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Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
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Laser Peripheral Iridotomy Curriculum: Lecture and Simulation Practical.

Joanne C Wen1, Kasra A Rezaei2, Deborah L Lam1

  • 1Associate Professor, Department of Ophthalmology, University of Washington School of Medicine.

Mededportal : the Journal of Teaching and Learning Resources
|July 14, 2020
PubMed
Summary
This summary is machine-generated.

A new curriculum improved ophthalmology residents' knowledge and skills in performing laser peripheral iridotomy (LPI), a key procedure for angle closure glaucoma. This training enhanced resident confidence and performance metrics for the essential glaucoma surgery.

Keywords:
Clinical/Procedural Skills TrainingLaser Peripheral IridotomyNd:YAGOphthalmologySimulation

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Area of Science:

  • Ophthalmology
  • Surgical Education

Background:

  • Primary angle closure glaucoma affects millions globally, with laser peripheral iridotomy (LPI) being a common treatment.
  • Ophthalmology residency programs require LPI experience, yet formal training is often insufficient, leading to potential complications.

Purpose of the Study:

  • To develop and evaluate a standardized lecture and wet-lab curriculum for teaching laser peripheral iridotomy (LPI) to ophthalmology residents.
  • To assess the impact of the curriculum on resident knowledge, confidence, and technical performance in LPI.

Main Methods:

  • A lecture and wet-lab curriculum was implemented at the University of Washington for first-year residents.
  • Knowledge was assessed via pre- and post-tests, and LPI performance was evaluated using a model eye, measuring time and number of shots.

Main Results:

  • The curriculum was highly rated by residents.
  • Significant improvements were observed in pre- versus post-test scores, indicating enhanced knowledge.
  • LPI performance metrics, including time and shots, improved post-curriculum.

Conclusions:

  • The developed curriculum effectively improved resident knowledge and confidence in performing LPI.
  • Standardized training enhances surgical skills and preparedness for this critical glaucoma procedure.
  • The program's success supports its continuation and potential adoption by other institutions.