Simulation-based certification for cataract surgery.

Abstract:

PURPOSE:To evaluate the EyeSi(™) simulator in regard to assessing competence in cataract surgery. The primary objective was to explore all simulator metrics to establish a proficiency-based test with solid evidence. The secondary objective was to evaluate whether the skill assessment was specific to cataract surgery. METHODS:We included 26 ophthalmic trainees (no cataract surgery experience), 11 experienced cataract surgeons (>4000 cataract procedures) and five vitreoretinal surgeons. All subjects completed 13 different modules twice. Simulator metrics were used for the assessments. RESULTS:Total module score on seven of 13 modules showed significant discriminative ability between the novices and experienced cataract surgeons. The intermodule reliability coefficient was 0.76 (p < 0.001). A pass/fail level was defined from the total score on these seven modules using the contrasting-groups method. The test had an overall ability to discriminate between novices and experienced cataract surgeons, as 21 of 26 novices (81%) versus one of 11 experienced surgeons (9%) did not pass the test. The vitreoretinal surgeons scored significantly higher than the novices (p = 0.006), but not significantly lower than the experienced cataract surgeons (p = 0.32). CONCLUSION:We have established a performance test, consisting of seven modules on the EyeSi(™) simulator, which possess evidence of validity. The test is a useful and reliable tool for assessment of both cataract surgical and general microsurgical skills in vitro.

journal_name

Acta Ophthalmol

journal_title

Acta ophthalmologica

authors

Thomsen AS,Kiilgaard JF,Kjaerbo H,la Cour M,Konge L

doi

10.1111/aos.12691

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

416-21

issue

5

eissn

1755-375X

issn

1755-3768

journal_volume

93

pub_type

杂志文章
  • Difference in the posterior pole profiles associated with the initial location of visual field defect in early-stage normal tension glaucoma.

    abstract:PURPOSE:To identify the differences in posterior pole profiles between early normal tension glaucoma (NTG) patients with an initial central visual field (VF) loss and those with a peripheral VF loss. METHODS:Normal tension glaucoma patients with parafoveal scotoma (PFS; within a central 10° of fixation; superior, n=47...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.12492

    authors: Choi JA,Park HY,Park CK

    更新日期:2015-03-01 00:00:00

  • Variability in short-wavelength automated perimetry among peri- or postmenopausal women: a dependence on phyto-oestrogen consumption?

    abstract:PURPOSE:To determine whether the hill of vision for Short-Wavelength Automated Perimetry (SWAP) is shallower for women who consume phyto-oestrogen-rich foods than for women who do not. METHODS:Visual field data were compared for two groups of healthy amenorrhoeic women 48-69 years-old with normal vision and not using ...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2009.01799.x

    authors: Eisner A,Demirel S

    更新日期:2011-05-01 00:00:00

  • A distinct retinal pigment epithelial cell autofluorescence pattern in choroideremia predicts early involvement of overlying photoreceptors.

    abstract:PURPOSE:Choroideremia is an X-linked retinal disease characterized by early retinal pigment epithelium (RPE) loss and subsequent retinal degeneration. The RPE adopts either a smooth or mottled appearance on fundus autofluorescence (FAF). It is not known how RPE changes predict the health of the overlying ellipsoid zone...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.14281

    authors: Stevanovic M,Cehajic Kapetanovic J,Jolly JK,MacLaren RE

    更新日期:2020-05-01 00:00:00

  • Optical performance after bilateral implantation of apodized aspheric diffractive multifocal intraocular lenses with +3.00-D addition power.

    abstract:PURPOSE:To determine whether bilateral implantation of an aspheric apodized diffractive multifocal intraocular lens (IOL) with +3.00 diopters (D) results in optical adverse effects compared with an aspheric monofocal IOL. METHODS:  In a prospective, randomized study of 204 eyes (102 patients) with bilateral implantati...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1755-3768.2012.02497.x

    authors: Peng C,Zhao J,Ma L,Qu B,Sun Q,Zhang J

    更新日期:2012-12-01 00:00:00

  • Comparison of corneal biomechanical changes after refractive surgery by noncontact tonometry: small-incision lenticule extraction versus flap-based refractive surgery - a systematic review.

