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Reusable Fundus Model for Laser Retinopexy Simulation and Training.

Julia L Hudson, Humberto Salazar, Anne L Kunkler

    Ophthalmic Surgery, Lasers & Imaging Retina
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    Ophthalmologists in training can practice laser barrier retinopexy using a novel simulation model. This method effectively differentiates skill levels between first- and second-year residents, highlighting its educational value.

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    Area of Science:

    • Ophthalmology
    • Medical Education
    • Surgical Simulation

    Background:

    • Laser barrier retinopexy is a crucial procedure for ophthalmologists.
    • Training in laser retinopexy requires specialized techniques and practice.
    • Current training methods may lack objective assessment of skill progression.

    Purpose of the Study:

    • To introduce and evaluate a simulation technique for laser barrier retinopexy.
    • To assess the efficacy of the simulation model in differentiating trainee experience levels.
    • To provide ophthalmologists in training with a practice tool for slit lamp and laser indirect ophthalmoscopy (LIO) retinopexy.

    Main Methods:

    • A simulation model was created using a fundus model and laser printer labels to replicate horseshoe tears (HST).
    • First- and second-year ophthalmology residents performed simulated laser retinopexy around HSTs on the model.
    • Performance was assessed by time taken to complete the procedure at two different time points.

    Main Results:

    • Second-year residents demonstrated significantly faster completion times than first-year residents for both slit lamp and LIO simulated retinopexies (P = .001).
    • Second-year residents showed improved efficiency upon retesting, indicating learning and skill acquisition (P = .003 and P = .005).
    • The simulation effectively captured differences in proficiency based on training level.

    Conclusions:

    • The developed simulation model is a valuable educational tool for ophthalmology trainees.
    • This novel method accurately reflects differences in skill and experience among residents.
    • The simulation can be integrated into structured teaching programs to enhance laser retinopexy training.