Evaluation of the learning curve of non-penetrating glaucoma surgery
Purpose To evaluate the learning curve of non-penetrating glaucoma surgery (NPGS). Methods The study included 32 eyes of 27 patients’ (20 male and 7 female) with medically uncontrolled glaucoma. Non-penetrating glaucoma surgeries performed by trainees under control of an experienced surgeon between...
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| Veröffentlicht in: | International ophthalmology 2018-10, Vol.38 (5), p.2005-2012 |
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| container_title | International ophthalmology |
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| creator | Aslan, Fatih Yuce, Berna Oztas, Zafer Ates, Halil |
| description | Purpose
To evaluate the learning curve of non-penetrating glaucoma surgery (NPGS).
Methods
The study included 32 eyes of 27 patients’ (20 male and 7 female) with medically uncontrolled glaucoma. Non-penetrating glaucoma surgeries performed by trainees under control of an experienced surgeon between 2005 and 2007 at our tertiary referral hospital were evaluated. Residents were separated into two groups. Humanistic training model applied to the one in the first group, he studied with experimental models before performing NPGS. Two residents in the second group performed NPGS after a conventional training model. Surgeries of the residents were recorded on video and intraoperative parameters were scored by the experienced surgeon at the end of the study. Postoperative intraocular pressure, absolute and total success rates were analyzed.
Results
In the first group 19 eyes of 16 patients and in the second group 13 eyes of 11 patients had been operated by residents. Intraoperative parameters and complication rates were not statistically significant between groups (
p
> 0.05, Chi-square). The duration of surgery was 32.7 ± 5.6 min in the first group and 45 ± 3.8 min in the second group. The difference was statistically significant (
p
|
| doi_str_mv | 10.1007/s10792-017-0691-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1928516280</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2104079115</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-cea1e24faf6c28f18609b4f2762271d7f0cefddf6ede2047d2a4bd92d67856563</originalsourceid><addsrcrecordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OIlOpPdTXaPUusHFLzoOaS7k9qyzdZkt9B_b0qrguBpIPO874SHsUuEWwRQdwFBlYIDKg6yRJ4esSHmKuVCpnDMhoAy57kCHLCzEJYAUKpSnrKBKIoYAhiyh8nGNL3pFq1LWpt0H5Q0ZLxbuHlS9X5Du1fXOr4mR52PYFzMG9NX7cokofdz8ttzdmJNE-jiMEfs_XHyNn7m09enl_H9lFepEh2vyCCJzBorK1FYLCSUs8wKJYVQWCsLFdm6tpJqEpCpWphsVpeilqrIZS7TEbvZ9659-9lT6PRqESpqGuOo7YPGUhQ5SlFARK__oMu29y7-TguELHpDzCOFe6rybQierF77xcr4rUbQO8V6r1hHW3qnWKcxc3Vo7mcrqn8S304jIPZAiCsX_fye_r_1CxAFhgE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2104079115</pqid></control><display><type>article</type><title>Evaluation of the learning curve of non-penetrating glaucoma surgery</title><source>SpringerLink Journals - AutoHoldings</source><creator>Aslan, Fatih ; Yuce, Berna ; Oztas, Zafer ; Ates, Halil</creator><creatorcontrib>Aslan, Fatih ; Yuce, Berna ; Oztas, Zafer ; Ates, Halil</creatorcontrib><description>Purpose
To evaluate the learning curve of non-penetrating glaucoma surgery (NPGS).
Methods
The study included 32 eyes of 27 patients’ (20 male and 7 female) with medically uncontrolled glaucoma. Non-penetrating glaucoma surgeries performed by trainees under control of an experienced surgeon between 2005 and 2007 at our tertiary referral hospital were evaluated. Residents were separated into two groups. Humanistic training model applied to the one in the first group, he studied with experimental models before performing NPGS. Two residents in the second group performed NPGS after a conventional training model. Surgeries of the residents were recorded on video and intraoperative parameters were scored by the experienced surgeon at the end of the study. Postoperative intraocular pressure, absolute and total success rates were analyzed.
