Faculty of Medicine and Dentistry, University of Alberta Medical School, University of Alberta, Edmonton.
Faculty of Medicine, University of Ottawa Medical School, University of Ottawa, Ottawa.
J Glaucoma. 2019 Feb;28(2):146-149. doi: 10.1097/IJG.0000000000001131.
To develop an angle surgery training model for training an array of microincisional glaucoma surgery (MIGS) procedures.
We describe a method for preparing an angle surgery training model using human cadaveric corneoscleral rims. The model provides realistic tactile tissue simulation and excellent angle visualization requiring bimanual technique. Corneoscleral rims may be used multiple times and are prepared at low cost, allowing for a high volume of practice surgeries.
This model allows for practice in bimanual surgical training using the gonioscopy lens for visualize alongside surgical tools. The in vivo surgical conditions and limited tactile feedback are recreated using human cadaveric eyes which nonhuman models fail to provide. Our model is prepared at low cost, with relative ease and also provides appropriate positioning of Schlemm canal and for high volume of practice as the canal can be used in 90-degree segments.
Few angle surgery training models currently exist and none provide these necessary features. The model presented here aims to meet the growing demand for adequate training models required for technically advanced MIGS techniques.
开发一种用于培训一系列微创青光眼手术(MIGS)的角手术培训模型。
我们描述了一种使用人尸体角膜巩膜边缘制备角手术培训模型的方法。该模型提供了逼真的触觉组织模拟和极好的角度可视化效果,需要双手技术。角膜巩膜边缘可以多次使用,并且成本低廉,允许进行大量的实践手术。
该模型允许使用青光眼镜进行双手手术训练,以便与手术工具一起进行可视化。使用人类尸体眼睛重现体内手术条件和有限的触觉反馈,而非人类模型无法提供。我们的模型成本低廉,相对容易制备,并且还为 Schlemm 管提供了适当的定位,并可以进行大量的练习,因为管可以在 90 度的段中使用。
目前存在的角手术培训模型很少,没有一个模型提供这些必要的功能。这里提出的模型旨在满足对技术先进的 MIGS 技术所需的足够培训模型的不断增长的需求。