Abstract：
PURPOSE:To develop and test the validity of a surgical competency assessment tool for simulated small-incision cataract surgery (SICS). SETTING:Participating ophthalmologists contributed from 8 countries. DESIGN:Qualitative and quantitative development and evaluation of face and content validity of an assessment rubric, and evaluation of construct validity and reliability. METHODS:The SICS Ophthalmic Simulated Surgical Competency Assessment Rubric (Sim-OSSCAR) was developed and assessed for face and content validity by an international group of experienced ophthalmologists. Groups of novice and competent surgeons from 4 countries were recorded performing surgery, and masked assessments were performed by 4 expert surgeons, to determine construct validity and reliability. RESULTS:The Sim-OSSCAR for SICS was assessed by a panel of 12 international experts from 8 countries. In response to the question, "Do you think the OSSCAR represents the surgical techniques and skills upon which trainees should be assessed?," all respondents either agreed or strongly agreed. Face validity was rated as 4.60 (out of 5.0). The content was iteratively agreed to by the panel of experts; final content validity was rated as 4.5. Interobserver reliability was assessed, and 17 of 20 items in the assessment matrix had a Krippendorff α correlation of more than 0.6. A Wilcoxon rank-sum test showed that competent surgeons perform better than novices (P = .02). CONCLUSIONS:This newly developed and validated assessment tool for simulation SICS, based on the International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric, has good face and content validity. It can play a role in ophthalmic surgical education.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Dean WH,Murray NL,Buchan JC,Golnik K,Kim MJ,Burton MJdoi
10.1016/j.jcrs.2019.04.010subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1252-1257issue
9eissn
0886-3350issn
1873-4502pii
S0886-3350(19)30284-6journal_volume
45pub_type
杂志文章,多中心研究abstract：:The excimer laser is potentially capable of achieving wide area central corneal reprofiling because of its extreme precision and limited penetration into adjacent tissues. A beam modifying system designed for this application is described. Initial clinical studies in monkeys and in ten human patients with blind eyes w...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80055-0
更新日期：1989-07-01 00:00:00
abstract：:A phacoemulsification procedure with implantation of a foldable acrylic intraocular lens in a 31-year-old man with spherophakia is described. The procedure was necessitated by anterior dislocation of the spherophakic lens, with corneal endothelial contact and development of central corneal edema. With a careful approa...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00904-x
更新日期：2002-01-01 00:00:00
abstract：PURPOSE:To report outcomes of secondary intraocular lens (IOL) implantation in the Infant Aphakia Treatment Study (IATS) SETTING:: Multicenter clinical practice DESIGN:: Secondary analysis of patients enrolled in a randomized clinical trial METHODS:: Details regarding all secondary IOL surgeries conducted in children e...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000412
更新日期：2020-09-07 00:00:00
abstract：PURPOSE:To determine whether the addition of a bioadhesive drug-delivery system to topical azithromycin induces intraocular inflammation and damage when introduced intraocularly by different approaches and in varying doses. SETTING:John A. Moran Eye Center, Salt Lake City, Utah, USA. DESIGN:Experimental study. METHO...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2011.06.038
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abstract：PURPOSE:To assess whether laser in situ keratomileusis (LASIK) assisted by corneal topography can successfully treat corneal irregularities or irregular astigmatism in patients with previous ocular surgery or ocular trauma. SETTING:University Eye Hospital, Klinikum Mannheim, Mannheim, Germany. METHODS:In a prospectiv...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80196-x
更新日期：1998-02-01 00:00:00
abstract：PURPOSE:To test the accuracy and reliability of the first-generation prototype of Tracey-1, a ray-tracing refractometer. SETTING:Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. METHODS:The refractive spherical equivalent (SE) and astigmatism measured by Tracey-1, subjective manifest refraction ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)01103-8
更新日期：2002-02-01 00:00:00
abstract：:The results of implanting 269 3M multifocal intraocular lenses are analyzed and compared with those of monofocal lenses. Visual acuity results were excellent. In the best case group, 98% of eyes obtained a distance visual acuity of 20/40 or better and 96% of best cases obtained a functional reading capacity without su...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)81044-9
更新日期：1991-09-01 00:00:00
abstract：PURPOSE:To assess an adherent ocular bandage for clear corneal incisions (CCIs) in cataract surgery using optical coherence tomography (OCT). SETTING:Prince Charles Eye Unit, Windsor, United Kingdom. DESIGN:Case-control study. METHODS:Patients having coaxial microincision cataract surgery (MICS) were allocated to an...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,随机对照试验
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更新日期：2010-11-01 00:00:00
abstract：UNLABELLED:Spontaneous late subluxation of an intraocular lens (IOL) is a rare but serious complication of cataract surgery, often associated with poor zonular support. The management of this complication with a conventional forceps is difficult because the forceps often cannot adequately grasp the optic or haptic to f...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