Results
In the first group 19 eyes of 16 patients and in the second group 13 eyes of 11 patients had been operated by residents. Intraoperative parameters and complication rates were not statistically significant between groups (
p
> 0.05, Chi-square). The duration of surgery was 32.7 ± 5.6 min in the first group and 45 ± 3.8 min in the second group. The difference was statistically significant (
p
< 0.001, Student’s
t
test). Absolute and total success was 68.8 and 93.8% in the first group and 62.5 and 87.5% in the second group, respectively. The difference was not statistically significant.
Conclusions
Humanistic and conventional training models under control of an experienced surgeon are safe and effective for senior residents who manage phacoemulsification surgery in routine cataract cases. Senior residents can practice these surgical techniques with reasonable complication rates.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-017-0691-3</identifier><identifier>PMID: 28801700</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Eye surgery ; Glaucoma ; Intraocular pressure ; Learning curves ; Mathematical models ; Medicine ; Medicine & Public Health ; Ophthalmology ; Original Paper ; Parameters ; Statistical significance ; Statistical tests ; Surgeons ; Surgery ; Training</subject><ispartof>International ophthalmology, 2018-10, Vol.38 (5), p.2005-2012</ispartof><rights>Springer Science+Business Media B.V. 2017</rights><rights>International Ophthalmology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-cea1e24faf6c28f18609b4f2762271d7f0cefddf6ede2047d2a4bd92d67856563</citedby><cites>FETCH-LOGICAL-c372t-cea1e24faf6c28f18609b4f2762271d7f0cefddf6ede2047d2a4bd92d67856563</cites><orcidid>0000-0001-8367-7399</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-017-0691-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-017-0691-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28801700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aslan, Fatih</creatorcontrib><creatorcontrib>Yuce, Berna</creatorcontrib><creatorcontrib>Oztas, Zafer</creatorcontrib><creatorcontrib>Ates, Halil</creatorcontrib><title>Evaluation of the learning curve of non-penetrating glaucoma surgery</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
To evaluate the learning curve of non-penetrating glaucoma surgery (NPGS).
Methods
The study included 32 eyes of 27 patients’ (20 male and 7 female) with medically uncontrolled glaucoma. Non-penetrating glaucoma surgeries performed by trainees under control of an experienced surgeon between 2005 and 2007 at our tertiary referral hospital were evaluated. Residents were separated into two groups. Humanistic training model applied to the one in the first group, he studied with experimental models before performing NPGS. Two residents in the second group performed NPGS after a conventional training model. Surgeries of the residents were recorded on video and intraoperative parameters were scored by the experienced surgeon at the end of the study. Postoperative intraocular pressure, absolute and total success rates were analyzed.
Results
In the first group 19 eyes of 16 patients and in the second group 13 eyes of 11 patients had been operated by residents. Intraoperative parameters and complication rates were not statistically significant between groups (
p
> 0.05, Chi-square). The duration of surgery was 32.7 ± 5.6 min in the first group and 45 ± 3.8 min in the second group. The difference was statistically significant (
p
< 0.001, Student’s
t
test). Absolute and total success was 68.8 and 93.8% in the first group and 62.5 and 87.5% in the second group, respectively. The difference was not statistically significant.
