{"id":10547,"date":"2025-03-06T20:08:11","date_gmt":"2025-03-06T20:08:11","guid":{"rendered":"https:\/\/7a7df05b52dab8495fdeb023c7d876bd1135a5b7.helpmesee.org\/?p=10547"},"modified":"2025-04-16T18:46:02","modified_gmt":"2025-04-16T18:46:02","slug":"global-perspectives-on-manual-small-incision-cataract-surgery-training","status":"publish","type":"post","link":"https:\/\/helpmesee.org\/fr\/global-perspectives-on-manual-small-incision-cataract-surgery-training\/","title":{"rendered":"Perspectives mondiales sur la formation \u00e0 la chirurgie de la cataracte par petite incision manuelle"},"content":{"rendered":"

La chirurgie manuelle de la cataracte par petite incision (MSICS) est reconnue comme une technique transformatrice pour l'extraction de la cataracte, en particulier dans les pays \u00e0 faibles ressources. La demande de chirurgie de la cataracte continue d'augmenter dans le monde entier en raison du vieillissement de la population et de l'allongement de l'esp\u00e9rance de vie,1<\/a><\/sup> Des approches novatrices de la formation MSICS ont vu le jour dans le monde entier. Ces mod\u00e8les de formation offrent non seulement des avantages imm\u00e9diats dans les r\u00e9gions mal desservies, mais aussi des enseignements pr\u00e9cieux qui pourraient \u00eatre adapt\u00e9s \u00e0 la formation des chirurgiens de la cataracte aux \u00c9tats-Unis.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Pourquoi MSICS ?<\/h2>\n\n\n\n

La MSICS est une alternative efficace \u00e0 la phaco\u00e9mulsification. La rentabilit\u00e9, l'accessibilit\u00e9 et le taux de r\u00e9ussite \u00e9lev\u00e9 de cette proc\u00e9dure en font une solution id\u00e9ale pour lutter contre la c\u00e9cit\u00e9 due \u00e0 la cataracte. Bien qu'elle soit largement utilis\u00e9e dans des r\u00e9gions du monde d\u00e9pourvues d'\u00e9quipements sophistiqu\u00e9s et de technologies chirurgicales avanc\u00e9es, la MSICS est utile dans une multitude de contextes et de situations, y compris pour les yeux pr\u00e9sentant des cataractes extr\u00eamement denses (blanches et noires, par exemple),2<\/a><\/sup> <\/sup>opacit\u00e9 corn\u00e9enne \u00e9tendue, pseudoexfoliation et colobome irido-fonctionnel.3<\/a><\/sup> 4<\/a><\/sup><\/p>\n\n\n\n

Studies also have shown that mastering MSICS may help reduce the learning curve<\/a> with phacoemulsification,5<\/a><\/sup> une technique d'extraction de la cataracte couramment utilis\u00e9e dans des \u00e9conomies comme les \u00c9tats-Unis o\u00f9 les ressources sont abondantes. La reproductibilit\u00e9 de la technique MSICS et les r\u00e9sultats positifs apr\u00e8s l'op\u00e9ration d\u00e9pendent toutefois fortement de l'acquisition des comp\u00e9tences chirurgicales et de la qualit\u00e9 et de la rigueur de la formation chirurgicale. Avec une formation et des conseils appropri\u00e9s, les r\u00e9sultats visuels et les taux de complications sont similaires \u00e0 ceux de la phaco\u00e9mulsification. <\/sup>6<\/a><\/sup> 7<\/a><\/sup><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Programmes de formation innovants<\/strong><\/h2>\n\n\n\n

De nombreux pays ont adopt\u00e9 des mod\u00e8les innovants pour enseigner les MSICS qui combinent la formation chirurgicale pratique traditionnelle et l'apprentissage par simulation. Cette derni\u00e8re m\u00e9thode peut r\u00e9duire la courbe d'apprentissage, am\u00e9liorer les r\u00e9sultats en mati\u00e8re de s\u00e9curit\u00e9 et permettre aux chirurgiens de g\u00e9rer plus efficacement les complications.8<\/a><\/sup><\/p>\n\n\n\n

