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用于眼科住院医师手术培训的动物和人类尸体眼睛。

Animal and cadaver human eyes for residents' surgical training in ophthalmology.

作者信息

Pujari Amar, Saluja Gunjan, Bhaskaran Karthika, Modaboyina Sujeeth, Asif Mohamed Ibrahime, Agarwal Tushar, Sharma Namrata, Titiyal Jeewan S

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Surv Ophthalmol. 2022 Jan-Feb;67(1):226-251. doi: 10.1016/j.survophthal.2021.05.004. Epub 2021 May 13.

Abstract

In ophthalmology residency programs surgical training plays a vital role in creating confident and skillful surgeons. As almost all ophthalmic surgery needs microscope training, creating a well-taught environment for hand-eye coordination, ocular tissue handling, and anticipation of complications is essential. Wet lab training with animal or cadaver human eyes offers diverse possibilities. We conducted a thorough literature search on various databases to identify the existing literature on wet labs. The results revealed constructive efforts for training novice surgeons in all surgical ophthalmology subspecialties. Wet lab models were initially used only to practice cataract surgery; however, now various complex ocular procedures can be practiced. Ocular surface, corneal, iris, lenticular, scleral, vitreoretinal, extraocular, eyelid, and other adnexal surgeries were reproduced and mastered in many ways. Importantly, with repeated surgical practice, residents gained an increasing level of confidence with enhanced surgical accuracy. In addition, we propose a few novel techniques of various other procedures.

摘要

在眼科住院医师培训项目中,手术培训对于培养自信且技术娴熟的外科医生起着至关重要的作用。由于几乎所有眼科手术都需要显微镜训练,因此营造一个对手眼协调、眼部组织处理以及并发症预判进行良好教学的环境至关重要。使用动物或人类尸体眼睛进行的湿实验室培训提供了多种可能性。我们在多个数据库中进行了全面的文献检索,以确定有关湿实验室的现有文献。结果显示,在所有眼科手术亚专业中,为培训新手外科医生做出了建设性的努力。湿实验室模型最初仅用于练习白内障手术;然而,现在可以练习各种复杂的眼部手术。眼表、角膜、虹膜、晶状体、巩膜、玻璃体视网膜、眼外、眼睑及其他附属器手术都以多种方式得以重现和掌握。重要的是,通过反复的手术练习,住院医师的自信心不断增强,手术准确性也有所提高。此外,我们还提出了一些其他各种手术的新技术。

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