ESCRS - POCAT246 - The Role Of Simulation-Based Training In Learning Cataract Surgery

The Role Of Simulation-Based Training In Learning Cataract Surgery

Published 2026 - 44th Congress of the ESCRS

Reference: POCAT246 | Type: Poster | DOI: 10.82333/scmk-sw12

Authors: Dr Petra Kovačević* 1 , Prof. Dr Miro Kalauz 1 , Prof. Dr Tomislav Kuzman 1 , A/Prof. Sanja Masnec 1 , A/Prof. Sonja Jandroković 1 , Dr Ivan Škegro 1 , Dr Marjan Kulaš 2

1Ophthalmology,University Hospital Centre Zagreb,Zagreb,Croatia, 2Ophthalmology,Zadar General Hospital,Zadar,Croatia

Purpose

To evaluate the role and effectiveness of simulation-based training in the acquisition of surgical skills for cataract surgery and its impact on patient safety and surgical outcomes.

Setting

This study was conducted at an academic ophthalmology training center with access to a dedicated surgical skills laboratory. Virtual reality simulators were used to provide structured cataract surgery training with objective performance feedback prior to live operating room experience.

Methods

Simulation-based training was integrated into the cataract surgery training curriculum for ophthalmology residents. Virtual reality simulators and wet-lab models were used to practice key steps of phacoemulsification, including capsulorhexis, nucleus fragmentation, and intraocular lens implantation. Trainee performance was assessed using objective metrics provided by simulators, supervised skill evaluations, and complication rates during early live surgeries.

Results

Simulation training significantly improved hand–eye coordination, depth perception, and procedural confidence among trainees. Residents who underwent structured simulation training demonstrated a shorter learning curve, reduced intraoperative complications, and improved surgical efficiency during their initial independent cataract surgeries compared to traditionally trained peers.

Conclusions

Simulation-based training represents a valuable and effective tool in cataract surgery education. It allows residents to acquire essential microsurgical skills in a safe, controlled environment, thereby enhancing patient safety and optimizing surgical outcomes. Incorporating simulation into standard ophthalmic training programs should be strongly encouraged.