Le Programme de formation par simulation HelpMeSee<\/a> is a prime example of how to successfully combine instructor-led learning with simulation training, bridging the gap between theory and practice, providing a platform for trainees to refine their surgical technique and enhance their competency and confidence.9<\/a><\/sup> Pendant la formation, les participants effectuent une simulation chirurgicale sur le simulateur de chirurgie oculaire HelpMeSee, un environnement VR qui reproduit les subtilit\u00e9s de l'anatomie oculaire et utilise un retour haptique pour fournir une exp\u00e9rience chirurgicale r\u00e9elle. En outre, des instructeurs sp\u00e9cialis\u00e9s guident les apprenants \u00e0 chaque \u00e9tape, en veillant \u00e0 ce que les stagiaires acqui\u00e8rent les comp\u00e9tences pratiques requises pour la proc\u00e9dure.<\/p>\n\n\n\n

Un programme de simulation structur\u00e9 peut am\u00e9liorer de mani\u00e8re significative les comp\u00e9tences des nouveaux chirurgiens et leur permettre d'effectuer des MSICS avec un haut degr\u00e9 de comp\u00e9tence.9<\/a><\/sup><\/sup> Des pays comme le N\u00e9pal, l'\u00c9thiopie et la Tanzanie ont int\u00e9gr\u00e9 avec succ\u00e8s le mod\u00e8le HelpMeSee dans leurs programmes de formation chirurgicale. En \u00e9valuant les chirurgiens sur la base de leurs performances dans des environnements simul\u00e9s, ces programmes garantissent que les stagiaires ma\u00eetrisent les comp\u00e9tences requises avant de passer \u00e0 la chirurgie r\u00e9elle.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Adoption de la formation MSICS aux \u00c9tats-Unis<\/strong><\/h2>\n\n\n\n

Bien que cette approche de la formation MSICS ait \u00e9t\u00e9 efficace en grande partie dans les r\u00e9gions \u00e0 faibles ressources, le mod\u00e8le d'\u00e9valuation bas\u00e9 sur les comp\u00e9tences et l'\u00e9valuation rigoureuse des aptitudes chirurgicales sont tout aussi appropri\u00e9s pour les programmes de formation des r\u00e9sidents aux \u00c9tats-Unis et dans d'autres pays d\u00e9velopp\u00e9s.11<\/a><\/sup><\/p>\n\n\n\n

Alors que les \u00c9tats-Unis sont confront\u00e9s \u00e0 l'augmentation des co\u00fbts des soins de sant\u00e9 et au vieillissement de la population, la MSICS pourrait offrir une option plus rentable pour le traitement de la cataracte, en particulier dans les communaut\u00e9s mal desservies. L'int\u00e9gration de l'apprentissage par simulation et des \u00e9valuations bas\u00e9es sur les comp\u00e9tences dans les programmes de formation am\u00e9ricains pourrait am\u00e9liorer les comp\u00e9tences chirurgicales, minimiser les risques pour les patients et acc\u00e9l\u00e9rer le temps n\u00e9cessaire pour former des chirurgiens hautement qualifi\u00e9s.<\/p>\n\n\n\n

