score at the surgical simulator is related as having a lower frequency of complications and posterior capsule rupture during phacoemulsification surgery done by training residents. Although a relation between hours of training and complications was not found we can assume that having more hours can be related to a lower frequency of complications. We can conclude that the score, grades and progress at the surgical simulator are predictive factors of the performance at the surgery performed by residents. This study and literary reviews shows the importance of surgical simulators during training.

Financial Disclosure:

None