Badakere Akshay, Chhablani Preeti Patil, Chandrasekharan Anjali, Ali Mohammad Hasnat, Kekunnaya Ramesh
J Pediatr Ophthalmol Strabismus. 2019 Mar 19;56(2):83-87. doi: 10.3928/01913913-20190122-03.
To compare intraoperative technique and quality of surgical steps in pediatric cataract surgery between pediatric ophthalmology consultants and fellows in training.
In a video-based analysis by two fellowship-trained pediatric ophthalmologists, 42 surgical videos of pediatric ophthalmology consultants and 34 videos of fellows in training were graded based on the International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubrics (ICO-OSCAR). Six steps in surgery were analyzed: wound construction, anterior continuous curvilinear capsulorrhexis, irrigation and aspiration, intraocular lens implantation, primary posterior capsulorrhexis with anterior vitrectomy, and wound suturing. Cohen's Kappa was used to rate inter-observer agreement.
Cohen's Kappa scores ranged from 0.6 to 0.8. The median scores for surgical steps for both analyzed groups were similar. The mean duration of surgery was shorter for consultants (24 minutes, range: 10 to 45 minutes) than for fellows (40 minutes, range: 15 to 70 minutes). The median age of patients operated on by consultants was younger (24 months, range: 2 to 180 months) than fellows (58 months, range: 10 to 150 months).
The quality of the surgical steps performed by pediatric ophthalmology consultants and fellows in training was similar. [J Pediatr Ophthalmol Strabismus. 2019;56(2):83-87.].
比较小儿眼科顾问医生与规培学员在小儿白内障手术中的手术技术及手术步骤质量。
两名接受过规培的小儿眼科医生通过视频分析，根据国际眼科理事会的眼科手术能力评估标准（ICO - OSCAR）对42段小儿眼科顾问医生的手术视频和34段规培学员的手术视频进行评分。分析手术中的六个步骤：伤口构建、前连续环形撕囊、灌注抽吸、人工晶状体植入、联合前部玻璃体切割的一期后囊撕开以及伤口缝合。采用科恩kappa系数来评估观察者间的一致性。
科恩kappa系数评分范围为0.6至0.8。两个分析组手术步骤的中位数评分相似。顾问医生的平均手术时长（24分钟，范围：10至45分钟）比规培学员（40分钟，范围：15至70分钟）短。顾问医生手术患者的年龄中位数（24个月，范围：2至180个月）比规培学员（58个月，范围：10至150个月）小。
小儿眼科顾问医生和规培学员所执行的手术步骤质量相似。[《小儿眼科与斜视杂志》。2019；56(2)：83 - 87。]
