Purpose: To appraise the learning pattern in Manual Small Incision Cataract Surgery (MSICS) of a trainee ophthalmologist. Setting: Sankara Eye Hospital, Pammal, Chennai, India. Design: Retrospective study. Methods: Case files of patients who underwent MSICS during the training were reviewed. Surgical complications, nucleus density, extent of supervisors’ intervention in surgeries and visual acuity were either tabulated or graphically presented. Two-way ANOVA and multiple regressions were used to compare dependent variables. Results: There were 123 eyes of 123 patients {males 49 (39.8%), females 74 (60.2%)}. The mean age was 63.19 + 6.6 years with a range of 40-80 years. The worst post-operative visual acuity (VA) was in the first month of training. With an overall complication rate of 30.9%, posterior capsular rent (PCR) was most prevalent in eyes operated in the first month of training (3 of 18 eyes, 16.7%). Supervisors’ intervention in surgeries was highest in the first month of training and declined as training progressed. Fischer’s Exact test for intraoperative complications and extents of supervision showed a statistically significant (P = 0.012). Multiple logistic regression analysis showed that density of nucleus was statistically significant (P = 0.02). Conclusions: Three months appear sufficient for learning the surgical rudiments of MSICS for a trainee with a modest competence in Extra-capsular Cataract Extraction (ECCE), especially if surgeries are performed on a continuous basis during the period.
| Published in | Journal of Surgery (Volume 1, Issue 5) |
| DOI | 10.11648/j.js.20130105.11 |
| Page(s) | 63-69 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2013. Published by Science Publishing Group |
Cataract, MSICS, Trainee Ophthalmologist, Learning Curve
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APA Style
Emmanuel Olu Megbelayin, Ashok Rangarajan, Sreedhar Pindikura. (2013). Learning Curve of a Trainee Ophthalmologist in Manual Small Incision Cataract Surgery: A Self-Appraisal. Journal of Surgery, 1(5), 63-69. https://doi.org/10.11648/j.js.20130105.11
ACS Style
Emmanuel Olu Megbelayin; Ashok Rangarajan; Sreedhar Pindikura. Learning Curve of a Trainee Ophthalmologist in Manual Small Incision Cataract Surgery: A Self-Appraisal. J. Surg. 2013, 1(5), 63-69. doi: 10.11648/j.js.20130105.11
AMA Style
Emmanuel Olu Megbelayin, Ashok Rangarajan, Sreedhar Pindikura. Learning Curve of a Trainee Ophthalmologist in Manual Small Incision Cataract Surgery: A Self-Appraisal. J Surg. 2013;1(5):63-69. doi: 10.11648/j.js.20130105.11
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Download@article{10.11648/j.js.20130105.11,
author = {Emmanuel Olu Megbelayin and Ashok Rangarajan and Sreedhar Pindikura},
title = {Learning Curve of a Trainee Ophthalmologist in Manual Small Incision Cataract Surgery: A Self-Appraisal},
journal = {Journal of Surgery},
volume = {1},
number = {5},
pages = {63-69},
doi = {10.11648/j.js.20130105.11},
url = {https://doi.org/10.11648/j.js.20130105.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130105.11},
abstract = {Purpose: To appraise the learning pattern in Manual Small Incision Cataract Surgery (MSICS) of a trainee ophthalmologist. Setting: Sankara Eye Hospital, Pammal, Chennai, India. Design: Retrospective study. Methods: Case files of patients who underwent MSICS during the training were reviewed. Surgical complications, nucleus density, extent of supervisors’ intervention in surgeries and visual acuity were either tabulated or graphically presented. Two-way ANOVA and multiple regressions were used to compare dependent variables. Results: There were 123 eyes of 123 patients {males 49 (39.8%), females 74 (60.2%)}. The mean age was 63.19 + 6.6 years with a range of 40-80 years. The worst post-operative visual acuity (VA) was in the first month of training. With an overall complication rate of 30.9%, posterior capsular rent (PCR) was most prevalent in eyes operated in the first month of training (3 of 18 eyes, 16.7%). Supervisors’ intervention in surgeries was highest in the first month of training and declined as training progressed. Fischer’s Exact test for intraoperative complications and extents of supervision showed a statistically significant (P = 0.012). Multiple logistic regression analysis showed that density of nucleus was statistically significant (P = 0.02). Conclusions: Three months appear sufficient for learning the surgical rudiments of MSICS for a trainee with a modest competence in Extra-capsular Cataract Extraction (ECCE), especially if surgeries are performed on a continuous basis during the period.},
year = {2013}
}
TY - JOUR
T1 - Learning Curve of a Trainee Ophthalmologist in Manual Small Incision Cataract Surgery: A Self-Appraisal
AU - Emmanuel Olu Megbelayin
AU - Ashok Rangarajan
AU - Sreedhar Pindikura
Y1 - 2013/12/10
PY - 2013
N1 - https://doi.org/10.11648/j.js.20130105.11
DO - 10.11648/j.js.20130105.11
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 63
EP - 69
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20130105.11
AB - Purpose: To appraise the learning pattern in Manual Small Incision Cataract Surgery (MSICS) of a trainee ophthalmologist. Setting: Sankara Eye Hospital, Pammal, Chennai, India. Design: Retrospective study. Methods: Case files of patients who underwent MSICS during the training were reviewed. Surgical complications, nucleus density, extent of supervisors’ intervention in surgeries and visual acuity were either tabulated or graphically presented. Two-way ANOVA and multiple regressions were used to compare dependent variables. Results: There were 123 eyes of 123 patients {males 49 (39.8%), females 74 (60.2%)}. The mean age was 63.19 + 6.6 years with a range of 40-80 years. The worst post-operative visual acuity (VA) was in the first month of training. With an overall complication rate of 30.9%, posterior capsular rent (PCR) was most prevalent in eyes operated in the first month of training (3 of 18 eyes, 16.7%). Supervisors’ intervention in surgeries was highest in the first month of training and declined as training progressed. Fischer’s Exact test for intraoperative complications and extents of supervision showed a statistically significant (P = 0.012). Multiple logistic regression analysis showed that density of nucleus was statistically significant (P = 0.02). Conclusions: Three months appear sufficient for learning the surgical rudiments of MSICS for a trainee with a modest competence in Extra-capsular Cataract Extraction (ECCE), especially if surgeries are performed on a continuous basis during the period.
VL - 1
IS - 5
ER -
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