Initial editing of ICO OSCAR for trabeculectomy
| Stage of procedure | Action | New Sim-OSSCAR | Comment |
| Draping | Deleted | ||
| Corneal or superior rectus traction suture | Deleted and edited | Globe stabilisation | |
| Conjunctival incision and Tenon’s dissection | Deleted and edited | Conjunctival peritomy | Tenon’s dissection deleted |
| Maintaining haemostasis | Deleted | ||
| Application of antimetabolite | Deleted | ||
| Full thickness incision into anterior chamber (AC) | Added | ||
| Scleral flap suturing/AC reformation | Split into separate sections, edited | Releasable, interrupted sutures | Further AC reformation |
| Conjunctival closure | Edited | Conjunctival suturing, burying | |
| Knowledge of instruments | Deleted | ||
| Communication with surgical team | Deleted | ||
| Overall speed and fluidity of procedure | Edited | Fluidity separate Times changes |
ICO, International Council of Ophthalmology; OSCAR, ophthalmology surgical competency assessment rubric; Sim-OSSCAR, ophthalmic simulated surgical competency assessment rubric.