Document Detail

Perceived difficulty of various steps of manual small incision cataract surgery among trainees in rural China.
MedLine Citation:
PMID:  23331340     Owner:  NLM     Status:  Publisher    
BACKGROUND: We sought to assess the perceived difficulty of steps of manual small incision cataract surgery (MSICS) among trainees in rural China. DESIGN: Cohort study. PARTICIPANTS: Fifty-two trainees at the end of a MSICS training program, METHODS: Participants rated the difficulty of 14 surgical steps using a 5-point scale, 1 (very easy) to 5 (very difficult). Demographic and professional information was recorded for trainees. MAIN OUTCOME MEASURE: Mean ratings for surgical steps. RESULTS: Questionnaires were completed by 49 trainees (94.2%, median age 38 years, 8 [16.3%] women.) Twenty-six (53.1%) had performed < 50 independent cataract surgeries prior to training. Trainees rated cortical aspiration (mean score ± standard deviation [SD] = 3.10 ± 1.14) the most difficult step, followed by wound construction ( 2.76±1.08), nuclear prolapse into the anterior chamber (2.74±1.23) and lens delivery (2.51±1.08). Draping the surgical field (1.06±0.242), anesthetic block administration (1.14±0.354) and thermal coagulation (1.18±0.441) were rated easiest. In regression models, the difficulty score for cortical aspiration was significantly inversely associated with performing > 50 independent MSICS surgeries during training (P = 0.01), but not significantly associated with age, gender, years of experience in an eye department or total number of cataract surgeries performed prior to training. CONCLUSIONS: Cortical aspiration, wound construction and nuclear prolapse pose the greatest challenge for trainees learning MSICS, and should receive emphasis during training. Numbers of cases performed is the strongest predictor of perceived difficulty of key steps.
Wenyong Huang; Ronghua Ye; Shengsong Huang; Decai Wang; Lanhua Wang; Bin Liu; David S Friedman; Mingguang He; Yizhi Liu; Nathan G Congdon
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-21
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  -     ISSN:  1442-9071     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 The Authors. Clinical and Experimental Ophthalmology © 2013 Royal Australian and New Zealand College of Ophthalmologists.
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou, China.
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