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https://www.readbyqxmd.com/read/29587973/improved-utilization-of-operating-room-time-for-trainee-cataract-surgery-in-a-public-hospital-setting
#1
J Minjy Kang, Sriranjani P Padmanabhan, Julie Schallhorn, Neeti Parikh, Saras Ramanathan
PURPOSE: To examine the effect of group goal and group performance theories on operating room efficiency in resident-performed cataract surgery. SETTING: Zuckerberg San Francisco General Hospital and Trauma Center, Department of Ophthalmology, University of California, San Francisco, California, USA. DESIGN: Prospective case series. METHODS: This study assessed 4 specific segments of operating room utilization identified as room-to-incision time, incision-to-close time, close-to-exit time, and room turnover time...
February 2018: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/29463862/intraoperative-head-drift-and-eye-movement-two-under-addressed-challenges-during-cataract-surgery
#2
Kerr Brogan, Basu Dawar, David Lockington, Kanna Ramaesh
PURPOSE: To objectively measure head drift during cataract surgery, and subjectively simulate eye movements and assess impact on surgical technique. MATERIALS AND METHODS: Twelve consecutively recorded routine cataract operations in the Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, were reviewed. The speculum was used as a fixed point and correlated with a superimposed virtual ruler to measure maximum head drift in each direction throughout the operations...
February 21, 2018: Eye
https://www.readbyqxmd.com/read/29433842/audit-of-cataract-surgery-in-cadiz-visual-outcomes-and-complications
#3
L Royo-Dujardin, E Alcalde-Vílchez, E Rodríguez-de la Rúa, J P Novalbos-Ruiz
OBJECTIVE: To publish the outcomes and complications of age-related cataract surgery in Cadiz (Spain). Due to the lack of national audits, a comparison was made between the results obtained here and those of the most recent European audit, EUREQUO (2013), and the British audit RCOphth NOD (2015). METHODS: A prospective, longitudinal, before-after study of 312 patients undergoing cataract surgery in the University Hospitals of Puerta del Mar and Puerto Real (Cadiz), in 2013-14...
February 9, 2018: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/29335101/outcomes-and-complication-rates-of-primary-resident-performed-cataract-surgeries-at-a-large-tertiary-care-county-hospital
#4
Cameron Clarke, Shazia F Ali, Michael Murri, Saagar N Patel, Li Wang, Marie Tuft, Mitchell P Weikert, Zaina Al-Mohtaseb
PURPOSE: To identify the preoperative risk factors, intraoperative events, and postoperative complications increasing the risk for poor visual outcomes in resident-performed cataract surgeries at a tertiary-care county hospital. SETTING: Ben Taub General Hospital, Houston, Texas, USA. DESIGN: Retrospective case series. METHODS: Resident-performed cataract surgeries were analyzed for risk factors, comorbidities, and intraoperative and postoperative complications...
December 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28988187/changes-in-uk-ophthalmology-surgical-training-analysis-of-cumulative-surgical-experience-2009-2015
#5
Jeremy Hoffman, Fiona Spencer, Daniel Ezra, Alexander C Day
OBJECTIVE: To investigate changes in the patterns of cumulative surgical experience for ophthalmologists in the UK following the introduction of a new national training scheme. DESIGN: Retrospective review of all surgical training records submitted to the UK Royal College of Ophthalmologists by trainees for the award of Certificate of Completion of Training (CCT) for the period 2009-2015. SETTING: Secondary level care, UK. PARTICIPANTS: 539 trainees achieving CCT over the 7-year study period...
October 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28852905/the-evaluation-of-the-risk-factors-for-capsular-complications-in-phacoemulsification
#6
Şule Berk Ergun, Sücattin İlker Kocamış, Hasan Basri Çakmak, Nurullah Çağıl
PURPOSE: To determine and quantify the risk factors for disruption of lens capsule integrity during phacoemulsification. METHODS: The medical records of the patients who had undergone phacoemulsification cataract surgery and had a complication associated with lens capsule were reviewed. Consecutive cases were also reviewed in reverse chronological order as a control group. The exclusion criteria were pediatric cataracts, traumatic cataracts and lens dislocation...
August 29, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28801700/evaluation-of-the-learning-curve-of-non-penetrating-glaucoma-surgery
#7
Fatih Aslan, Berna Yuce, Zafer Oztas, Halil Ates
PURPOSE: To evaluate the learning curve of non-penetrating glaucoma surgery (NPGS). METHODS: The study included 32 eyes of 27 patients' (20 male and 7 female) with medically uncontrolled glaucoma. Non-penetrating glaucoma surgeries performed by trainees under control of an experienced surgeon between 2005 and 2007 at our tertiary referral hospital were evaluated. Residents were separated into two groups. Humanistic training model applied to the one in the first group, he studied with experimental models before performing NPGS...
