Cataract Surgery Training
To permit training of anterior segment surgery, the Eyesi® Surgical platform is equipped with a cataract eye interface, cataract instrument set, and foot pedals. Trainees see the intraocular surgical field through the operating microscope. The view is in stereo and offers realistic depth of field. Focus and zoom can be altered by using the microscope foot pedal. The instrument handpieces are inserted through incisions in the model eye. The cataract patient model head can be operated on from a temporal or superior position.
The Eyesi® cataract training modules offer an immersive simulation environment for training of critical surgical steps. Complex interaction between instruments, discrete tissue and intraocular structures can be experienced in real time. Available surgery training modules include capsulorhexis, hydrodissection, phaco, irrigation/aspiration, and IOL insertion as well as complications management. Abstract simulation tasks aim at refining basic skills such as microscope handling, proper pivoting at the incision, and understanding of spatial boundaries. The number of Eyesi® training modules is being constantly extended. Eyesi® Surgical units can be upgraded as new modules become available.
Phaco Machine and Instruments
During virtual surgery, cataract instruments such as forceps, visco cannula, cystotome, and phaco probe are available. Just as in real surgery, discreet instrument movements are required to avoid undue wound stress, loss of viscoelastic, or diminished red reflex. Eyesi Surgical provides an OR machine interface and a two-axis phaco foot pedal to control fluidics. Trainees must select appropriate phaco parameters in order to safely and effectively complete a surgical procedure.
The Eyesi® Surgical simulator provides objective assessment of the surgical performance and detailed skill evaluation. Various parameters relating to instrument and microscope handling, surgical efficiency and tissue treatment are recorded by the system. At the end of each task, the trainee is presented with a performance summary based on these parameters. The data is stored in a database for further analysis. Eyesi®´s documentation of surgical abilities over time allows educators to keep track of individual learning curves.
Eyesi® Surgical provides a structured and ready-to-use training curriculum, which combines training of basic skills with training of actual surgical procedures in a consecutively structured course design. The courseware consists of courses with ascending levels of difficulty and allows residents to practice at a level appropriate for their current ability. To advance through a course, trainees must meet a required performance level on each task.