Abstract：
:Surgery is a major source of errors in patient care. Preventing complications from surgical errors in the operating room is estimated to lead to reduction of up to 41,846 readmissions and save $620.3 million per year. It is now established that poor technical skill is associated with an increased risk of severe adverse events after surgery and traditional models to train surgeons are being challenged by rapid advances in technology, an intensified patient-safety culture, and a need for value-driven health systems. This review discusses the current methods available for evaluating technical skills in cataract surgery as well as the recent technological advancements that have enabled capture and analysis of large amounts of complex surgical data for more automated objective skills assessment.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Alnafisee N,Zafar S,Vedula SS,Sikder Sdoi
10.1097/j.jcrs.0000000000000322subject
Has Abstractpub_date
2020-07-13 00:00:00eissn
0886-3350issn
1873-4502pub_type
杂志文章abstract：PURPOSE:To study the pattern of postoperative complications following extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation in pediatric eyes. SETTING:Tertiary eye care center, New Delhi, India. METHODS:A retrospective analysis of 39 eyes of 28 children referred for complications after ECC...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(99)00296-5
更新日期：1999-12-01 00:00:00
abstract：PURPOSE:To determine whether microcoaxial phacoemulsification can be reliably and safely performed in a clinical setting and whether a full-sized single-piece acrylic intraocular lens (IOL) can be implanted through a 2.2 mm incision. SETTING:Private practice, Cincinnati, Ohio, USA. METHOD:One hundred consecutive pati...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2006.10.055
更新日期：2007-03-01 00:00:00
abstract：PURPOSE:To evaluate the contribution of Fourier analysis of videokeratographic data in the diagnosis of subclinical keratoconus and keratoconus. SETTING:Eye Institute of Thrace, Democritus University, Alexandroupolis, Greece. DESIGN:Observational case series. METHODS:The following Pentacam-derived parameters, result...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2016.01.049
更新日期：2016-05-01 00:00:00
abstract：PURPOSE:To report the clinical outcomes of implantation of a new Ferrara intrastromal corneal ring segment (ICRS) with a 210-degree arc length in eyes with keratoconus. SETTING:Private eye clinic, Belo Horizonte, Brazil METHODS:Statistical analysis included preoperative and postoperative uncorrected distance visual a...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2009.04.035
更新日期：2009-09-01 00:00:00
abstract：:A 31-year-old female physician with bilateral myopia had unilateral myopic laser in situ keratomileusis in the right eye. The patient was overcorrected with the initial treatment and had 2 subsequent hyperopic treatments, resulting in central corneal irregularity. During the course of treatment, the patient was diagno...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(03)00471-1
更新日期：2003-11-01 00:00:00
abstract：PURPOSE:To compare visual outcomes in normal and complicated laser in situ keratomileusis (LASIK) flaps constructed with a femtosecond laser. SETTING:Wilford Hall Ambulatory Surgical Center, San Antonio, Texas. DESIGN:Retrospective chart review. METHODS:The main outcome measures were uncorrected distance visual acui...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2015.05.024
更新日期：2015-11-01 00:00:00
abstract：:In 1984, our ophthalmology department switched from intracapsular cataract extraction (ICCE) to extracapsular cataract extraction (ECCE). We reviewed the postoperative incidence of retinal detachment (RD) in two consecutive series: (1) 604 eyes operated on by ICCE from 1982 to 1983 and (2) 1726 eyes operated on by ECC...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80498-1
更新日期：1995-03-01 00:00:00
abstract：PURPOSE:To compare the spatial resolution threshold in the central visual field of pseudophakic patients with monofocal and multifocal intraocular lenses (IOLs). SETTING:Eye Clinic, University of Trieste, Italy. METHODS:Twenty phakic normal subjects and four groups of 20 pseudophakic patients each, implanted with ref...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(98)80206-x
更新日期：1998-02-01 00:00:00
