Evidence map›Paper›PMID 36308148›Full record

Observational studyIndian journal of ophthalmology2022

An objective evaluation of simulated surgical outcomes among surgical trainees using manual small-incision cataract surgery virtual reality simulator.

R Sankarananthan, R Senthil Prasad, Tony Alex Koshy, Padam Dharani, Ashish Bacchav, Van Charles Lansingh, Chetan Ahiwalay, K Balagiri, Madhu Shekhar

Abstract readObservational Study
In one paragraph

Observational study in Indian journal of ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

R SankarananthanDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
R Senthil PrasadDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Tony Alex KoshyDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Padam DharaniDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Ashish BacchavDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Van Charles LansinghDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Chetan AhiwalayDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
K BalagiriDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Madhu ShekharDepartment of Cataract and IOL Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to evaluate trainee performance across six modules of a virtual reality (VR) simulator. Methods: A retrospective observational study was conducted on 10 manual small-incision cataract surgery (MSICS) trainees who practiced cataract surgery on an MSICS VR simulator for one month. They were assessed in six major steps which included scleral groove, tunnel dissection, keratome entry, capsulorhexis, nucleus delivery, and intraocular lens (IOL) insertion under a trainer's supervision. The information included in their score metrics was collected, and their overall performance was evaluated. Results: Thirty attempts were evaluated for scleral groove, tunnel dissection, and capsulorhexis and 15 attempts for keratome entry. Candidates had varied results in the dimensional aspects and their rates of complications with a mean satisfactory score of 3.1 ± 4.17, 6.8 ± 5.75, 5.8 ± 7.74, and 1.8 ± 2.57, respectively. Nucleus delivery (n = 5) had more of iris pull and IOL insertion (n = 5) had more of lost IOL as complications but both had a higher satisfactory outcome. Conclusion: A VR simulator is a useful tool for training surgeons before their entry into live surgery. It is an effective method for evaluating objectively the structural characteristics of each phase in MSICS and their associated complications, helping them anticipate it earlier during live surgery by giving them a near real world experience.

Indexed as

CataractCataract ExtractionVirtual RealityCapsulorhexisClinical CompetenceHumansTreatment OutcomeHelpMeSee simulatorMSICStrainee surgeonsVR simulator

Identifiers

PMID36308148
PMCPMC9907272

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.