\n\n\n
  1. Chen J, Zhu Y, Li Z, et al. Global impact of population aging on vision loss prevalence : a population-based study. Transitions mondiales.<\/em> 2024;6:28-36. \u21a9\ufe0e<\/a><\/li>
  2. Bourne RRA, Minassian DC, Dart JK, Rosen P, Kaushal S, Wingate N. Effet de la chirurgie de la cataracte sur l'endoth\u00e9lium corn\u00e9en : Modern phacoemulsi\ufb01cation compared with extracapsular cataract surgery.\u00a0Ophtalmologie.\u00a0<\/em>2004;111:679-685. \u21a9\ufe0e<\/a><\/li>
  3. Bhargava R, Kumar P, Sharma SK, Arora Y. Phacoemulsification versus manual small incision cataract surgery in patients with fuchs heterochromic iridocyclitis.\u00a0Asia Pac J Ophthalmol (Phila)\u00a0<\/em>2016;5:330-334. \u21a9\ufe0e<\/a><\/li>
  4. Venkatesh R, Tan CS, Sengupta S, Ravindran RD, Krishnan KT, Chang DF. Phaco\u00e9mulsification versus chirurgie manuelle de la cataracte par petite incision pour la cataracte blanche.\u00a0J Cataract Refract Surg.\u00a0<\/em>2010;36:1849-1854. \u21a9\ufe0e<\/a><\/li>
  5. Lynds R, Hansen B, Blomquist PH, Mootha VV. R\u00e9sultats de la chirurgie de la cataracte par petite incision manuelle supervis\u00e9e par les r\u00e9sidents dans le cadre d'un grand programme urbain de formation \u00e0 la r\u00e9sidence aux \u00c9tats-Unis.\u00a0J Cataract Refract Surg.\u00a0<\/em>2018;44:34-38. \u21a9\ufe0e<\/a><\/li>
  6. Venkatesh R, Muralikrishnan R, Balent LC, Prakash SK, Prajna NV. R\u00e9sultats des chirurgies de la cataracte \u00e0 haut volume dans un pays en d\u00e9veloppement.\u00a0Br J Ophthalmol.\u00a0<\/em>2005;89:1079-1083. \u21a9\ufe0e<\/a><\/li>
  7. Gogate P, Deshpande M, Nirmalan PK. Pourquoi faire de la phaco\u00e9mulsification ? La chirurgie manuelle de la cataracte par petite incision est presque aussi efficace, mais moins co\u00fbteuse.\u00a0Ophtalmologie.\u00a0<\/em>2007;114:965-968. \u21a9\ufe0e<\/a><\/li>
  8. Lansingh VC, Gonzalez PD, D\u00edaz Flores T, Lopez Star EM, Martinez JM. Combien d'op\u00e9rations de la cataracte faut-il pour \u00eatre un bon chirurgien ? Revista Mexicana de Ophthalmologia (Eng). 2023:10.5005\/rmo-11013-0026. \u21a9\ufe0e<\/a><\/li>
  9. Ahiwalay C, Lansingh VC, Nair A, Bacchav A, Chavan K. Competency-based training on eye surgery simulator. Consult\u00e9 le 18 septembre 2024. https:\/\/helpmesee.org\/wp-content\/uploads\/2023\/10\/Competency-Based-Training-on-Eye-Surgery-Simulator.pdf<\/a> \u21a9\ufe0e<\/a><\/li>
  10. Ahiwalay C, Lansingh VC, Nair A, Bacchav A, Chavan K. Competency-based training on eye surgery simulator. Consult\u00e9 le 18 septembre 2024. https:\/\/helpmesee.org\/wp-content\/uploads\/2023\/10\/Competency-Based-Training-on-Eye-Surgery-Simulator.pdf<\/a> \u21a9\ufe0e<\/a><\/li>
  11. Hutter DE, Wingstead L, Cejvanovic S, et al. Un test valid\u00e9 a \u00e9t\u00e9 d\u00e9velopp\u00e9 pour l'\u00e9valuation des comp\u00e9tences en chirurgie manuelle de la cataracte par petite incision \u00e0 l'aide d'une simulation de r\u00e9alit\u00e9 virtuelle. Scientific Reports. 2023;13:10655.C, Lansingh VC, Nair A, Bacchav A, Chavan K. Competency-based training on eye surgery simulator. Consult\u00e9 le 18 septembre 2024. https:\/\/helpmesee.org\/wp-content\/uploads\/2023\/10\/Competency-Based-Training-on-Eye-Surgery-Simulator.pdf<\/a> \u21a9\ufe0e<\/a><\/li><\/ol>\n\n\n

    <\/p>","protected":false},"excerpt":{"rendered":"

