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A Novel Capsulorhexis Technique Using Shearing Forces with Cystotome
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A Novel Cost-Effective Simulation Model for Continuous Curvilinear Capsulorhexis.
Omar Solyman1,2, Hashem Abu Serhan3, Hesham F Kamel1
1Department of Ophthalmology, Research Institute of Ophthalmology, Giza, Egypt.
Clinical Ophthalmology (Auckland, N.Z.)
|September 1, 2022
Summary
A new, low-cost simulation model effectively trains ophthalmologists in continuous curvilinear capsulorhexis (CCC). This accessible tool offers valuable practice for anterior lens capsule maneuvers, especially for training programs with limited resources.
Area of Science:
- Ophthalmology
- Surgical Simulation
- Medical Education
Background:
- Continuous curvilinear capsulorhexis (CCC) is a critical step in cataract surgery.
- Existing simulation models can be expensive or inaccessible for some training programs.
Purpose of the Study:
- To develop and validate a low-cost simulation model for practicing anterior lens capsule CCC.
- To assess the realism and training utility of this novel simulation model.
Main Methods:
- A CCC simulation model was constructed using readily available, inexpensive materials.
- Twenty-seven ophthalmologists evaluated the model's realism and training value via a questionnaire and task performance.
Main Results:
- The model was rated favorably for simulating CCC (mean: 3.5) and comparable to existing models (mean: 3.3).
- High scores were achieved for overall educational value (mean: 4.00) and enlarging small CCCs (mean: 3.7).
- The model's utility in practicing management of runaway CCC edges received a mean score of 2.9.
Conclusions:
- This low-cost model presents a viable alternative for CCC training and practicing anterior lens capsule maneuvers.
- It is particularly beneficial for residency programs lacking access to advanced simulation technologies.