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更新日期：2013-02-01 00:00:00
abstract：PURPOSE:To prospectively assess the effect of preoperative variables such as pupil size on glare, halos, and visual function after photoastigmatic refractive keratectomy (PARK). SETTING:Department of Ophthalmology, Stanford University School of Medicine, Stanford, California, USA. METHODS:Ninety-three eyes had PARK f...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
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更新日期：2001-06-01 00:00:00
abstract：PURPOSE:Comparison of lens capsule-related complications resulting from femtosecond laser-assisted capsulotomy and manual capsulorhexis in patients with white cataracts. SETTING:Eye Center, Second Affiliated Hospital, Zhejiang Medical School, Hangzhou, China. DESIGN:Prospective consecutive nonrandomized comparative c...
journal_title：Journal of cataract and refractive surgery
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abstract：:We present a simple, effective technique to remove an intraocular lens (IOL) via a very small incision (2.2 mm). After the IOL is carefully removed from the capsular bag, into the anterior chamber, 2 radial incisions, 35 degrees to 50 degrees apart, are made with a Vannas scissors. This results in 2 IOL pieces (maximu...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
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abstract：PURPOSE:To evaluate 1-year outcomes of corneal collagen crosslinking (CXL) for treatment of keratoconus and corneal ectasia. SETTING:Cornea and refractive surgery subspecialty practice. DESIGN:Prospective randomized controlled clinical trial. METHODS:Collagen crosslinking was performed in eyes with keratoconus or ec...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,随机对照试验
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更新日期：2011-01-01 00:00:00
abstract：UNLABELLED:We present a new option for visual rehabilitation of patients with advanced macular degeneration and evaluate the outcomes in the first 8 patients who had implantation of the ciliary sulcus-fixated macular add-on intraocular lens (IOL) (Scharioth Macula Lens) at our institute. The surgical technique for impl...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
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更新日期：2015-08-01 00:00:00
abstract：PURPOSE:To establish whether small incision cataract surgery with phacoemulsification decreases the risk of acute suprachoroidal hemorrhage (ASCH) compared with traditional nucleus expression by extracapsular cataract extraction (ECCE). SETTING:St. Erik Eye Hospital, Stockholm, Sweden. METHODS:A retrospective study w...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80133-8
更新日期：1998-06-01 00:00:00
abstract：:We used the finite element method to evaluate different capsulotomy techniques. Nucleus expression was simulated in a computer model to visualize stress distribution in the anterior capsule. The finite element model demonstrated that the capsulorhexis edge is strong because of low and uniform stress distribution in th...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80176-9
更新日期：1994-07-01 00:00:00
abstract：PURPOSE:To determine whether vault measurements after placement of a hole implantable collamer lens (hole ICL) (KS-AquaPORT) can be predicted by angle-to-angle (ATA) and white-to-white (WTW) measurements obtained with anterior segment optical coherence tomography (AS-OCT). SETTING:Sanno Hospital, Tokyo, Japan. DESIGN...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.02.020
更新日期：2019-08-01 00:00:00
abstract：PURPOSE:To estimate ophthalmologist-level variation in cataract surgery billing and evaluate patient and ophthalmologist characteristics associated with complex cataract surgery coding. SETTING:Cross-sectional study. DESIGN:Retrospective case series. METHODS:Medicare beneficiaries aged 65 years or older who had cata...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2019.06.008
更新日期：2019-11-01 00:00:00
abstract：PURPOSE:To assess the pain experienced by patients with small pupils during pupil stretching in phacoemulsification performed using topical anesthesia. SETTING:Royal Victoria Eye & Ear Hospital and Mater Misericordiae University Hospital, Dublin, Ireland. METHODS:This was a prospective study that included 26 eyes wit...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
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更新日期：2005-09-01 00:00:00
abstract：PURPOSE:To determine the appropriate correction of predicted intraocular lens (IOL) power for sulcus fixation and to prospectively assess the validity of the obtained correction value in patients having sulcus fixation. SETTING:Department of Ophthalmology, Saiseikai Kurihashi Hospital, Saitama, Japan. METHODS:The pos...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00250-5
更新日期：2003-10-01 00:00:00
abstract：:Soon after the diagnosis of pellagra in a 20-year-old patient with beta thalassemia, bilateral intumescent cataracts rapidly developed. We believe the patient's crystalline lenses were at an increased oxidative state due to iron overload from the thalassemia. Depletion of the lens epithelial cells of an important anti...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.05.011
更新日期：2007-09-01 00:00:00
abstract：:A capsulorhexis may be difficult to perform in the absence of a red fundus reflex. Using 0.1 mL of trypan blue 0.1% to stain the anterior capsule in 30 patients with a mature cataract enabled us to visualize the capsulorhexis during phacoemulsification. No adverse reactions were observed up to 12 months after surgery....
