Skip to main content
SpringerLink
Log in

Simulation in Ophthalmology

  • Chapter
  • First Online:
The Comprehensive Textbook of Healthcare Simulation

Abstract

Training future surgeons of any variety presents challenges to the supervising faculty as they must permit adequate supervision while allowing ample practice time for the trainee to confidently execute the physical task. A careful balance of permitting education of the novice must exist while keeping patient safety at highest regard. Ophthalmic surgery is especially challenging as the small operative field and maneuvering under the microscope is particularly complex for a novice surgeon. The use of training outside the operative suite is beneficial in keeping patients safe as ophthalmic residents proceed through training. This chapter will serve to discuss wet laboratory simulation, virtual simulation, and cognitive simulation as it regards to ophthalmic surgical training purposes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lee AG, Carter KD. Managing the new mandate in resident education: a blueprint for translating a national mandate into local compliance. Ophthalmology. 2004;111:1807–12.

    PubMed  Google Scholar 

  2. Oetting TA, Lee AG, Beaver HA, et al. Teaching and assessing surgical competency in ophthalmology training programs. Ophthalmic Surg Lasers Imaging. 2006;37:384–93.

    PubMed  Google Scholar 

  3. Henderson BA, Ali R. Teaching and assessing competence in cataract surgery. Curr Opin Ophthalmol. 2007;18:27–31.

    Article  PubMed  Google Scholar 

  4. Rogers GM, Oetting TA, Lee AG, et al. Impact of a structured surgical curriculum on ophthalmic resident cataract surgery complication rates. J Cataract Refract Surg. 2009;35:1956–60.

    Article  PubMed  Google Scholar 

  5. Randleman JB, Wolfe JD, Woodward M, Lynn MJ, Cherwek DH, Srivastava SK. The resident surgeon phacoemulsification learning curve. Arch Ophthalmol. 2007;125:1215–9.

    Article  PubMed  Google Scholar 

  6. Teus MA, de Benito-Llopis L, Sánchez-Pina JM. Learning curve of laser-assisted subepithelial keratectomy: influence on visual and refractive results. J Cataract Refract Surg. 2007;33:1381–5.

    Article  PubMed  Google Scholar 

  7. Bell CM, Hatch WV, Cernat G, Urbach DR. Surgeon volumes and selected patient outcomes in cataract surgery: a population-based analysis. Ophthalmology. 2007;114:405–10. Epub 2006 Dec 14.

    Article  PubMed  Google Scholar 

  8. Dooley IJ, O’Brien PD. Subjective difficulty of each stage of phacoemulsification cataract surgery performed by basic surgical trainees. J Cataract Refract Surg. 2006;32:604–8.

    Article  PubMed  Google Scholar 

  9. Prakash G, Jhanji V, Sharma N, Gupta K, Titiyal JS, Vajpayee RB. Assessment of perceived difficulties by residents in performing routine steps in phacoemulsification surgery and in managing complications. Can J Ophthalmol. 2009;44:284–7.

    Article  PubMed  Google Scholar 

  10. Binenbaum G, Volpe NJ. Ophthalmology resident surgical competency: a national survey. Ophthalmology. 2006;113:1237–44. Epub 2006 May 24.

    Article  PubMed  Google Scholar 

  11. Henderson BA, Grimes KJ, Fintelmann RE, Oetting TA. Stepwise approach to establishing an ophthalmology wet laboratory. J Cataract Refract Surg. 2009;35:1121–8.

    Article  PubMed  Google Scholar 

  12. Oetting TA. Help ophthalmology residents achieve success: how to develop a comprehensive plan for evaluating surgical competency. Cataract Refract Surg Today. 2008;73–77.

    Google Scholar 

  13. Oetting TA. Teaching the capsulorhexis technique. Cataract Refract Surg Today. 2007;10:46–48.

    Google Scholar 

  14. Oetting TA. Surgical competency in residents. Curr Opin Ophthalmol. 2009;20:56–60.

    Article  PubMed  Google Scholar 

  15. Lee AG, Greenlee E, Oetting TA, et al. The Iowa ophthalmology wet laboratory curriculum for teaching and assessing cataract surgical competency. Ophthalmology. 2007;114:e21–6. Epub 2007 May 1.

    Article  PubMed  Google Scholar 

  16. Fisher JB, Binenbaum G, Tapino P, Volpe NJ. Development and face and content validity of an eye surgical skills assessment test for ophthalmology residents. Ophthalmology. 2006;113:2364–70.

    Article  PubMed  Google Scholar 

  17. Hashimoto C, Kurosaka D, Uetsuki Y. Teaching continuous curvilinear capsulorhexis using a postmortem pig eye with simulated cataract(2)(2). J Cataract Refract Surg. 2001;27:814–6.

    Article  CAS  PubMed  Google Scholar 

  18. Figueira EC, Wang LW, Brown TM, et al. The grape: an appropriate model for continuous curvilinear capsulorhexis. J Cataract Refract Surg. 2008;34:1610–1.

    Article  PubMed  Google Scholar 

  19. Lenart TD, McCannel CA, Baratz KH, Robertson DM. A contact lens as an artificial cornea for improved visualization during practice surgery on cadaver eyes. Arch Ophthalmol. 2003;121:16–9.