Conclusions
Humanistic and conventional training models under control of an experienced surgeon are safe and effective for senior residents who manage phacoemulsification surgery in routine cataract cases. Senior residents can practice these surgical techniques with reasonable complication rates.</description><subject>Eye surgery</subject><subject>Glaucoma</subject><subject>Intraocular pressure</subject><subject>Learning curves</subject><subject>Mathematical models</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Parameters</subject><subject>Statistical significance</subject><subject>Statistical tests</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Training</subject><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OIlOpPdTXaPUusHFLzoOaS7k9qyzdZkt9B_b0qrguBpIPO874SHsUuEWwRQdwFBlYIDKg6yRJ4esSHmKuVCpnDMhoAy57kCHLCzEJYAUKpSnrKBKIoYAhiyh8nGNL3pFq1LWpt0H5Q0ZLxbuHlS9X5Du1fXOr4mR52PYFzMG9NX7cokofdz8ttzdmJNE-jiMEfs_XHyNn7m09enl_H9lFepEh2vyCCJzBorK1FYLCSUs8wKJYVQWCsLFdm6tpJqEpCpWphsVpeilqrIZS7TEbvZ9659-9lT6PRqESpqGuOo7YPGUhQ5SlFARK__oMu29y7-TguELHpDzCOFe6rybQierF77xcr4rUbQO8V6r1hHW3qnWKcxc3Vo7mcrqn8S304jIPZAiCsX_fye_r_1CxAFhgE</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Aslan, Fatih</creator><creator>Yuce, Berna</creator><creator>Oztas, Zafer</creator><creator>Ates, Halil</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8367-7399</orcidid></search><sort><creationdate>20181001</creationdate><title>Evaluation of the learning curve of non-penetrating glaucoma surgery</title><author>Aslan, Fatih ; Yuce, Berna ; Oztas, Zafer ; Ates, Halil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-cea1e24faf6c28f18609b4f2762271d7f0cefddf6ede2047d2a4bd92d67856563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Eye surgery</topic><topic>Glaucoma</topic><topic>Intraocular pressure</topic><topic>Learning curves</topic><topic>Mathematical models</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Parameters</topic><topic>Statistical significance</topic><topic>Statistical tests</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aslan, Fatih</creatorcontrib><creatorcontrib>Yuce, Berna</creatorcontrib><creatorcontrib>Oztas, Zafer</creatorcontrib><creatorcontrib>Ates, Halil</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aslan, Fatih</au><au>Yuce, Berna</au><au>Oztas, Zafer</au><au>Ates, Halil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the learning curve of non-penetrating glaucoma surgery</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>38</volume><issue>5</issue><spage>2005</spage><epage>2012</epage><pages>2005-2012</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose
To evaluate the learning curve of non-penetrating glaucoma surgery (NPGS).
Methods
The study included 32 eyes of 27 patients’ (20 male and 7 female) with medically uncontrolled glaucoma. Non-penetrating glaucoma surgeries performed by trainees under control of an experienced surgeon between 2005 and 2007 at our tertiary referral hospital were evaluated. Residents were separated into two groups. Humanistic training model applied to the one in the first group, he studied with experimental models before performing NPGS. Two residents in the second group performed NPGS after a conventional training model. Surgeries of the residents were recorded on video and intraoperative parameters were scored by the experienced surgeon at the end of the study. Postoperative intraocular pressure, absolute and total success rates were analyzed.
Results
In the first group 19 eyes of 16 patients and in the second group 13 eyes of 11 patients had been operated by residents. Intraoperative parameters and complication rates were not statistically significant between groups (
p
> 0.05, Chi-square). The duration of surgery was 32.7 ± 5.6 min in the first group and 45 ± 3.8 min in the second group. The difference was statistically significant (
p
< 0.001, Student’s
t
test). Absolute and total success was 68.8 and 93.8% in the first group and 62.5 and 87.5% in the second group, respectively. The difference was not statistically significant.
Conclusions
Humanistic and conventional training models under control of an experienced surgeon are safe and effective for senior residents who manage phacoemulsification surgery in routine cataract cases. Senior residents can practice these surgical techniques with reasonable complication rates.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>28801700</pmid><doi>10.1007/s10792-017-0691-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8367-7399</orcidid></addata></record> |
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| subjects | Eye surgery Glaucoma Intraocular pressure Learning curves Mathematical models Medicine Medicine & Public Health Ophthalmology Original Paper Parameters Statistical significance Statistical tests Surgeons Surgery Training |
| title | Evaluation of the learning curve of non-penetrating glaucoma surgery |
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