    abstract::Corneal refractive surgery disrupts corneal integrity and reduces biomechanical stability in consequence of the beneficial refractive alteration. The minimal invasive cap-based refractive procedure, small-incision lenticule extraction (SMILE), has been proposed to affect corneal integrity less than flap-based procedur...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.13906

    authors: Raevdal P,Grauslund J,Vestergaard AH

    更新日期:2019-03-01 00:00:00

  • Treating amblyopia in adults with prosthetic occluding contact lenses.

    abstract:PURPOSE:To investigate the feasibility, effectiveness and acceptability of using prosthetic occluding contact lenses (OCLs) to treat moderate amblyopia in adults and of the role of the multifocal visual evoked potential (mfVEP) as a predictor of postamblyopic therapy. METHODS:A comparative, prospective, interventional...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aos.13585

    authors: Garcia-Romo E,Perez-Rico C,Roldán-Díaz I,Arévalo-Serrano J,Blanco R

    更新日期:2018-05-01 00:00:00

  • Keratoconus in 18 pairs of twins.

    abstract:PURPOSE:To describe the concordance of keratoconus in 18 sets of twins. METHODS:Thirteen monozygotic (MZ) and five dizygotic (DZ) pairs of twins were identified during an investigation of familial keratoconus. We used 16 forensic microsatellite markers to confirm the zygosity of same sex twins. Patients and available ...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2012.02448.x

    authors: Tuft SJ,Hassan H,George S,Frazer DG,Willoughby CE,Liskova P

    更新日期:2012-09-01 00:00:00

  • Ultrahigh-resolution anterior segment optical coherence tomography for analysis of corneal microarchitecture during wound healing.

    abstract:PURPOSE:To employ ultrahigh-resolution (UHR) optical coherence tomography (OCT) for investigation of the early wound healing process in corneal epithelium. METHODS:A custom-built UHR-OCT system assessed epithelial healing in human keratoconic cornea after epi-off crosslinking (CXL) procedure and a wound healing model ...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aos.14053

    authors: Pantalon A,Pfister M,Aranha Dos Santos V,Sapeta S,Unterhuber A,Pircher N,Schmidinger G,Garhöfer G,Schmidl D,Schmetterer L,Werkmeister RM

    更新日期:2019-08-01 00:00:00

  • Lens autofluorescence is not increased at high altitude.

    abstract:PURPOSE:To study the relation between ambient environmental ultraviolet radiation exposure and lens fluorescence. METHODS:Non-invasive lens fluorometry measurements were compared in healthy Bolivian and Danish subjects. Background ultraviolet radiation was 4.5 times higher in Bolivia than in Denmark. RESULTS:No signi...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2008.01488.x

    authors: Kessel L,Kofoed PK,Zubieta-Calleja G,Larsen M

    更新日期:2010-03-01 00:00:00

  • Dynamics of big bubble formation in deep anterior lamellar keratoplasty by the big bubble technique: in vitro studies.

    abstract:PURPOSE:To examine the movement of air injected in the cornea in simulated deep anterior lamellar keratoplasty (DALK), from the needle tip to the formation of different types of big bubbles (BB) and to ascertain how air travels through the stroma and pre-Descemet's layer [Dua's layer (PDL)] to create a type-1 (air betw...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.13460

    authors: Dua HS,Faraj LA,Kenawy MB,AlTaan S,Elalfy MS,Katamish T,Said DG

    更新日期:2018-02-01 00:00:00

  • Novel membrane frizzled-related protein gene mutation as cause of posterior microphthalmia resulting in high hyperopia with macular folds.

