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Original research
Can simulators be applied to improve cataract surgery training: a systematic review
  1. Taha Muneer Ahmed1,
  2. Badrul Hussain2,
  3. M A Rehman Siddiqui3
  1. 1Medical College, Aga Khan University, Karachi, Pakistan
  2. 2Cataract Service, Moorfields Eye Hospital NHS Foundation Trust, London, UK
  3. 3Department of Surgery, Section of Ophthalmology, Aga Khan University Hospital, Karachi, Pakistan
  1. Correspondence to Dr M A Rehman Siddiqui; rehman.siddiqui{at}gmail.com

Abstract

Objective The purpose of this paper was to conduct a systematic review of existing literature on simulation-based training of cataract surgery. Available literature was evaluated and projections on how current findings could be applied to cataract surgery training were summarised. The quality of included literature was also assessed.

Methods and analysis The PubMed, Embase and Cochrane Library databases were searched for articles pertaining to simulation training in cataract surgery on 18 November 2019. Selected articles were qualitatively analysed.

Results A total of 165 articles were identified out of which 10 met inclusion criteria. Four studies reported construct validity of the EyeSi simulator. Six studies demonstrated improved surgical outcomes corresponding to training on the simulator. Quality assessment of included studies was satisfactory.

Conclusion Current studies on simulation training in cataract surgery all point towards it being an effective training tool with low risk of study biases confounding this conclusion. As technology improves, surgical training must embrace and incorporate simulation technology in training.

  • medical education
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjophth-2020-000488

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    Footnotes

    • Contributors MARS conceived the idea for the article. TMA conducted the literature search and drafted the manuscript. MARS and BH edited the manuscript. MARS was the guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement All data relevant to the study are included in the article.