    Manual Small Incision Cataract Surgery (MSICS) is recognized as a transformative technique for cataract extraction, particularly in low-resource settings. As the demand for cataract surgery continues to rise globally due […]<\/p>","protected":false},"author":1,"featured_media":11458,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":"[{\"content\":\"Chen J, Zhu Y, Li Z, et al. Global impact of population aging on vision loss prevalence: a population-based study. Global Transitions.<\/em> 2024;6:28-36.\",\"id\":\"3557f4e7-1c78-4366-9879-7cddbc42bb3f\"},{\"content\":\"Bourne RRA, Minassian DC, Dart JK, Rosen P, Kaushal S, Wingate N. Effect of cataract surgery on the corneal endothelium: Modern phacoemulsi\ufb01cation compared with extracapsular cataract surgery.\u00a0Ophthalmology.\u00a0<\/em>2004;111:679-685.\",\"id\":\"61dd4b29-ff47-4dde-88dd-3aba5b73e176\"},{\"content\":\"Bhargava R, Kumar P, Sharma SK, Arora Y. Phacoemulsification versus manual small incision cataract surgery in patients with fuchs heterochromic iridocyclitis.\u00a0Asia Pac J Ophthalmol (Phila)\u00a0<\/em>2016;5:330-334.\",\"id\":\"57b53c3f-1250-410b-8e94-0b05782fdea9\"},{\"content\":\"Venkatesh R, Tan CS, Sengupta S, Ravindran RD, Krishnan KT, Chang DF. Phacoemulsification versus manual small-incision cataract surgery for white cataract.\u00a0J Cataract Refract Surg.\u00a0<\/em>2010;36:1849-1854.\",\"id\":\"c52ffb8b-bac0-4517-b4c8-eec1f11726c7\"},{\"content\":\"Lynds R, Hansen B, Blomquist PH, Mootha VV. Supervised resident manual small-incision cataract surgery outcomes at large urban United States residency training program.\u00a0J Cataract Refract Surg.\u00a0<\/em>2018;44:34-38.\",\"id\":\"7a4b5372-ac75-4462-9bbc-9dbe0dac4b99\"},{\"content\":\"Venkatesh R, Muralikrishnan R, Balent LC, Prakash SK, Prajna NV. Outcomes of high volume cataract surgeries in a developing country.\u00a0Br J Ophthalmol.\u00a0<\/em>2005;89:1079-1083.\",\"id\":\"e44be505-1397-4d45-b217-a5b08b586cc5\"},{\"content\":\"Gogate P, Deshpande M, Nirmalan PK. Why do phacoemulsification? Manual small-incision cataract surgery is almost as effective, but less expensive.\u00a0Ophthalmology.\u00a0<\/em>2007;114:965-968.\",\"id\":\"f2195ad0-0f7f-4c69-81f5-bcd232b54481\"},{\"content\":\"Lansingh VC, Gonzalez PD, D\u00edaz Flores T, Lopez Star EM, Martinez JM. How many cataract surgeries does it take to be a good surgeon? Revista Mexicana de Ophthalmologia (Eng). 2023:10.5005\/rmo-11013-0026.\",\"id\":\"93a904a3-2caf-44b2-b48e-9e69a3642a05\"},{\"content\":\"Ahiwalay C, Lansingh VC, Nair A, Bacchav A, Chavan K. Competency-based training on eye surgery simulator. Accessed September 18, 2024. https:\/\/helpmesee.org\/wp-content\/uploads\/2023\/10\/Competency-Based-Training-on-Eye-Surgery-Simulator.pdf<\/a>\",\"id\":\"911bc7af-298e-4df2-a094-edeb8055b5b6\"},{\"content\":\"Ahiwalay C, Lansingh VC, Nair A, Bacchav A, Chavan K. Competency-based training on eye surgery simulator. Accessed September 18, 2024. https:\/\/helpmesee.org\/wp-content\/uploads\/2023\/10\/Competency-Based-Training-on-Eye-Surgery-Simulator.pdf<\/a>\",\"id\":\"911bc7af-298e-4df2-a094-edeb8055b5b6\"},{\"content\":\"Hutter DE, Wingstead L, Cejvanovic S, et al. A validated test has been developed for assessment of manual small incision cataract surgery skills using virtual reality simulation. Scientific Reports. 2023;13:10655.C, Lansingh VC, Nair A, Bacchav A, Chavan K. Competency-based training on eye surgery simulator. Accessed September 18, 2024. https:\/\/helpmesee.org\/wp-content\/uploads\/2023\/10\/Competency-Based-Training-on-Eye-Surgery-Simulator.pdf<\/a>\",\"id\":\"48264b4d-67cb-4857-b637-d4a2b391981d\"}]"},"categories":[10],"tags":[],"class_list":["post-10547","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-through-the-scope"],"acf":[],"yoast_head":"\nGlobal Perspectives on Manual Small Incision Cataract Surgery Training - HelpMeSee<\/title>\n<meta name=\"description\" content=\"Manual Small Incision Cataract Surgery (MSICS) is recognized as a transformative technique for cataract extraction, particularly in low-resource settings. As the demand for cataract surgery continues to rise globally due to the aging population and increased life expectancy, innovative approaches to MSICS training have emerged across the globe. 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