    abstract:PURPOSE:We present a genetic and clinical analysis of two sisters, 3 and 4 years of age, with nanophthalmos and macular folds. METHODS:Ophthalmological examination, general paediatric examination and molecular genetic analysis of the MFRP gene were performed in both affected siblings. RESULTS:Clinical analysis showed...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.12105

    authors: Wasmann RA,Wassink-Ruiter JS,Sundin OH,Morales E,Verheij JB,Pott JW

    更新日期:2014-05-01 00:00:00

  • The eye of Vesalius.

    abstract::In the time of Vesalius, knowledge of ocular anatomy was limited. The first description of the anatomy of the eye comes from Democrites, for whom the eye was surrounded by two 'coats', filled with a homogenous fluid. The optic nerve was hollow and the lens was considered to be a postmortem artefact. Until the 15th cen...

    journal_title:Acta ophthalmologica

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1755-3768.2009.01679.x

    authors: De Laey JJ

    更新日期:2011-05-01 00:00:00

  • Intravitreal pegaptanib sodium (Macugen) for diabetic macular oedema.

    abstract:PURPOSE:To report the functional and anatomical outcomes resulting from the use of intravitreal pegaptanib sodium (Macugen) in patients with diabetic macular oedema (DMO). METHODS:We conducted a retrospective outcome analysis, by optical coherence tomography (OCT) and best-corrected visual acuity (BCVA), of eyes with ...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2009.01580.x

    authors: Querques G,Bux AV,Martinelli D,Iaculli C,Noci ND

    更新日期:2009-09-01 00:00:00

  • Physical activity and myopia in Danish children-The CHAMPS Eye Study.

    abstract:PURPOSE:To determine associations between physical activity (PA) and myopia in Danish school children and investigate the prevalence of myopia. METHODS:This is a prospective study with longitudinal data on PA in a Danish child cohort. Physical activity (PA) was measured objectively by repeated ActiGraph accelerometer ...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.13513

    authors: Lundberg K,Suhr Thykjaer A,Søgaard Hansen R,Vestergaard AH,Jacobsen N,Goldschmidt E,Lima RA,Peto T,Wedderkopp N,Grauslund J

    更新日期:2018-03-01 00:00:00

  • Review of the impact of presbyopia on quality of life in the developing and developed world.

    abstract:PURPOSE:To examine the public health impact of presbyopia regarding its effect on quality of life (QoL) and society in both the developed and developing worlds. METHODS:A database was created from articles found on PubMed, the Cochrane Library and Science Direct using the following search terms: presbyopia, QoL, accom...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章,评审

    doi:10.1111/aos.12308

    authors: Goertz AD,Stewart WC,Burns WR,Stewart JA,Nelson LA

    更新日期:2014-09-01 00:00:00

  • The use of endoscopic cyclophotocoagulation for moderate to advanced glaucoma.

    abstract::Endoscopic Cyclophotocoagulation (ECP) is a glaucoma surgery designed to reduce the intraocular pressure (IOP) by partially ablating the ciliary processes to decrease aqueous humour production and secretion. The aim of this paper is to review the literature regarding the background, indications and results of the surg...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章,评审

    doi:10.1111/aos.12529

    authors: Kaplowitz K,Kuei A,Klenofsky B,Abazari A,Honkanen R

    更新日期:2015-08-01 00:00:00

  • Improving intraocular lens power prediction in combined phacoemulsification and vitrectomy in eyes with macular oedema.

    abstract:PURPOSE:To report the accuracy of intraocular lens (IOL) power estimation in eyes that have undergone phacovitrectomy for retinal diseases with accompanying macular oedema. METHODS:A retrospective study was conducted in 23 eyes of 23 patients at Soonchunhyang University Hospital, Seoul, Korea. The relationship between...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2009.01752.x

    authors: Sun HJ,Choi KS

    更新日期:2011-09-01 00:00:00

  • Aflibercept vs. Ranibizumab: cost-effectiveness of treatment for wet age-related macular degeneration in Sweden.

