Resident surgeon efficiency in femtosecond laser-assisted cataract surgery

Andrew C Pittner,1 Brian R Sullivan2 1Department of Ophthalmology, Stritch School of Medicine, Loyola University Chicago, Maywood, 2Edward Hines Jr VA Hospital, Ophthalmology Section, Hines, IL, USA Purpose: Comparison of resident surgeon performance efficiencies in femtosecond laser-assisted cata...

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Autores principales:	Pittner AC, Sullivan BR
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	phacoemulsification cataract extraction curriculum residency learning curve Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/acd2886814514d54a9c54816864ee02b
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spelling	oai:doaj.org-article:acd2886814514d54a9c54816864ee02b2021-12-02T00:34:53ZResident surgeon efficiency in femtosecond laser-assisted cataract surgery1177-5483https://doaj.org/article/acd2886814514d54a9c54816864ee02b2017-01-01T00:00:00Zhttps://www.dovepress.com/resident-surgeon-efficiency-in-femtosecond-laser-assisted-cataract-sur-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Andrew C Pittner,1 Brian R Sullivan2 1Department of Ophthalmology, Stritch School of Medicine, Loyola University Chicago, Maywood, 2Edward Hines Jr VA Hospital, Ophthalmology Section, Hines, IL, USA Purpose: Comparison of resident surgeon performance efficiencies in femtosecond laser-assisted cataract surgery (FLACS) versus conventional phacoemulsification.Patients and methods: A retrospective cohort study was conducted on consecutive patients undergoing phacoemulsification cataract surgery performed by senior ophthalmology residents under the supervision of 1 attending physician during a 9-month period in a large Veterans Affairs medical center. Medical records were reviewed for demographic information, preoperative nucleus grade, femtosecond laser pretreatment, operative procedure times, total operating room times, and surgical complications. Review of digital video records provided quantitative interval measurements of core steps of the procedures, including completion of incisions, anterior capsulotomy, nucleus removal, cortical removal, and intraocular lens implantation.Results: Total room time, operation time, and corneal incision completion time were found to be significantly longer in the femtosecond laser group versus the traditional phacoemulsification group (each P<0.05). Mean duration for manual completion of anterior capsulotomy was shorter in the laser group (P<0.001). There were no statistically significant differences in the individual steps of nucleus removal, cortical removal, or intraocular lens placement. Surgical complication rates were not significantly different between the groups.Conclusion: In early cases, resident completion of femtosecond cataract surgery is generally less efficient when trainees have more experience with traditional phacoemulsification. FLACS was found to have a significant advantage in completion of capsulotomy, but subsequent surgical steps were not shorter or longer. Resident learning curve for the FLACS technology may partially explain the disparities of performance. Educators should be cognizant of a potential for lower procedural efficiency when introducing FLACS into resident training. Keywords: phacoemulsification, cataract extraction, curriculum, residency, learning curvePittner ACSullivan BRDove Medical Pressarticlephacoemulsificationcataract extractioncurriculumresidencylearning curveOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 291-297 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	phacoemulsification cataract extraction curriculum residency learning curve Ophthalmology RE1-994
spellingShingle	phacoemulsification cataract extraction curriculum residency learning curve Ophthalmology RE1-994 Pittner AC Sullivan BR Resident surgeon efficiency in femtosecond laser-assisted cataract surgery
description	Andrew C Pittner,1 Brian R Sullivan2 1Department of Ophthalmology, Stritch School of Medicine, Loyola University Chicago, Maywood, 2Edward Hines Jr VA Hospital, Ophthalmology Section, Hines, IL, USA Purpose: Comparison of resident surgeon performance efficiencies in femtosecond laser-assisted cataract surgery (FLACS) versus conventional phacoemulsification.Patients and methods: A retrospective cohort study was conducted on consecutive patients undergoing phacoemulsification cataract surgery performed by senior ophthalmology residents under the supervision of 1 attending physician during a 9-month period in a large Veterans Affairs medical center. Medical records were reviewed for demographic information, preoperative nucleus grade, femtosecond laser pretreatment, operative procedure times, total operating room times, and surgical complications. Review of digital video records provided quantitative interval measurements of core steps of the procedures, including completion of incisions, anterior capsulotomy, nucleus removal, cortical removal, and intraocular lens implantation.Results: Total room time, operation time, and corneal incision completion time were found to be significantly longer in the femtosecond laser group versus the traditional phacoemulsification group (each P<0.05). Mean duration for manual completion of anterior capsulotomy was shorter in the laser group (P<0.001). There were no statistically significant differences in the individual steps of nucleus removal, cortical removal, or intraocular lens placement. Surgical complication rates were not significantly different between the groups.Conclusion: In early cases, resident completion of femtosecond cataract surgery is generally less efficient when trainees have more experience with traditional phacoemulsification. FLACS was found to have a significant advantage in completion of capsulotomy, but subsequent surgical steps were not shorter or longer. Resident learning curve for the FLACS technology may partially explain the disparities of performance. Educators should be cognizant of a potential for lower procedural efficiency when introducing FLACS into resident training. Keywords: phacoemulsification, cataract extraction, curriculum, residency, learning curve
format	article
author	Pittner AC Sullivan BR
author_facet	Pittner AC Sullivan BR
author_sort	Pittner AC
title	Resident surgeon efficiency in femtosecond laser-assisted cataract surgery
title_short	Resident surgeon efficiency in femtosecond laser-assisted cataract surgery
title_full	Resident surgeon efficiency in femtosecond laser-assisted cataract surgery
title_fullStr	Resident surgeon efficiency in femtosecond laser-assisted cataract surgery
title_full_unstemmed	Resident surgeon efficiency in femtosecond laser-assisted cataract surgery
title_sort	resident surgeon efficiency in femtosecond laser-assisted cataract surgery
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/acd2886814514d54a9c54816864ee02b
work_keys_str_mv	AT pittnerac residentsurgeonefficiencyinfemtosecondlaserassistedcataractsurgery AT sullivanbr residentsurgeonefficiencyinfemtosecondlaserassistedcataractsurgery
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Resident surgeon efficiency in femtosecond laser-assisted cataract surgery

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