August 11, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28730111/cumulative-sum-analysis-score-and-phacoemulsification-competency-learning-curve
#8
Gustavo Vedana, Filipe G Cardoso, Alexandre S Marcon, Licio E K Araújo, Matheus Zanon, Daniella C Birriel, Guilherme Watte, Albert S Jun
AIM: To use the cumulative sum analysis score (CUSUM) to construct objectively the learning curve of phacoemulsification competency. METHODS: Three second-year residents and an experienced consultant were monitored for a series of 70 phacoemulsification cases each and had their series analysed by CUSUM regarding posterior capsule rupture (PCR) and best-corrected visual acuity. The acceptable rate for PCR was <5% (lower limit h) and the unacceptable rate was >10% (upper limit h)...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28611131/a-retrospective-study-on-the-incidence-of-post-cataract-surgery-descemet-s-membrane-detachment-and-outcome-of-air-descemetopexy
#9
Annamalai Odayappan, Narayana Shivananda, Seema Ramakrishnan, Tiruvengada Krishnan, Sivagami Nachiappan, Smitha Krishnamurthy
PURPOSE: To study the anatomic and functional outcome of air descemetopexy in postcataract surgery Descemet's membrane detachment (DMD). DESIGN: Retrospective study. METHODS: Setting: Institutional. STUDY POPULATION: Records of 112 patients who underwent air descemetopexy for postcataract surgery sight-threatening DMD at Aravind Eye Hospital, Pondicherry, between January 2013 and December 2015 were studied. MAIN OUTCOME MEASURES: Anatomical outcome refers to reattachment of the Descemet's membrane (DM)...
February 2018: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28421654/short-term-outcomes-of-small-incision-cataract-surgery-provided-by-a-regional-population-in-the-pacific
#10
Riyaz Bhikoo, Hans Vellara, Salome Lolokabaira, Neil Murray, Biu Sikivou, Charles McGhee
BACKGROUND: This study aims to describe patient demographics, visual and surgical outcomes of a cohort undergoing small incision cataract surgery at a Pacific regional ophthalmic training facility. DESIGN: This is a prospective, longitudinal study conducted at the Pacific Eye Institute, Fiji. PARTICIPANTS: One hundred fifty-six patients underwent small incision cataract surgery. METHODS: Preoperatively, a complete ophthalmic examination, including pachymetry and macular optical coherence tomography performed by two independent investigators...
November 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28371367/is-there-inter-procedural-transfer-of-skills-in-intraocular-surgery-a-randomized-controlled-trial
#11
Ann Sofia Skou Thomsen, Jens Folke Kiilgaard, Morten la Cour, Ryan Brydges, Lars Konge
PURPOSE: To investigate how experience in simulated cataract surgery impacts and transfers to the learning curves for novices in vitreoretinal surgery. METHODS: Twelve ophthalmology residents without previous experience in intraocular surgery were randomized to (1) intensive training in cataract surgery on a virtual-reality simulator until passing a test with predefined validity evidence (cataract trainees) or to (2) no cataract surgery training (novices). Possible skill transfer was assessed using a test consisting of all 11 vitreoretinal modules on the EyeSi virtual-reality simulator...
December 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28317677/trends-in-cataract-surgery-training-curricula
#12
Mona Lotfipour, Ramunas Rolius, Erik B Lehman, Seth M Pantanelli, Ingrid U Scott
PURPOSE: To evaluate trends in cataract surgery training curricula and factors affecting timing of resident participation as a primary surgeon. SETTING: Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA. DESIGN: Cross-sectional study of anonymous survey results. METHODS: A description of the study and link to an online survey was e-mailed to program directors of each ophthalmology residency training program accredited by the Accreditation Council for Graduate Medical Education (ACGME)...
January 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28300736/the-melaka-hospital-cataract-complications-study-analysis-of-12-992-eyes
#13
Thanigasalam Thevi, Zin Maizura, Adinegara Lutfi Abas
INTRODUCTION: As in all surgeries, complications during cataract surgery are unavoidable and cause distress to the surgeon and the patient. This study was conducted to know the factors contributing to complications in our settings, to be able to counsel patients about complications and outcomes and to reduce litigations. MATERIALS AND METHODS: The secondary data analysis was conducted using the National Eye Database from 2007 to 2014. Demographic features, ocular comorbidities, technique of surgery, grade of surgeons, types of intraoperative complications, and reasons for not obtaining good visual acuity following intraoperative complications were studied...
