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Table 1 Tele-medicine Phacoemulsification Wet Lab Cataract Surgery Course

From: The impact of distance cataract surgical wet laboratory training on cataract surgical competency of ophthalmology residents

Week

Model

# of Eyes per Resident

Topic and Specific Steps in the OSCAR Rubric

Video Assignment

0

Artificial Eye

3 eyes each

Pre-course videos

Upload three complete Phaco simulation cases to Cybersight per participant

1

Pig Eye

5 eyes each

Competency 1 & 2

Paracentesis, Keratome, Cannula

Video One: 20 Paracenteses, and enter with cannula through paracentesis port 20 times

Video Two: 20 Keratome incisions

2

Artificial Eye

1 eye each plus sufficient film to practice

Competency 3 & 4

Centration, Capsulorhexis

Video Three: 30 repetitions of dominant and non-dominant hand instrument movement in the anterior chamber

Video Four: 10 Capsulorhexis

3

Artificial Eye

10 eyes each

Competency 5 & 6, 14 Hydrodissection, Nucleus rotation, Grooving

Video Five:10 Hydrodissections; 10 Nucleus rotations in the bag;

Video Six: 5 Maltese Crosses to 80% depth

4

Artificial Eye

7 eyes each

Competency 7, 8, 9, 10, 15

Nucleus Disassembly, Quadrant Removal

Video Seven: 3 Nucleus disassembles with quadrant removal

Video Eight: An additional 2 nucleus disassembles with quadrant removal

5

Artificial Eye

3 eyes each (can reuse from the previous week)

Competency 11, 12, 13, 16

Irrigation/Aspiration, intra-ocular lens insertion

Video 9: 5 Use of irrigation/aspiration

Video 10: 3 intra-ocular lens insertions in the bag

6

Artificial Eye

3 eyes each

Post-course videos

Upload three complete Phacoemulsification simulation cases to Cybersight per participant