Exploring The Role And Impact Of Simulation-Based Training In The Management Of Cataract Surgical Complications Among Trainees
Published 2024 - 42nd Congress of the ESCRS
Reference: PO361 | Type: Free paper | DOI: 10.82333/wbkt-wb78
Authors: Arundhati Dvivedi* 1 , Shefali Pandey 2
1CORNEA, CATARACT AND TRAINING SERVICES ,LV PRASAD EYE INSTITUTE,HYDERABAD,India, 2EDUCATION AND TRAINING,LV PRASAD EYE INSTITUTE,HYDERABAD,India
Purpose
To assess the efficacy of simulation training in managing the PCR (Posterior Capsular Rupture) with anterior vitrectomy and ACIOL (Anterior chamber intraocular lens) placement among trainees."
Most of the studies in the past have looked at the effect of simulation training on the performance of routine steps of cataract surgery, while our study focuses specifically on the effect of training on the complication module for management of PCR on the operating room performance among novices.
Setting
Surgeons post their residency and in first year of their fellowship training with prior experience of performing </=25 SICS surgeries independently over a period of 2 years from 1st October, 2021- 31st October, 2023 at our institute were included.
Methods
We classified 26 trainee surgeons into 2 groups of 13 each. Group1- received complication module training on the MSICS surgical simulator and group2 - Which did not receive the complication module training on the simulator. Data collected included total number of ACIOLs implanted over the next 1 year, number of ACIOLs implanted independently, number of Anterior chamber IOLs implanted with assistance, total time taken for managing PCR with anterior vitrectomy and ACIOL implantation. Collected data were compared between both the groups.
Statistical analysis was carried out by using SPSS 19.0 ver software (SPSS, IL, Chicago, USA) for windows. Independent sample t test was applied for data analysis.
Results
In the simulator trained group, total ACIOLs implanted were 2 ± 2.08 with assistance vs 11.92 ± 8.67 ACIOLs implanted without assistance, p= 0.001 and was statistically significant. While in the non simulator trained group, ACIOLs implanted were, 1.46 ± 1.61 with assistance vs 15.15 ± 7.62 without assistance, p=2.5.
Also, the average number of ACIOLs implanted in total in the group1 (13.92, 181/13), were lesser than those in group2 (16.61, 216/13).
Conclusions
Based on our observations, there was significant difference in the number of ACIOLs implanted in the simulator trained vs non trained groups. The simulator trained group implanted more number of ACIOLs independently, than the non simulator trained group and it was statistically significant.
Simulator training did definitely reduce the number of cases needing assistance and supervision for management of PCR. Overall the number of ACIOLs implanted were lower in simulator trained group than the non simulator group.