January 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28203055/resident-surgeon-efficiency-in-femtosecond-laser-assisted-cataract-surgery
#14
Andrew C Pittner, Brian R Sullivan
PURPOSE: Comparison of resident surgeon performance efficiencies in femtosecond laser-assisted cataract surgery (FLACS) versus conventional phacoemulsification. PATIENTS AND METHODS: A retrospective cohort study was conducted on consecutive patients undergoing phacoemulsification cataract surgery performed by senior ophthalmology residents under the supervision of 1 attending physician during a 9-month period in a large Veterans Affairs medical center. Medical records were reviewed for demographic information, preoperative nucleus grade, femtosecond laser pretreatment, operative procedure times, total operating room times, and surgical complications...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28168827/auckland-cataract-study-2-clinical-outcomes-of-phacoemulsification-cataract-surgery-in-a-public-teaching-hospital
#15
Bia Z Kim, Dipika V Patel, Charles Nj McGhee
IMPORTANCE: A contemporary benchmark for the most common ophthalmic surgery. BACKGROUND: To assess patient characteristics and outcomes of contemporary phacoemulsification cataract surgery in a New Zealand public teaching hospital setting. DESIGN: Prospective observational study. PARTICIPANTS: Consecutive cases (n = 500) of phacoemulsification surgery between April and June 2015. METHODS: An independent observer assessed clinical and surgical data preoperatively and 4-6 weeks postoperatively...
August 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28003789/an-after-after-cataract-a-curious-case-of-visual-axis-re-opacification
#16
Jay Kalliath, Gaurav Prakash, Kavitha Avadhani, Anitha Shakuntala
Posterior capsular opacification (PCO) is common after cataract surgery. Recurrence is very rare after a successful Yttrium aluminium-garnet (YAG) capsulotomy in adults. We report a case of visual axis re-opacification after a successful YAG capsulotomy for PCO in an adult. A 60-year male underwent phacoemulsification with +20.0 D acrylic hydrophobic intraocular lens implantation and silicon oil removal (SOR) five months after a successful retinal detachment repair. He underwent a capsulotomy after two months of surgery; however, the visual axis re-opacified after three more months...
October 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/27958204/results-and-safety-profile-of-trainee-cataract-surgeons-in-a-community-setting-in-east-africa
#17
Nikolaos Mavrakanas, Kazim A Dhalla, Jerry Jecha, Imani Kapesa, Capucine Odouard, Ian Murdoch
PURPOSE: To evaluate the results and safety profile of assistant medical officer ophthalmologists (AMO-O) performing cataract surgery in the last stage of their surgical training, before their appointment to local communities. METHODS: We retrospectively analyzed the records of patients who underwent cataract surgery by AMO-Os at Dar es Salaam, Comprehensive Community Based Rehabilitation for Tanzania Disability Hospital between September 2008 and June 2011. Surgical options were either extracapsular cataract extraction (ECCE) or manual small incision cataract surgery (MSICS), both with polymethylmethacrylate intraocular lens implantation...
November 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27697247/effect-of-cataract-surgery-training-on%C3%A2-operating-room-productivity-how%C3%A2-long%C3%A2-trainees-take
#18
Dong Young Park, Andrew Walkden, Timothy A De Klerk
PURPOSE: To determine the effect of specialty training on cataract operation times and operating room efficiency. SETTING: Manchester Royal Eye Hospital, Manchester, United Kingdom. DESIGN: Retrospective consecutive case series. METHODS: Specialty training and consultant case times with preparation times were recorded between August 2014 and May 2015. Cases with posterior capsule rupture requiring anterior vitrectomy or iris hook insertion were analyzed...
September 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27637785/the-auckland-cataract-study-assessing-preoperative-risk-stratification-systems-for-phacoemulsification-surgery-in-a-teaching-hospital
#19
Bia Z Kim, Dipika V Patel, Trevor Sherwin, Charles N J McGhee
PURPOSE: To evaluate 2 preoperative risk stratification systems for assessing the risk of complications in phacoemulsification cataract surgery, performed by residents, fellows, and attending physicians in a public teaching hospital. DESIGN: Cohort study. METHODS: One observer assessed the clinical data of 500 consecutive cases, prior to phacoemulsification cataract surgery performed between April and June 2015 at Greenlane Clinical Centre, Auckland, New Zealand...
November 2016: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/27574395/measuring-phacoemulsification-groove-depth-using-probe-tip-dimensions-and-biometry-lens-thickness-readings
#20
Kevin Dunne, Alex J Buller
AIM: To describe a useful technique utilizing lens thickness from biometric data as well as phacoemulsification (phaco) probe tip dimensions, in order to more accurately determine safe groove depth during divide and conquer techniques for cataract surgery. METHODS: Single center, selection of patients for cataract surgery deemed low risk and suitable for surgical teaching cases. Individual lens thickness measurements from biometry were calculated with known phaco tip dimensions to give an individualized safe number of phaco tip depths for grooving during divide and conquer...
2016: Clinical Ophthalmology
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