Practitioner Learning Curve in Fitting Scleral Lenses in Irregular and Regular Corneas Using a Fitting Trial
Purpose. To assess the learning curve of a novel practitioner with minor previous experience with scleral lenses (SL) fitting in the initial 156 consecutive fittings in irregular and regular corneas using a fitting trial. Methods. Prospective dispensing case series involving a total of 85 subjects (...
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| Veröffentlicht in: | BioMed research international 2019-01, Vol.2019 (2019), p.1-11 |
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| creator | Macedo-de-Araújo, Rute J. González-Méijome, J. M. van der Worp, Eef |
| description | Purpose. To assess the learning curve of a novel practitioner with minor previous experience with scleral lenses (SL) fitting in the initial 156 consecutive fittings in irregular and regular corneas using a fitting trial. Methods. Prospective dispensing case series involving a total of 85 subjects (156 eyes), 122 eyes with irregular corneas (IC Group) and 34 eyes with regular corneas (RC Group). All lenses were fitted by the same practitioner with minimal previous knowledge and practice on SL fitting. The first 156 consecutive fits were studied to estimate the number of trial lenses required to achieve the optimal fit and the number of reorders required. The results were divided into 8 chronological groups of 20 fittings (eyes) each. Results. There was a decrease in the number of trial lenses required to achieve the optimal fit from 2.35±0.18 lenses in the first 20 fittings to 1.56±0.13 in the last fittings (p |
| doi_str_mv | 10.1155/2019/5737124 |
| format | Article |
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M. ; van der Worp, Eef</creator><contributor>Biswas, Susmito ; Susmito Biswas</contributor><creatorcontrib>Macedo-de-Araújo, Rute J. ; González-Méijome, J. M. ; van der Worp, Eef ; Biswas, Susmito ; Susmito Biswas</creatorcontrib><description>Purpose. To assess the learning curve of a novel practitioner with minor previous experience with scleral lenses (SL) fitting in the initial 156 consecutive fittings in irregular and regular corneas using a fitting trial. Methods. Prospective dispensing case series involving a total of 85 subjects (156 eyes), 122 eyes with irregular corneas (IC Group) and 34 eyes with regular corneas (RC Group). All lenses were fitted by the same practitioner with minimal previous knowledge and practice on SL fitting. The first 156 consecutive fits were studied to estimate the number of trial lenses required to achieve the optimal fit and the number of reorders required. The results were divided into 8 chronological groups of 20 fittings (eyes) each. Results. There was a decrease in the number of trial lenses required to achieve the optimal fit from 2.35±0.18 lenses in the first 20 fittings to 1.56±0.13 in the last fittings (p<0.05, Wilcoxon). There were no statistically significant differences between IC and RC groups. Regarding the number of reorders, there was also a decrease from 0.95±0.17 in the first fittings to 0.25±0.11 in the last fittings (p<0.05, Wilcoxon). Thought not statistically significant, there was an increase in the use of toric designs with increasing experience. Conclusions. Practitioner fitting experience reduced both the number of trial lenses required to achieve the best fit and the number of reorders with time. After the first 60 cases, there was a significant reduction in the trial lenses and reorders necessity.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2019/5737124</identifier><identifier>PMID: 30834269</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adult ; Astigmatism ; Clinical medicine ; Contact angle ; Contact lenses ; Contact Lenses, Hydrophilic - standards ; Cornea - physiopathology ; Corneal Topography ; Curve fitting ; Female ; General Practitioners - standards ; Humans ; Keratoconus - physiopathology ; Keratoconus - therapy ; Learning Curve ; Learning curves ; Lenses ; Male ; Optometry ; Prosthesis Design ; Prosthesis Fitting - methods ; Science ; Sclera - physiopathology ; Statistical analysis ; Statistical significance ; Surgery ; Tomography ; Topography ; Visual Acuity - physiology</subject><ispartof>BioMed research international, 2019-01, Vol.2019 (2019), p.1-11</ispartof><rights>Copyright © 2019 Rute J. Macedo-de-Araújo et al.