    abstract:PURPOSE:Monthly dosing with ranibizumab (RBZ) is needed to achieve maximal visual gains in patients with neovascular ('wet') age-related macular degeneration (wAMD). In Sweden, dosing is performed as needed (RBZ PRN), resulting in suboptimal efficacy. Intravitreal aflibercept (IVT-AFL) every 2 months after three initia...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.12964

    authors: Panchmatia HR,Clements KM,Hulbert E,Eriksson M,Wittrup-Jensen K,Nilsson J,Weinstein MC

    更新日期:2016-08-01 00:00:00

  • Early detection of type 2 diabetes mellitus and screening for retinopathy are associated with reduced prevalence and severity of retinopathy.

    abstract:PURPOSE:To explore whether the prevalence and severity of retinopathy differ in diabetes cohorts diagnosed through screening as compared with conventional health care. METHODS:A total of 257 diabetes patients, 151 detected through screening and 106 through conventional clinical care, were included. Retinopathy was eva...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.12954

    authors: Olafsdottir E,Andersson DK,Dedorsson I,Svärdsudd K,Jansson SP,Stefánsson E

    更新日期:2016-05-01 00:00:00

  • Myopic shift and lens turbidity following hyperbaric oxygen therapy - a prospective, longitudinal, observational cohort study.

    abstract:PURPOSE:To examine visual acuity, refraction and ocular status before, during and after hyperbaric oxygen therapy (HBOT). METHODS:Twenty-nine patients underwent 40 standard protocol HBOT treatments. In all subjects, refraction and best corrected visual acuity were measured at baseline and after ten, 20, 30 and 40 trea...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.14010

    authors: Riedl P,Škiljić D,Arnell P,Wannholt R,Zetterberg M,Andersson Grönlund M

    更新日期:2019-09-01 00:00:00

  • Evaluation of adding item-response theory analysis for evaluation of the European Board of Ophthalmology Diploma examination.

    abstract:PURPOSE:To investigate whether introduction of item-response theory (IRT) analysis, in parallel to the 'traditional' statistical analysis methods available for performance evaluation of multiple T/F items as used in the European Board of Ophthalmology Diploma (EBOD) examination, has proved beneficial, and secondly, to ...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.12135

    authors: Mathysen DG,Aclimandos W,Roelant E,Wouters K,Creuzot-Garcher C,Ringens PJ,Hawlina M,Tassignon MJ

    更新日期:2013-11-01 00:00:00

  • Prevalence and risk factors for angle-closure disease in a rural Northeast China population: a population-based survey in Bin County, Harbin.

    abstract:PURPOSE:To estimate the prevalence of primary angle-closure glaucoma (PACG), primary angle closure (PAC) and primary angle-closure suspect (PACS) and associated risk factors for PACG in a rural population in Northeast China. METHODS:A population-based survey was conducted in Bin County, Harbin, Northeast China. Glauco...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2011.02146.x

    authors: Qu W,Li Y,Song W,Zhou X,Kang Y,Yan L,Sui H,Yuan H

    更新日期:2011-09-01 00:00:00

  • Variability in photocoagulation treatment of diabetic macular oedema.

    abstract:PURPOSE:To establish whether differences in the assessment of diabetic macular oedema (DME) with either optical coherence tomography (OCT) or stereoscopic biomicroscopy lead to variability in the photocoagulation treatment of DME. METHODS:The differences in the assessment of DME with either OCT or stereoscopic biomicr...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2012.02524.x

    authors: van Dijk HW,Verbraak FD,Kok PH,Oberstein SY,Schlingemann RO,Russell SR,Abràmoff MD

    更新日期:2013-12-01 00:00:00

  • Anisometropia of spherical equivalent and astigmatism among myopes: a 23-year follow-up study of prevalence and changes from childhood to adulthood.

    abstract:PURPOSE:To study anisometropia of spherical equivalent and astigmatism from the onset of myopia at school age to adulthood. METHODS:A total of 240 myopic schoolchildren (mean age 10.9 years), with no previous spectacles, were recruited during 1983-1984 to a randomized 3-year clinical trial of bifocal treatment of myop...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aos.13405

    authors: Pärssinen O,Kauppinen M

    更新日期:2017-08-01 00:00:00

  • The interrelation between hypothyroidism and glaucoma: a critical review and meta-analyses.

