Lucas Larisa, Schellini Silvana Artioli, Lottelli Antonio Carlos
Ophthalmology, Otorhinolaryngology and Head and Neck Surgery Department, Botucatu Medical School, Universidade Estadual Paulista "Julio de Mesquita Filho", Botucatu, SP, Brazil.
Arq Bras Oftalmol. 2019 Jul-Aug;82(4):289-294. doi: 10.5935/0004-2749.20190057. Epub 2019 Apr 8.
To evaluate whether training medical residents with the Eyesi® cataract surgery simulator reduces the occurrence of intraoperative complications.
This was a retrospective study in which the first 10 phacoemulsification surgeries performed by two groups of second-year ophthalmology residents were evaluated, during 2014 and 2015. The first Group consisted of seven residents from 2014 who had not had previous training with the simulator. The second Group was formed of seven residents in 2015, who had completed the C-level (intermediate) training with the simulator before beginning surgery on patients. We then compared these two groups regarding the frequency of occurrence of the four main intraoperative surgical complications: posterior capsule rupture, aphakia, and nucleus fragment dislocation into the vitreous, and extracapsular conversion.
A total of 140 surgeries were performed, 70 by Group 1 and 70 by Group 2. The total number of complications was 19 (27.14%) in Group 1 and nine (12.86%) in Group 2, and this reduction was significant (p=0.031). Fourteen (20%) surgeries in Group 1 and seven (10%) in Group 2 had complications. The complications were 13 posterior capsule ruptures (18.57%) in Group 1 and seven (10%) in Group 2; three eyes had nucleus fragment dislocations (4.29%) in Group 1, but only one (1.43%) in Group 2; two extracapsular conversions (2.86%) occurred in Group 1 and one (1.43%) in Group 2; and there was one aphakia (1.43%) in Group 1.
The training with the Eyesi® cataract surgery simulator significantly reduced the total number of intraoperative complications in the first 10 phacoemulsification cataract surgeries performed by ophthalmology residents.
评估使用Eyesi®白内障手术模拟器培训住院医师是否能减少术中并发症的发生。
这是一项回顾性研究，对2014年和2015年两组眼科住院医师进行的前10例超声乳化手术进行评估。第一组由2014年的7名住院医师组成，他们之前未接受过模拟器培训。第二组由2015年的7名住院医师组成，他们在开始对患者进行手术前已完成模拟器C级（中级）培训。然后我们比较这两组在四种主要术中手术并发症发生频率方面的情况：后囊破裂、无晶状体、核碎片脱位至玻璃体以及转为囊外摘除术。
共进行了140例手术，第一组70例，第二组70例。第一组并发症总数为19例（27.14%），第二组为9例（12.86%），这种减少具有统计学意义（p = 0.031）。第一组有14例（20%）手术出现并发症，第二组有7例（10%）。并发症情况为：第一组有13例后囊破裂（18.57%），第二组有7例（10%）；第一组有3只眼发生核碎片脱位（4.29%），第二组仅1只眼（1.43%）；第一组发生2例囊外摘除术转换（2.86%），第二组1例（1.43%）；第一组有1例无晶状体（1.43%）。
使用Eyesi®白内障手术模拟器进行培训，显著减少了眼科住院医师进行的前10例超声乳化白内障手术的术中并发症总数。