</rights><rights>Copyright © 2019 Rute J. Macedo-de-Araújo et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2019 Rute J. Macedo-de-Araújo et al. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-73ab5e905499aca11035d33ee43df66158584f42e695dba80a4c5692ac6cc6d63</citedby><cites>FETCH-LOGICAL-c496t-73ab5e905499aca11035d33ee43df66158584f42e695dba80a4c5692ac6cc6d63</cites><orcidid>0000-0001-9050-4170</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369499/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369499/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30834269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Biswas, Susmito</contributor><contributor>Susmito Biswas</contributor><creatorcontrib>Macedo-de-Araújo, Rute J.</creatorcontrib><creatorcontrib>González-Méijome, J. M.</creatorcontrib><creatorcontrib>van der Worp, Eef</creatorcontrib><title>Practitioner Learning Curve in Fitting Scleral Lenses in Irregular and Regular Corneas Using a Fitting Trial</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Purpose. To assess the learning curve of a novel practitioner with minor previous experience with scleral lenses (SL) fitting in the initial 156 consecutive fittings in irregular and regular corneas using a fitting trial. Methods. Prospective dispensing case series involving a total of 85 subjects (156 eyes), 122 eyes with irregular corneas (IC Group) and 34 eyes with regular corneas (RC Group). All lenses were fitted by the same practitioner with minimal previous knowledge and practice on SL fitting. The first 156 consecutive fits were studied to estimate the number of trial lenses required to achieve the optimal fit and the number of reorders required. The results were divided into 8 chronological groups of 20 fittings (eyes) each. Results. There was a decrease in the number of trial lenses required to achieve the optimal fit from 2.35±0.18 lenses in the first 20 fittings to 1.56±0.13 in the last fittings (p<0.05, Wilcoxon). There were no statistically significant differences between IC and RC groups. Regarding the number of reorders, there was also a decrease from 0.95±0.17 in the first fittings to 0.25±0.11 in the last fittings (p<0.05, Wilcoxon). Thought not statistically significant, there was an increase in the use of toric designs with increasing experience. Conclusions. Practitioner fitting experience reduced both the number of trial lenses required to achieve the best fit and the number of reorders with time. After the first 60 cases, there was a significant reduction in the trial lenses and reorders necessity.</description><subject>Adult</subject><subject>Astigmatism</subject><subject>Clinical medicine</subject><subject>Contact angle</subject><subject>Contact lenses</subject><subject>Contact Lenses, Hydrophilic - standards</subject><subject>Cornea - physiopathology</subject><subject>Corneal Topography</subject><subject>Curve fitting</subject><subject>Female</subject><subject>General Practitioners - standards</subject><subject>Humans</subject><subject>Keratoconus - physiopathology</subject><subject>Keratoconus - therapy</subject><subject>Learning Curve</subject><subject>Learning curves</subject><subject>Lenses</subject><subject>Male</subject><subject>Optometry</subject><subject>Prosthesis Design</subject><subject>Prosthesis Fitting - methods</subject><subject>Science</subject><subject>Sclera - physiopathology</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Topography</subject><subject>Visual Acuity - physiology</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU1PGzEQhq0KVBDk1nO1EpdKJeDvXV8qoagUpEigNpytiXc2GG281N6l6r_Hq6QBemIuHnmeeT3jl5BPjJ4xptQ5p8ycq1KUjMsP5JALJqeaSba3y4U4IJOUHmiOimlq9EdyIGglJNfmkLS3EVzve98FjMUcIQYfVsVsiE9Y-FBc-r4fL365FiO0mQgJ01i5jhFXQwuxgFAXP7f5rIsBIRV3aeyCXf8iemiPyX4DbcLJ9jwid5ffF7Or6fzmx_XsYj510uh-WgpYKjRUSWPAAWNUqFoIRCnqRmumKlXJRnLURtVLqChIp7Th4LRzutbiiHzb6D4OyzXWDkOfZ7eP0a8h_rUdePu2Evy9XXVPVgtt8qNZ4MtWIHa_B0y9XfvksG0hYDcky1lV8fydpszoyX_oQzfEkNfLVFlRI3Nk6nRDudilFLHZDcOoHZ20o5N262TGP79eYAf_8y0DXzfAvQ81_PHvlMPMYAMvNOOaUymeAej2r5E</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Macedo-de-Araújo, Rute J.