Computer-simulated phacoemulsification.

Abstract:

OBJECTIVE:To develop a simulator for training in phacoemulsification to be used as a learning device for both beginners and experienced surgeons to shorten the learning curve. DESIGN:Experimental study. METHODS:The system consists of a personal computer, a 3-dimensional visual interface, a phacoemulsification handpiece, and a nucleus manipulator and foot pedals for control of the phacoemulsification procedure and microscope adjustments. The simulation is based on generalized simulation software that can be also used for the development of other medical simulations. MAIN OUTCOME MEASURES:Qualitative statements given in a questionnaire. Medical students and ophthalmic surgeons with varying experience of phacoemulsification were tested. RESULTS:A simulator for training in phacoemulsification has been developed. The surgical procedures can be practiced any number of times, and there is no risk to patients. The efforts of the surgeon can be evaluated objectively. CONCLUSIONS:Studies have shown that the number of complications for an ophthalmic surgeon learning phacoemulsification decreases exponentially, reaching close to the asymptote only after several hundred procedures. Simulator training might shorten the learning period, reduce expensive supervision by an experienced surgeon, and maintain and improve the skills of experienced surgeons.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Laurell CG,Söderberg P,Nordh L,Skarman E,Nordqvist P

doi

10.1016/j.ophtha.2003.06.023

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

693-8

issue

4

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(03)01501-X

journal_volume

111

pub_type

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