Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes

Kamran M Riaz,1,2 Blake L Williams,1 Asim V Farooq,1 Carolyn E Kloek2 1Department of Ophthalmology and Visual Science, University of Chicago Medical Center, Chicago, IL 60637, USA; 2Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USACorrespondence: K...

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Autores principales:	Riaz KM, Williams BL, Farooq AV, Kloek CE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	cataract surgery curriculum presbyopia correcting intraocular lenses advanced technology intraocular lenses resident cataract surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/633b66d1206c4476a9f7c0fccced4239
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spelling	oai:doaj.org-article:633b66d1206c4476a9f7c0fccced42392021-12-02T10:52:50ZSurgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes1177-5483https://doaj.org/article/633b66d1206c4476a9f7c0fccced42392020-08-01T00:00:00Zhttps://www.dovepress.com/surgical-curriculum-for-presbyopia-correcting-intraocular-lenses-resid-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Kamran M Riaz,1,2 Blake L Williams,1 Asim V Farooq,1 Carolyn E Kloek2 1Department of Ophthalmology and Visual Science, University of Chicago Medical Center, Chicago, IL 60637, USA; 2Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USACorrespondence: Kamran M RiazDean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Suite 313, Oklahoma City, OK 73104, USATel +1 405-271-1095Fax +1 405-271-3680Email Kamran-Riaz@dmei.orgObjective: To describe a stepwise surgical curriculum that was implemented to teach novice surgeons about currently available advanced technology intraocular lenses (ATIOLs) for correction of presbyopia and to report the experiences and surgical results of ATIOL surgery performed by residents who engaged in the curriculum.Design, Setting, and Participants: Third-year ophthalmology residents participated in a curriculum incorporating didactic lectures (with objective assessment and wet-lab practice) and observation of attending-performed ATIOL surgeries prior to performing ATIOL surgery as primary surgeon under direct supervision. Post-operative outcomes studied were best corrected distance visual acuity (BCDVA) and uncorrected distance (UDVA), intermediate (UIVA) near (UNVA) visual acuity and correction of astigmatism with at least 3 months of follow-up (POM3+). Residents were also given a survey to assess experiences with the surgical curriculum, preparedness for use of ATIOLs post-residency, and ATIOL practice pattern post-residency.Results: A total of 12 residents from four consecutive classes completed the curriculum. Residents overall had a favorable opinion of the curriculum and felt well prepared to use ATIOLs after training. Graduates who currently perform cataract surgery felt comfortable using all available ATIOLs. A total of 100 eyes from 72 patients met the inclusion criteria for analysis in the study. At the POM3+ timepoint, 88% of eyes had UDVA of 20/30 or better, 93% had UIVA of 20/30 or better, and 71.2% had UNVA of 20/30 (J2) or better. Among eyes that received an astigmatism-correcting ATIOL, 91% had < 1 diopter of astigmatism after surgery.Conclusion: Resident surgeons learned to perform ATIOL surgery (medical knowledge) and achieve strong surgical outcomes (patient care) with all currently available ATIOLs after completion of a stepwise curriculum. Educators may be encouraged to incorporate an ATIOL curriculum based on the results of this study. The curriculum presented is a prototype and may be further improved with future experiences and studies.Keywords: cataract surgery curriculum, presbyopia-correcting intraocular lenses, advanced technology intraocular lenses, resident cataract surgeryRiaz KMWilliams BLFarooq AVKloek CEDove Medical Pressarticlecataract surgery curriculumpresbyopia correcting intraocular lensesadvanced technology intraocular lensesresident cataract surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2441-2451 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract surgery curriculum presbyopia correcting intraocular lenses advanced technology intraocular lenses resident cataract surgery Ophthalmology RE1-994
spellingShingle	cataract surgery curriculum presbyopia correcting intraocular lenses advanced technology intraocular lenses resident cataract surgery Ophthalmology RE1-994 Riaz KM Williams BL Farooq AV Kloek CE Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes
description	Kamran M Riaz,1,2 Blake L Williams,1 Asim V Farooq,1 Carolyn E Kloek2 1Department of Ophthalmology and Visual Science, University of Chicago Medical Center, Chicago, IL 60637, USA; 2Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USACorrespondence: Kamran M RiazDean McGee Eye Institute, University of Oklahoma Health Sciences Center, 608 Stanton L. Young Blvd, Suite 313, Oklahoma City, OK 73104, USATel +1 405-271-1095Fax +1 405-271-3680Email Kamran-Riaz@dmei.orgObjective: To describe a stepwise surgical curriculum that was implemented to teach novice surgeons about currently available advanced technology intraocular lenses (ATIOLs) for correction of presbyopia and to report the experiences and surgical results of ATIOL surgery performed by residents who engaged in the curriculum.Design, Setting, and Participants: Third-year ophthalmology residents participated in a curriculum incorporating didactic lectures (with objective assessment and wet-lab practice) and observation of attending-performed ATIOL surgeries prior to performing ATIOL surgery as primary surgeon under direct supervision. Post-operative outcomes studied were best corrected distance visual acuity (BCDVA) and uncorrected distance (UDVA), intermediate (UIVA) near (UNVA) visual acuity and correction of astigmatism with at least 3 months of follow-up (POM3+). Residents were also given a survey to assess experiences with the surgical curriculum, preparedness for use of ATIOLs post-residency, and ATIOL practice pattern post-residency.Results: A total of 12 residents from four consecutive classes completed the curriculum. Residents overall had a favorable opinion of the curriculum and felt well prepared to use ATIOLs after training. Graduates who currently perform cataract surgery felt comfortable using all available ATIOLs. A total of 100 eyes from 72 patients met the inclusion criteria for analysis in the study. At the POM3+ timepoint, 88% of eyes had UDVA of 20/30 or better, 93% had UIVA of 20/30 or better, and 71.2% had UNVA of 20/30 (J2) or better. Among eyes that received an astigmatism-correcting ATIOL, 91% had < 1 diopter of astigmatism after surgery.Conclusion: Resident surgeons learned to perform ATIOL surgery (medical knowledge) and achieve strong surgical outcomes (patient care) with all currently available ATIOLs after completion of a stepwise curriculum. Educators may be encouraged to incorporate an ATIOL curriculum based on the results of this study. The curriculum presented is a prototype and may be further improved with future experiences and studies.Keywords: cataract surgery curriculum, presbyopia-correcting intraocular lenses, advanced technology intraocular lenses, resident cataract surgery
format	article
author	Riaz KM Williams BL Farooq AV Kloek CE
author_facet	Riaz KM Williams BL Farooq AV Kloek CE
author_sort	Riaz KM
title	Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes
title_short	Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes
title_full	Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes
title_fullStr	Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes
title_full_unstemmed	Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes
title_sort	surgical curriculum for presbyopia-correcting intraocular lenses: resident experiences and surgical outcomes
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/633b66d1206c4476a9f7c0fccced4239
work_keys_str_mv	AT riazkm surgicalcurriculumforpresbyopiacorrectingintraocularlensesresidentexperiencesandsurgicaloutcomes AT williamsbl surgicalcurriculumforpresbyopiacorrectingintraocularlensesresidentexperiencesandsurgicaloutcomes AT farooqav surgicalcurriculumforpresbyopiacorrectingintraocularlensesresidentexperiencesandsurgicaloutcomes AT kloekce surgicalcurriculumforpresbyopiacorrectingintraocularlensesresidentexperiencesandsurgicaloutcomes
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Surgical Curriculum for Presbyopia-Correcting Intraocular Lenses: Resident Experiences and Surgical Outcomes

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