    abstract::Data on the association between hypothyroidism and glaucoma are conflicting. We sought to shed light on this by conducting a critical review and meta-analyses. The meta-analyses were conducted in adherence with the widely accepted MOOSE guidelines. Using the Medical Subject Heading (MeSH) terms: hypothyroidism, myxoed...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/aos.13412

    authors: Thvilum M,Brandt F,Brix TH,Hegedüs L

    更新日期:2017-12-01 00:00:00

  • Corneal biomechanical characteristics measured by the CorVis Scheimpflug technology in eyes with primary open-angle glaucoma and normal eyes.

    abstract:PURPOSE:To evaluate the biomechanical properties of the cornea using Corneal Visualization Scheimpflug Technology (CorVis ST, Oculus) in eyes with primary open-angle glaucoma (POAG) and normal control eyes. METHODS:A comparative cross-sectional study that included 42 patients with POAG and 60 normal control subjects m...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.12672

    authors: Tian L,Wang D,Wu Y,Meng X,Chen B,Ge M,Huang Y

    更新日期:2016-08-01 00:00:00

  • Twelve per cent of 6142 eyes treated for neovascular age-related macular degeneration (nAMD) presented with low visual outcome within 2 years. Analysis from the Swedish Macula Registry (SMR).

    abstract:PURPOSE:To analyse characteristics from the SMR to explore the risk factors for visual acuity (VA) below ≤ 35 letters of the Early Treatment Diabetic Retinopathy Study (ETDRS) due to nAMD during a two-year follow-up. METHODS:This study evaluates 6142 treatment-naïve eyes, with focus on a subgroup of 780 eyes with fina...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.14239

    authors: Schroeder M,Westborg I,Lövestam Adrian M

    更新日期:2020-05-01 00:00:00

  • Ultrastructure of anterior lens capsule of intumescent white cataract.

    abstract:PURPOSE:To analyse the anterior lens capsule thickness and ultrastructure changes of intumescent white cataracts in comparison with nuclear cataracts to prove possible structural reasons for surgical difficulties with the intumescent white cataract. METHODS:Anterior lens capsules from 35 eyes with intumescent white an...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/j.1755-3768.2010.02102.x

    authors: Hawlina M,Stunf S,Hvala A

    更新日期:2011-06-01 00:00:00

  • Selective laser trabeculoplasty in exfoliative glaucoma eyes with prior argon laser trabeculoplasty.

    abstract:PURPOSE:To explore the efficacy of selective laser trabeculoplasty (SLT) within eyes with exfoliative glaucoma and history of prior argon laser trabeculoplasty (ALT). METHODS:A single-centre trial consisting of 47 patients (47 eyes) with uncontrolled exfoliative glaucoma. The main outcome measure was intraocular press...

    journal_title:Acta ophthalmologica

    pub_type: 临床试验,杂志文章

    doi:10.1111/aos.14136

    authors: Ilveskoski L,Taipale C,Tuuminen R

    更新日期:2020-02-01 00:00:00

  • Differential expression and localization of human tissue inhibitors of metalloproteinases in proliferative diabetic retinopathy.

    abstract:PURPOSE:Tissue inhibitors of metalloproteinases (TIMPs) block the catalysis by matrix metalloproteinases (MMPs) and have additional biologic activities, including regulation of cell growth and differentiation, apoptosis, angiogenesis and oncogenesis. We investigated the expression levels of all the four human TIMPs and...

    journal_title:Acta ophthalmologica

    pub_type: 杂志文章

    doi:10.1111/aos.13451

    authors: Abu El-Asrar AM,Ahmad A,Bittoun E,Siddiquei MM,Mohammad G,Mousa A,De Hertogh G,Opdenakker G

    更新日期:2018-02-01 00:00:00