abstract：PURPOSE:To evaluate surgically induced corneal astigmatism after small superotemporal and superonasal clear corneal incision cataract surgery. SETTING:Department of Ophthalmology, School of Medicine, University of Afyon Kocatepe, Afyon, Turkey. METHODS:This prospective study comprised 56 eyes of 28 patients who had b...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2003.11.034
更新日期：2004-06-01 00:00:00
abstract：PURPOSE:To evaluate and compare the incidence of cyanopsia using the neutralization method in eyes in which clear or yellow intraocular lenses (IOLs) were implanted. SETTING:Miyata Eye Clinic, Hiroshima, Japan. DESIGN:Retrospective comparative study. METHODS:Patients who had cataract surgery with the implantation of...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2014.07.040
更新日期：2015-04-01 00:00:00
abstract：PURPOSE:To investigate the reliability of corneal topography measurements using the Orbscan II topography system (Bausch & Lomb) not only referring to a normal cohort but also to different refractive conditions. SETTING:Department of Ophthalmology, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany. METHODS...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.01.013
更新日期：2005-08-01 00:00:00
abstract：PURPOSE:To evaluate the safety and kinetics of prophylactic intracameral cefuroxime in cataract surgery. SETTING:Department of Ophthalmology, St. Eriks Hospital, Stockholm, Sweden. METHODS:In a nonrandomized observer-masked best-case trial, the visual rehabilitation and the evolution of laser flare intensity and corn...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s0886-3350(01)01270-6
更新日期：2002-06-01 00:00:00
abstract：:We describe a technique that prevents the Argentinean flag sign in white cataract. The technique is based on the intumescent cataract having 2 rather than 1 pressurized compartments within the crystalline lens, the anterior and the posterior. The pressure that pushes the nucleus upward, which is the movement responsib...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2012.07.002
更新日期：2012-09-01 00:00:00
abstract：PURPOSE:To assess the clinical results of transepithelial collagen crosslinking (CXL) in patients 26 years and younger with progressive keratoconus suitable for epithelium-off (epi-off) CXL. SETTING:Department of Ophthalmology, Siena University Hospital, Siena, Italy. DESIGN:Prospective case series. METHODS:The stud...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.03.026
更新日期：2013-08-01 00:00:00
abstract：PURPOSE:To compare vision-related quality of life after binocular implantation of the Tecnis Z9000 intraocular lens (IOL) (Advanced Medical Optics) or the AcrySof MA60AC IOL (Alcon). SETTING:Moorfields Eye Hospital, London, United Kingdom. METHODS:The study was a double-masked prospective randomized controlled trial....
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.2007.04.039
更新日期：2007-09-01 00:00:00
abstract：:The effect of freezing on the growth of rat lens epithelial cells was studied in vitro. We found that 80% of the lens epithelial cells died after freezing at -45 degrees C for two hours and that the surviving cells could grow with the addition of growth factors or when placed on a sheet of type 4 collagen, but not whe...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(88)80122-6
更新日期：1988-05-01 00:00:00
abstract：:This report details the case of a 65-year-old man with advanced cataract in which there was a large discrepancy between the K-readings taken with a keratometer and those taken with a TMS-1 videokeratoscope. It was suspected the discrepancy was caused by the advanced cataract in the presence of a dilated pupil. Repeat ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(96)80155-6
更新日期：1996-12-01 00:00:00
abstract：PURPOSE:To evaluate the effect of a fixed combination of brimonidine-timolol on intraocular pressure (IOP) after phacoemulsification cataract surgery. SETTING:Department of Ophthalmology, Patras University Hospital, Patras, Greece. DESIGN:Prospective randomized comparative case series. METHODS:Patients scheduled for...
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.2010.08.046
更新日期：2011-02-01 00:00:00
abstract：:Anterior stromal pocket hydration was compared with conventional hydration for preventing wound leak after 2.8 mm uniplanar clear corneal incisions (CCIs) in patients having routine cataract surgery. Conventional hydration involves hydration of the lateral walls of the main incision with visible whitening of the strom...
