Assessment of surgeon experience with femtosecond laser-assisted cataract surgery

Christian Song,1,2 Connor J Baharozian,3 Kathryn M Hatch,1,2 Jonathan H Talamo1,2 1Department of Opthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA; 2Department of Ophthalmology, Harvard Medical School, Boston, MA, USA; 3Department of Opthalmology, Boston University School of Medici...

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Autores principales:	Song C, Baharozian CJ, Hatch KM, Talamo JH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	survey satisfaction learning curve performance Catalys FLACS Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/103ac8c7b32e405fbba60b47cdb56548
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spelling	oai:doaj.org-article:103ac8c7b32e405fbba60b47cdb565482021-12-02T08:51:17ZAssessment of surgeon experience with femtosecond laser-assisted cataract surgery1177-5483https://doaj.org/article/103ac8c7b32e405fbba60b47cdb565482018-08-01T00:00:00Zhttps://www.dovepress.com/assessment-of-surgeon-experience-with-femtosecond-laser-assisted-catar-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Christian Song,1,2 Connor J Baharozian,3 Kathryn M Hatch,1,2 Jonathan H Talamo1,2 1Department of Opthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA; 2Department of Ophthalmology, Harvard Medical School, Boston, MA, USA; 3Department of Opthalmology, Boston University School of Medicine, Boston, MA, USA Purpose: To evaluate the collective user experience with an image-guided femtosecond laser (FSL) for cataract surgery in a high-volume, multi-surgeon, ambulatory surgical center. Subjects and methods: A detailed online survey was distributed to all surgeons in a single ambulatory surgical center who had performed cataract surgery using a FSL since its acquisition in December 2012. Information collected included the number of cases performed, typical surgical techniques and parameters, satisfaction with individual features of the laser (rated on a scale from 1=completely unsatisfied to 10=extremely satisfied) and commentary on ease of use and suggested improvements. Results: Seventeen of 30 surgeons (56.7%) completed the survey, representing a case volume of 1,967 eyes. Fourteen surgeons (82.4%) felt they required ≤10 cases with the FSL to operate with the same safety and control as in standard phacoemulsification surgery. Satisfaction was highest for capsulotomies, lens fragmentation, lens softening, arcuate incisions and the graphic user interface (mean scores 9.4, 8.7, 8.7, 7.2 and 8.9, respectively). Preferred capsulotomy diameter was 4.8–5.2 mm (64.7% of respondents). About half (52.9%) of respondents centered the capsulotomy on the pupil and the other 47.1% centered the capsulotomy using optical coherence tomography. Most respondents (81.3%) preferred transepithelial arcuate incisions compared to intrastromal incisions. Satisfaction was lowest with FSL-created, main, clear corneal incisions and paracenteses (mean scores 4.4 and 4.2, respectively). Conclusion: Laser-assisted cataract surgery has a short learning curve and a high rate of user satisfaction. Further software and hardware development is warranted to improve user satisfaction with peripheral and clear corneal incisions. Keywords: survey, satisfaction, learning curve, performance, Catalys, FLACS, capsulorhexisSong CBaharozian CJHatch KMTalamo JHDove Medical Pressarticlesurveysatisfactionlearning curveperformanceCatalysFLACSOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1373-1377 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	survey satisfaction learning curve performance Catalys FLACS Ophthalmology RE1-994
spellingShingle	survey satisfaction learning curve performance Catalys FLACS Ophthalmology RE1-994 Song C Baharozian CJ Hatch KM Talamo JH Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
description	Christian Song,1,2 Connor J Baharozian,3 Kathryn M Hatch,1,2 Jonathan H Talamo1,2 1Department of Opthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA; 2Department of Ophthalmology, Harvard Medical School, Boston, MA, USA; 3Department of Opthalmology, Boston University School of Medicine, Boston, MA, USA Purpose: To evaluate the collective user experience with an image-guided femtosecond laser (FSL) for cataract surgery in a high-volume, multi-surgeon, ambulatory surgical center. Subjects and methods: A detailed online survey was distributed to all surgeons in a single ambulatory surgical center who had performed cataract surgery using a FSL since its acquisition in December 2012. Information collected included the number of cases performed, typical surgical techniques and parameters, satisfaction with individual features of the laser (rated on a scale from 1=completely unsatisfied to 10=extremely satisfied) and commentary on ease of use and suggested improvements. Results: Seventeen of 30 surgeons (56.7%) completed the survey, representing a case volume of 1,967 eyes. Fourteen surgeons (82.4%) felt they required ≤10 cases with the FSL to operate with the same safety and control as in standard phacoemulsification surgery. Satisfaction was highest for capsulotomies, lens fragmentation, lens softening, arcuate incisions and the graphic user interface (mean scores 9.4, 8.7, 8.7, 7.2 and 8.9, respectively). Preferred capsulotomy diameter was 4.8–5.2 mm (64.7% of respondents). About half (52.9%) of respondents centered the capsulotomy on the pupil and the other 47.1% centered the capsulotomy using optical coherence tomography. Most respondents (81.3%) preferred transepithelial arcuate incisions compared to intrastromal incisions. Satisfaction was lowest with FSL-created, main, clear corneal incisions and paracenteses (mean scores 4.4 and 4.2, respectively). Conclusion: Laser-assisted cataract surgery has a short learning curve and a high rate of user satisfaction. Further software and hardware development is warranted to improve user satisfaction with peripheral and clear corneal incisions. Keywords: survey, satisfaction, learning curve, performance, Catalys, FLACS, capsulorhexis
format	article
author	Song C Baharozian CJ Hatch KM Talamo JH
author_facet	Song C Baharozian CJ Hatch KM Talamo JH
author_sort	Song C
title	Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_short	Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_full	Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_fullStr	Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_full_unstemmed	Assessment of surgeon experience with femtosecond laser-assisted cataract surgery
title_sort	assessment of surgeon experience with femtosecond laser-assisted cataract surgery
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/103ac8c7b32e405fbba60b47cdb56548
work_keys_str_mv	AT songc assessmentofsurgeonexperiencewithfemtosecondlaserassistedcataractsurgery AT baharoziancj assessmentofsurgeonexperiencewithfemtosecondlaserassistedcataractsurgery AT hatchkm assessmentofsurgeonexperiencewithfemtosecondlaserassistedcataractsurgery AT talamojh assessmentofsurgeonexperiencewithfemtosecondlaserassistedcataractsurgery
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Assessment of surgeon experience with femtosecond laser-assisted cataract surgery

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