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Impact of Microscope-Integrated OCT on Ophthalmology Resident Performance of Anterior Segment Surgical Maneuvers in Model Eyes.

Publication ,  Journal Article
Todorich, B; Shieh, C; DeSouza, PJ; Carrasco-Zevallos, OM; Cunefare, DL; Stinnett, SS; Izatt, JA; Farsiu, S; Mruthyunjaya, P; Kuo, AN; Toth, CA
Published in: Invest Ophthalmol Vis Sci
July 1, 2016

PURPOSE: The integration of swept-source optical coherence tomography (SS-OCT) into the operating microscope enables real-time, tissue-level three-dimensional (3D) imaging to aid in ophthalmic microsurgery. In this prospective randomized controlled study, we evaluated the impact of SS microscope-integrated OCT (MI-OCT) on ophthalmology residents' performance of ophthalmic microsurgical maneuvers. METHODS: Fourteen ophthalmology residents from a single institution were stratified by year of training and randomized to perform four anterior segment surgical maneuvers on porcine eyes with (MI-OCT+) or without (MI-OCT-) direct intraoperative OCT guidance. Subsequently, both groups repeated the same maneuvers without MI-OCT feedback to test whether initial MI-OCT experience affected subsequent surgical performance. Finally, the MI-OCT- group was crossed over and allowed to repeat the same maneuvers with direct MI-OCT guidance. Each resident completed a survey at the completion of the study. RESULTS: With direct MI-OCT feedback, residents demonstrated enhanced performance in depth-based anterior segment maneuvers (corneal suture passes at 50% and 90% depth and corneal laceration repair) compared with the residents operating without MI-OCT. Microscope-integrated OCT+ residents continued to outperform the controls when both groups subsequently operated without MI-OCT. For clear corneal wound geometry, there was no statistically significant effect of MI-OCT as applied in this study. Overall, the resident surgeons rated their subjective experience of using MI-OCT very favorably. CONCLUSIONS: Microscope-integrated OCT feedback enhances performance of ophthalmology residents in select anterior segment surgical maneuvers. Microscope-integrated OCT represents a valuable tool in the surgical education of ophthalmology residents.

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Published In

Invest Ophthalmol Vis Sci

DOI

EISSN

1552-5783

Publication Date

July 1, 2016

Volume

57

Issue

9

Start / End Page

OCT146 / OCT153

Location

United States

Related Subject Headings

  • Tomography, Optical Coherence
  • Surgery, Computer-Assisted
  • Prospective Studies
  • Ophthalmology & Optometry
  • Ophthalmology
  • Monitoring, Intraoperative
  • Microsurgery
  • Microscopy
  • Male
  • Internship and Residency
 

Citation

APA
Chicago
ICMJE
MLA
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Todorich, B., Shieh, C., DeSouza, P. J., Carrasco-Zevallos, O. M., Cunefare, D. L., Stinnett, S. S., … Toth, C. A. (2016). Impact of Microscope-Integrated OCT on Ophthalmology Resident Performance of Anterior Segment Surgical Maneuvers in Model Eyes. Invest Ophthalmol Vis Sci, 57(9), OCT146–OCT153. https://doi.org/10.1167/iovs.15-18818
Todorich, Bozho, Christine Shieh, Philip J. DeSouza, Oscar M. Carrasco-Zevallos, David L. Cunefare, Sandra S. Stinnett, Joseph A. Izatt, et al. “Impact of Microscope-Integrated OCT on Ophthalmology Resident Performance of Anterior Segment Surgical Maneuvers in Model Eyes.Invest Ophthalmol Vis Sci 57, no. 9 (July 1, 2016): OCT146–53. https://doi.org/10.1167/iovs.15-18818.
Todorich B, Shieh C, DeSouza PJ, Carrasco-Zevallos OM, Cunefare DL, Stinnett SS, et al. Impact of Microscope-Integrated OCT on Ophthalmology Resident Performance of Anterior Segment Surgical Maneuvers in Model Eyes. Invest Ophthalmol Vis Sci. 2016 Jul 1;57(9):OCT146–53.
Todorich, Bozho, et al. “Impact of Microscope-Integrated OCT on Ophthalmology Resident Performance of Anterior Segment Surgical Maneuvers in Model Eyes.Invest Ophthalmol Vis Sci, vol. 57, no. 9, July 2016, pp. OCT146–53. Pubmed, doi:10.1167/iovs.15-18818.
Todorich B, Shieh C, DeSouza PJ, Carrasco-Zevallos OM, Cunefare DL, Stinnett SS, Izatt JA, Farsiu S, Mruthyunjaya P, Kuo AN, Toth CA. Impact of Microscope-Integrated OCT on Ophthalmology Resident Performance of Anterior Segment Surgical Maneuvers in Model Eyes. Invest Ophthalmol Vis Sci. 2016 Jul 1;57(9):OCT146–OCT153.

Published In

Invest Ophthalmol Vis Sci

DOI

EISSN

1552-5783

Publication Date

July 1, 2016

Volume

57

Issue

9

Start / End Page

OCT146 / OCT153

Location

United States

Related Subject Headings

  • Tomography, Optical Coherence
  • Surgery, Computer-Assisted
  • Prospective Studies
  • Ophthalmology & Optometry
  • Ophthalmology
  • Monitoring, Intraoperative
  • Microsurgery
  • Microscopy
  • Male
  • Internship and Residency