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.2012.04.019
更新日期：2012-06-01 00:00:00
abstract：PURPOSE:To evaluate corneal endothelium morphology and function after phacoemulsification using different viscoelastics. SETTING:Eye Clinic, University of Trieste, Italy. METHODS:This prospective, randomized study included results of preoperative and postoperative (7, 30, and 90 days) examinations of 66 patients sche...
journal_title：Journal of cataract and refractive surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0886-3350(97)80190-3
更新日期：1997-04-01 00:00:00
abstract：PURPOSE:To compare 2 ultrasound (US) frequencies for phacoemulsification for moderate to hard cataract to determine a frequency that makes phacoemulsification safer and more efficacious. SETTING:Post Graduate Institute of Medical Education and Research, New Delhi, India. DESIGN:Randomized controlled trial. METHODS:P...
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.2019.04.015
更新日期：2019-09-01 00:00:00
abstract：UNLABELLED:We report a case of immediate severe anaphylaxis to hydroxypropyl methylcellulose (HPMC) on 2 separate occasions during cataract surgery in a 71-year-old patient. Skin prick tests were positive for HPMC, a constituent of Ocucoat and Xylocaine gel, which were administered intraocularly during surgery. Skin pr...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2013.02.034
更新日期：2013-06-01 00:00:00
abstract：PURPOSE:To investigate the accuracy and predictability of intraocular lens (IOL) power calculation in postoperative photorefractive keratectomy (PRK) eyes. SETTING:Gimbel Eye Centre, Calgary, Alberta, Canada. METHODS:The results in 5 cataract surgery eyes that had had PRK were analyzed retrospectively. Target refract...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(00)00480-6
更新日期：2000-08-01 00:00:00
abstract：PURPOSE:To examine changes in visual, psychological, and functional disability in older people waiting for cataract extraction and 6 months after surgery. SETTING:Community-based study in Northeast England. METHODS:Participants were 92 patients (mean age 78.1 years +/- 6.5 [SD], 79% female) with age-related cataract....
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2005.07.040
更新日期：2006-01-01 00:00:00
abstract：:There are optical and mechanical advantages of the biconvex posterior chamber intraocular lens (IOL) following cataract surgery. A clinical study of Nd:YAG laser capsulotomy in eyes with biconvex IOLs was undertaken. The lenses were made of injection-molded poly(methyl methacrylate) without laser spacing. Using specif...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(89)80065-3
更新日期：1989-07-01 00:00:00
abstract：PURPOSE:To determine the precision and accuracy of an artificial anterior chamber and a manual microkeratome in obtaining corneal lenticules for lamellar keratoplasty. SETTING:Department of Ophthalmology, Cornea, External Diseases and Refractive Surgery Service, University of California Irvine, Irvine, California, USA...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(01)00896-3
更新日期：2001-10-01 00:00:00
abstract：PURPOSE:To compare the extent of corneal endothelial cell loss and pachymetry changes in 2 age-based groups of patients who had cataract removal by AquaLase (Alcon) phacoemulsification in 1 eye and NeoSoniX (Alcon) phacoemulsification in the contralateral eye. SETTING:Department of Ophthalmology, University Hospital, ...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2007.10.033
更新日期：2008-03-01 00:00:00
abstract：:A patient with bilateral Salzmann's nodular degeneration developed a myopic shift of 9 diopters in the right eye and 5 diopters in the left eye after removal of his nodules. This previously unreported complication of removal of peripheral corneal pathology is discussed in light of our current understanding of keratore...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/s0886-3350(13)80658-x
更新日期：1994-11-01 00:00:00
abstract：PURPOSE:To determine and compare the amount of apoptosis and changes in rabbit corneal endothelial cell morphology after intracameral administration of different anesthetic agents. SETTING:Department of Ophthalmology, Baskent University Medical Faculty, Ankara, Turkey. METHODS:Right eyes of 64 Vienna white rabbits we...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.12.016
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:To evaluate the cleavage plane, corneal cytoarchitecture, and cell vitality of separated corneal epithelial sheets created with 3 commonly used microkeratomes. SETTING:Laboratories of the Regensburg University Medical Center, Regensburg, Germany. METHODS:Mechanical separation of the epithelial layer in 10 por...
journal_title：Journal of cataract and refractive surgery
pub_type： 杂志文章
doi：10.1016/j.jcrs.2008.06.028
更新日期：2008-10-01 00:00:00