</creator><creator>González-Méijome, J. 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M. ; van der Worp, Eef</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-73ab5e905499aca11035d33ee43df66158584f42e695dba80a4c5692ac6cc6d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Astigmatism</topic><topic>Clinical medicine</topic><topic>Contact angle</topic><topic>Contact lenses</topic><topic>Contact Lenses, Hydrophilic - standards</topic><topic>Cornea - physiopathology</topic><topic>Corneal Topography</topic><topic>Curve fitting</topic><topic>Female</topic><topic>General Practitioners - standards</topic><topic>Humans</topic><topic>Keratoconus - physiopathology</topic><topic>Keratoconus - therapy</topic><topic>Learning Curve</topic><topic>Learning curves</topic><topic>Lenses</topic><topic>Male</topic><topic>Optometry</topic><topic>Prosthesis Design</topic><topic>Prosthesis Fitting - methods</topic><topic>Science</topic><topic>Sclera - physiopathology</topic><topic>Statistical analysis</topic><topic>Statistical significance</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Topography</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Macedo-de-Araújo, Rute J.</creatorcontrib><creatorcontrib>González-Méijome, J. 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M.</au><au>van der Worp, Eef</au><au>Biswas, Susmito</au><au>Susmito Biswas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Practitioner Learning Curve in Fitting Scleral Lenses in Irregular and Regular Corneas Using a Fitting Trial</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>2019</volume><issue>2019</issue><spage>1</spage><epage>11</epage><pages>1-11</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Purpose. To assess the learning curve of a novel practitioner with minor previous experience with scleral lenses (SL) fitting in the initial 156 consecutive fittings in irregular and regular corneas using a fitting trial. Methods. Prospective dispensing case series involving a total of 85 subjects (156 eyes), 122 eyes with irregular corneas (IC Group) and 34 eyes with regular corneas (RC Group). All lenses were fitted by the same practitioner with minimal previous knowledge and practice on SL fitting. The first 156 consecutive fits were studied to estimate the number of trial lenses required to achieve the optimal fit and the number of reorders required. The results were divided into 8 chronological groups of 20 fittings (eyes) each. Results. There was a decrease in the number of trial lenses required to achieve the optimal fit from 2.35±0.18 lenses in the first 20 fittings to 1.56±0.13 in the last fittings (p<0.05, Wilcoxon). There were no statistically significant differences between IC and RC groups. Regarding the number of reorders, there was also a decrease from 0.95±0.17 in the first fittings to 0.25±0.11 in the last fittings (p<0.05, Wilcoxon). Thought not statistically significant, there was an increase in the use of toric designs with increasing experience. Conclusions. Practitioner fitting experience reduced both the number of trial lenses required to achieve the best fit and the number of reorders with time. After the first 60 cases, there was a significant reduction in the trial lenses and reorders necessity.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>30834269</pmid><doi>10.1155/2019/5737124</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9050-4170</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Astigmatism Clinical medicine Contact angle Contact lenses Contact Lenses, Hydrophilic - standards Cornea - physiopathology Corneal Topography Curve fitting Female General Practitioners - standards Humans Keratoconus - physiopathology Keratoconus - therapy Learning Curve Learning curves Lenses Male Optometry Prosthesis Design Prosthesis Fitting - methods Science Sclera - physiopathology Statistical analysis Statistical significance Surgery Tomography Topography Visual Acuity - physiology |
| title | Practitioner Learning Curve in Fitting Scleral Lenses in Irregular and Regular Corneas Using a Fitting Trial |
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