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(99)80004-2
更新日期：1999-01-01 00:00:00
abstract：:We report a case of nanophthalmos with intractable secondary glaucoma. Bilateral cataract extraction with intraocular lens implantation was used as definitive treatment for the chronic angle-closure glaucoma. The changes in angle and ciliary body anatomy were well documented with preoperative and postoperative Pentaca...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.02.051
更新日期：2006-06-01 00:00:00
abstract：:We describe a small-incision technique that reduces the phacoemulsification time. It reduces the risk for strong intraocular inflammation after surgery and posterior capsule rupture during surgery in young patients with uveitis. ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.03.047
更新日期：2008-08-01 00:00:00
abstract：PURPOSE:To assess the effect of preoperative tear function on early changes in functional visual acuity (FVA) after laser in situ keratomileusis (LASIK). SETTING:Minamiaoyama Eye Clinic, Tokyo, Japan. METHODS:This prospective single-center study assessed the effect of preoperative and postoperative tear functions on ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2004.02.086
更新日期：2004-11-01 00:00:00
abstract：PURPOSE:To determine the effect of a liquid dissection technique on clinical outcomes with ultrastructural analysis of the lenticule surface in small-incision lenticule extraction (SMILE). SETTING:Zhongshan Ophthalmic Center, Guangzhou, China. DESIGN:Prospective case series. METHODS:Consecutive patients with myopia ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jcrs.2018.06.023
更新日期：2018-09-01 00:00:00
abstract：PURPOSE:To monitor the change in the area of laser posterior capsulotomy over time to determine whether and when the area becomes stable. SETTING:Taipei Municipal Yang-Ming Hospital, Taipei, Taiwan, Republic of China. METHODS:This prospective study comprised 53 eyes (46 patients) with posterior capsule opacification ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00645-3
更新日期：2001-04-01 00:00:00
abstract：PURPOSE:To evaluate the outcomes of customized corneal crosslinking (CXL) for treatment of progressive keratoconus (KC) using a transepithelial approach with supplemental oxygen. SETTING:Siena Crosslinking Center, Siena, Italy. DESIGN:Prospective interventional case series. METHODS:Twenty-seven eyes of 24 patients (...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1097/j.jcrs.0000000000000347
更新日期：2020-12-01 00:00:00
abstract：PURPOSE:To evaluate excimer laser photorefractive keratectomy (PRK) for myopia using a repetition rate of 15 Hz instead of 10 Hz. SETTING:The Cornea and Laser Eye Institute, Teaneck, and Department of Ophthalmology, UMDNJ-New Jersey Medical School, Newark, New Jersey, USA. METHODS:Photorefractive keratectomy using a ...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(99)00406-x
更新日期：2000-03-01 00:00:00
abstract：:The infrequent postoperative complication of intraocular lens decentration in the presence of an intact fibrosed capsule has traditionally been treated with lens explantation and exchange for a sulcus-fixated lens. Many of these patients can be managed by reopening the fibrosed capsular bag and repositioning the lens ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(97)80069-7
更新日期：1997-09-01 00:00:00
