Purpose:
To demonstrate how VitreoRetinal Education in VR Surgery runs and how it does affect the outcome of VR service.
Methods:
The latest and most advanced simulator used in ophthalmic residency training is entitled "Eyesi®" and developed by Mannheim, Germany-based VR Magic. It is becoming fast a standard in resident training (1-5). Studies were performed to evaluate the effect of VitreoRetinal Training including virtual reality (VR) to lab operating room (OR) examinations (5) where the significant effect of VirtuaReality Training onto the skill profile of surgeons was proven. In our study, 10 novice surgeons and one instructor attended a vitreoretinal intervention in Eyesi® including vitreous removal, posterior vitreous detachment and peeling of the inner limiting membrane. Fig. 1
Results:
All, the surgeons, the instructors and the trainees came to a conclusion about the trainees capabilities after a 20 to 30 min surgical intervention. Hand positioning, adjustment of the microscope, control of a vitrectomy mashine and its parameters, the principles of surgical approaches (entrance of the eye, removal of vitreous in the core, vitreous "staining", posterior vitreous detachment, peeling of inner limiting membrane) and the detailed evaluation of the procedure could be done after less then half an hour.
Conclusions:
At any time the potentials and skill option of any candidate could be detected in a short time (20 to 30 min). In general it means, that this procedure allows the potential surgeon as well as the expert to better detect qualifications and assist the candidate, the clinic and the health care systems to determine who is really skilled for performing vitreoretinal surgery.1. Jonas JB , Rabethage S, Bender HJ. Acta Ophthalmology Scand 81: 600-4 (2003)2. Khalifa Y, Bogorad D, Gibson V, Peifer J, Nussbaum.J. Survey ofOphthalmology 51: 259-27 (2006)3. Mahr MA , Hodge DO. J Cataract Refraction surgery 34: 980-5 (2008)4. Koch F, et al. Klin. Monabl. Augenheilk. 226: 672 -6 (2009)5. Feudner E et al. Graefes Arch of Ophthalmology . 247: 955- 63 (2009)
Keywords: vitreoretinal surgery • learning • image processing