    Article  PubMed  Google Scholar 

  20. Rootman DS, Marcovich A. Utilizing eye bank eyes and keratoplasty techniques to teach phacoemulsification. Ophthalmic Surg Lasers. 1997;28:957–60.

    CAS  PubMed  Google Scholar 

  21. Jonas JB, Rabethge S, Bender HJ. Computer-assisted training system for pars plana vitrectomy. Acta Ophthalmol Scand. 2003;81:600–4.

    Article  PubMed  Google Scholar 

  22. Wagner C, Schill M, Hennen M, et al. Virtual reality in ophthalmological education. Ophthalmologe. 2001;98:409–13.

    Article  CAS  PubMed  Google Scholar 

  23. Hikichi T, Yoshida A, Igarashi S, et al. Vitreous surgery simulator. Arch Ophthalmol. 2000;118:1679–81.

    Article  CAS  PubMed  Google Scholar 

  24. Rossi JV, Verma D, Fujii GY, et al. Virtual vitreoretinal surgical simulator as a training tool. Retina. 2004;24:231–6.

    Article  PubMed  Google Scholar 

  25. Grodin MH, Johnson TM, Acree JL, Glaser BM. Ophthalmic surgical training: a curriculum to enhance surgical simulation. Retina. 2008;28:1509–14.

    Article  PubMed  Google Scholar 

  26. Park J, Waqar S, Kersey T, Modi N, Ong C, Sleep T. Effect of distraction on simulated anterior segment surgical performance. J Cataract Refract Surg. 2011;37:1517–22.

    Article  PubMed  Google Scholar 

  27. Belyea DA, Brown SE, Rajjoub LZ. Influence of surgery simulator training on ophthalmology resident phacoemulsification performance. J Cataract Refract Surg. 2011;37:1756–61. Epub 2011 Aug 15.

    Article  PubMed  Google Scholar 

  28. Mahr MA, Hodge DO. Construct validity of anterior segment anti-tremor and forceps surgical simulator training modules: attending versus resident surgeon performance. J Cataract Refract Surg. 2008;34:980–5.

    Article  PubMed  Google Scholar 

  29. Webster R, Sassani J, Shenk R, et al. Simulating the continuous curvilinear capsulorhexis procedure during cataract surgery on the EYESI system. Stud Health Technol Inform. 2005;111:592–5.

    PubMed  Google Scholar 

  30. Privett B, Greenlee E, Rogers G, Oetting TA. Construct validity of a surgical simulator as a valid model for capsulorhexis training. J Cataract Refract Surg. 2010;36:1835–8.

    Article  PubMed  Google Scholar 

  31. Feudner EM, Engel C, Neuhann IM, Petermeier K, Bartz-Schmidt KU, Szurman P. Virtual reality training improves wet-lab performance of capsulorhexis: results of a randomized, controlled study. Graefes Arch Clin Exp Ophthalmol. 2009;247:955–63.

    Article  PubMed  Google Scholar 

  32. Waqar S, Park J, Kersey TL, Modi N, Ong C, Sleep TJ. Assessment of fatigue in intraocular surgery: analysis using a virtual reality simulator. Graefes Arch Clin Exp Ophthalmol. 2011;249:77–81. Epub 2010 Oct 2.

    Article  PubMed  Google Scholar 

  33. Henderson BA, Neaman A, Kim BH, Loewenstein J. Virtual training tool. Ophthalmology. 2006;113:1058–9.

    Article  PubMed  Google Scholar 

  34. Henderson BA, Kim JY, Golnik KC, et al. Evaluation of the virtual mentor cataract training program. Ophthalmology. 2010;117:253–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, 52242, USA

    Gina M. Rogers MD & Thomas A. Oetting MS, MD

  2. Department of Ophthalmology, Harvard Medical School, Boston, MA, USA

    Bonnie Henderson MD

  3. Ophthalmic Consultants of Boston, 52 Second Avenue, Suite 2500, Waltham, MA, 02451, USA

    Bonnie Henderson MD

  4. Surgical Service Line, Department of Ophthalmology, Veterans Medical Center, UIHC-Ophthalmology, 200 Hawkins Drive, Iowa City, IA, 52242, USA

    Thomas A. Oetting MS, MD

Authors
  1. Gina M. Rogers MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bonnie Henderson MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Thomas A. Oetting MS, MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gina M. Rogers MD .

Editor information

Editors and Affiliations

  1. Departments of Anesthesiology Otolaryngology, and Structural & Chemical Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Adam I. Levine MD

  2. Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Samuel DeMaria Jr. MD , Andrew D. Schwartz MD  & Alan J. Sim MD ,  & 

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Rogers, G.M., Henderson, B., Oetting, T.A. (2013). Simulation in Ophthalmology. In: Levine, A.I., DeMaria, S., Schwartz, A.D., Sim, A.J. (eds) The Comprehensive Textbook of Healthcare Simulation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5993-4_31

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-5993-4_31

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5992-7

  • Online ISBN: 978-1-4614-5993-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation