We would like to thank Bausch & Lomb, BVI and Thea for their generous contributions towards this course.
This 2-day course is designed to serve as an introduction to phacoemulsification cataract surgery for ST1 and LAT trainees who have completed the EyeSi courseware A and B training. Using a combination of wet-labs and a Digital Surgical Classroom, with wifi linked Zeiss Stemi microscopes, trainees will be able to practice the core skills developed on the EyeSi, such as capsulorhexis techniques, sculpting and cracking the nucleus, and cortical aspiration techniques, in an environment that is more akin to live surgery.
The pre-course e-learning will focus on developing an understanding of phaco-dynamics as well as detailed explanations of the techniques underpinning each stage of phacoemulsification surgery. The focus will be on hands-on practical experience with only short introductions to each topic followed by practice on a variety of model eyes. We guarantee that each trainee will have the opportunity to complete at least 10 phacoemulsification procedures over the 2 days.
We would strongly advise trainees to use the initial weeks of their theatre training to observe different phacoemulsification techniques, to become accustomed to the workings of the operating microscope, to practice their prepping and draping skills and to confine intraocular manoeuvres to inserting IOLs and performing aspiration of the lens cortex.
Day 1 - Registration 8.30 - 9.00am
Hydrodissection and hydrodelineation techniques
Phacodynamics: talk and machine demonstrations
Introduction to objectives and principles of nucleus sculpting and cracking
Day 2 – 9.00am start
Nucleus disassembly: video demonstrations
Corneal suturing practice
Irrigation-Aspiration discussion and videos
IOL insertion: discussion
Complications: vitreous loss, recognition / action / management
Phaco practice & corneal suturing practice
Psychological aspects of surgery – human factors and coping with set backs.
5.00pm Debrief and feedback