Cornea Services, Shri Ganesh Vinayak eye Hospital, Raipur, Chhattisgarh, India.
Cataract and Glaucoma Services, Shri Ganesh Vinayak eye Hospital, Raipur, Chhattisgarh, India.
Indian J Ophthalmol. 2022 Nov;70(11):4076-4078. doi: 10.4103/ijo.IJO_1560_22.
Learning manual small-incision cataract surgery (SICS) is essential for ophthalmic surgeons as it provides an alternative to phaco-emulsification in complicated cases. Nearly 10% of ophthalmic surgeons are left-handed. Left-handed surgeons do face more difficulties because of their laterality, which have been highlighted in various surveys even in other surgical specialities. Surgical training programs, residency programs, and fellowships have traditionally been designed considering the right hand as the dominant hand. Left-handed surgeons (LHSs) are at disadvantage as they are trained by right-handed surgeons (RHSs), which may result in more initial intra-operative errors. Intra-ocular lenses are also designed such that dialing into the bag is relatively difficult for LHSs. Developing customized training modules for LHSs can help them overcome the laterality challenges and enhance their surgical capabilities. In this article, we herein present a brief description of the SICS technique for LHSs, elaborating the crucial steps and customized maneuvers that, if performed differently, may make surgeries easier for them.
学习手动小切口白内障手术（SICS）对于眼科医生来说至关重要，因为它为复杂病例提供了一种替代超声乳化的方法。近 10%的眼科医生是左撇子。由于他们的手性，左撇子医生确实面临更多的困难，这在各种调查中甚至在其他外科专业中都得到了强调。外科培训计划、住院医师培训计划和研究员计划传统上都是基于右手为主导手来设计的。左撇子医生（LHS）处于劣势，因为他们是由右撇子医生（RHS）培训的，这可能导致更多的初始手术内错误。人工晶状体也是这样设计的，因此对于 LHS 来说，将其拨入囊中相对困难。为 LHS 开发定制的培训模块可以帮助他们克服手性挑战并提高他们的手术能力。在本文中，我们简要介绍了 LHS 的 SICS 技术，详细说明了关键步骤和定制操作，如果操作方式不同，可能会使手术对他们来说更容易。
