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Development of a low-cost strabismus surgery simulation model.

Mohsan Malik1, Neil Shah2, Vivienne Kit2

  • 1Ophthalmic Specialist Trainee, Department of Ophthalmology, Royal Free Foundation Trust, London, UK. Mohsan.m.malik@gmail.com.

Eye (London, England)
|May 20, 2020
PubMed
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This study developed a low-cost strabismus surgery simulation model for training. The model effectively teaches core skills like muscle securing and suturing, offering a viable alternative to traditional methods.

Area of Science:

  • Ophthalmology
  • Surgical Education
  • Medical Simulation

Background:

  • Traditional strabismus surgery training relies on the "see one, do one, teach one" model.
  • Current simulation models face limitations due to tissue use concerns and high costs.
  • There is a need for accessible, cost-effective strabismus surgery simulation tools.

Purpose of the Study:

  • To develop and validate a low-cost simulation model for strabismus surgery.
  • To assess the model's utility in practicing core surgical skills.
  • To provide an alternative training method for ophthalmic trainees.

Main Methods:

  • A low-cost strabismus surgery simulation model was constructed using readily available materials.
  • Ophthalmic professionals (trainees, fellows, consultants) evaluated the model.

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Last Updated: Dec 21, 2025

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  • A questionnaire assessed realism and training utility on a five-point Likert scale during a simulated horizontal muscle resection.

    • Main Results:

    • Forty-two ophthalmologists participated in the evaluation.
    • The model received high scores for muscle securing and suturing (median: 4.00).
    • Muscle dissection and conjunctiva simulation were rated lower (median: 3.00 and 2.50, respectively).
    • Overall, the model was considered a good simulation of strabismus surgery, comparable to existing dry models (median: 4.00).

    Conclusions:

    • A favorable, low-cost training model for independent practice of core strabismus surgical techniques has been developed.
    • The model allows for effective practice of essential skills like suturing.
    • Replicating complex ocular anatomy with commercial materials remains a challenge.