{"id":933,"date":"2024-05-29T00:00:00","date_gmt":"2024-05-29T00:00:00","guid":{"rendered":"https:\/\/7a7df05b52dab8495fdeb023c7d876bd1135a5b7.helpmesee.org\/?p=933"},"modified":"2025-08-18T16:28:03","modified_gmt":"2025-08-18T16:28:03","slug":"the-power-of-cataract-simulation-based-surgery-training","status":"publish","type":"post","link":"https:\/\/helpmesee.org\/fr\/the-power-of-cataract-simulation-based-surgery-training\/","title":{"rendered":"The Benefits of Cataract Simulation-Based Surgery Training"},"content":{"rendered":"
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A la d\u00e9couverte du t<\/span>il <\/span>s<\/span>cience <\/span>b<\/span>ehind <\/span>la r\u00e9alit\u00e9 virtuelle dans la formation \u00e0 la chirurgie oculaire avec le <\/span>HelpMeSee<\/span> Simulateur de chirurgie oculaire.<\/span><\/span><\/em><\/p>\n

La chirurgie de la cataracte est l'une des interventions oculaires les plus s\u00fbres et les plus efficaces. Cependant, comme toute intervention chirurgicale, elle n'est pas sans risque. Bien que la plupart des complications n'entra\u00eenent pas de d\u00e9ficience visuelle \u00e0 long terme (<\/span>1)<\/span> et peuvent \u00eatre g\u00e9r\u00e9s efficacement pendant l'intervention, une formation ad\u00e9quate est essentielle \u00e0 la mise en \u0153uvre de strat\u00e9gies chirurgicales efficaces.\u00a0<\/span>\u00a0<\/span><\/p>\n

Dans la plupart des programmes de formation des internes, l'objectif principal est de pr\u00e9parer les stagiaires \u00e0 la chirurgie de routine de la cataracte. Les taux de complications pendant l'op\u00e9ration sont g\u00e9n\u00e9ralement plus \u00e9lev\u00e9s de 3,81 \u00e0 10,21 points de pourcentage chez les stagiaires que chez les ophtalmologistes en exercice. (<\/span>2,3)<\/span> Les stagiaires qui utilisent la r\u00e9alit\u00e9 virtuelle simulation de chirurgie de la cataracte<\/a> Les personnes qui s'entra\u00eenent \u00e0 pratiquer des techniques chirurgicales sont toutefois plus susceptibles de d\u00e9velopper une efficacit\u00e9 et une confiance accrues en mati\u00e8re de comp\u00e9tences chirurgicales que celles qui s'entra\u00eenent dans des laboratoires humides. (<\/span>4)<\/span> Le d\u00e9veloppement des comp\u00e9tences chirurgicales est particuli\u00e8rement crucial dans l'\u00e8re post-COVID-19. Les recherches indiquent que le nombre d'op\u00e9rations chirurgicales r\u00e9alis\u00e9es ou assist\u00e9es par des stagiaires aux \u00c9tats-Unis a consid\u00e9rablement diminu\u00e9 en 2020 et 2021 par rapport aux ann\u00e9es pr\u00e9c\u00e9dentes, sous l'influence de la pand\u00e9mie. (<\/span>5)<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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\"Il existe un d\u00e9calage important entre le nombre d'interventions chirurgicales n\u00e9cessaires pour les ma\u00eetriser et le nombre r\u00e9el d'interventions pratiqu\u00e9es par les stagiaires\", a \u00e9crit l'auteur. <\/span>Vongsachang et ses coll\u00e8gues dans un article soulignant l'impact de COVID-19 sur l'exp\u00e9rience chirurgicale des r\u00e9sidents en ophtalmologie. (<\/span>5)<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\n

Pendant de nombreuses ann\u00e9es, la formation \u00e0 la chirurgie oculaire sur des yeux d'animaux, du mat\u00e9riel v\u00e9g\u00e9tal et des objets inanim\u00e9s a permis aux r\u00e9sidents de s'exercer aux techniques chirurgicales. Plus r\u00e9cemment, simulation chirurgicale bas\u00e9e sur la r\u00e9alit\u00e9 virtuelle<\/a> s'est impos\u00e9e comme un compl\u00e9ment puissant \u00e0 l'enseignement plus traditionnel, offrant de nombreux avantages et s'appuyant sur des principes scientifiques pour am\u00e9liorer l'apprentissage et les performances. Ce type de formation par simulation offre un environnement chirurgical contr\u00f4l\u00e9, visuellement r\u00e9aliste et offrant un retour d'information moteur-sensoriel, imitant la chirurgie r\u00e9elle. Les r\u00e9sidents peuvent s'exercer \u00e0 des comp\u00e9tences cruciales et r\u00e9aliser diverses \u00e9tapes chirurgicales afin d'acqu\u00e9rir une exp\u00e9rience pratique, d'affiner leur technique et de d\u00e9velopper des aptitudes et une confiance en soi qui peuvent \u00eatre transpos\u00e9es au bloc op\u00e9ratoire. En outre, la simulation chirurgicale bas\u00e9e sur la r\u00e9alit\u00e9 virtuelle permet aux r\u00e9sidents de s'exercer \u00e0 diverses logiques pour les cas complexes et la gestion des complications, offrant ainsi une pr\u00e9paration inestimable \u00e0 la chirurgie r\u00e9elle. Ils peuvent m\u00eame commettre des erreurs intentionnelles et r\u00e9p\u00e9t\u00e9es pour apprendre \u00e0 g\u00e9rer et m\u00eame \u00e0 \u00e9viter les complications chirurgicales.\u00a0<\/span>\u00a0<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Des \u00e9tudes ont montr\u00e9 que la formation \u00e0 la simulation chirurgicale<\/span> peut r\u00e9duire de mani\u00e8re significative le taux de complications pour les r\u00e9sidents novices. (<\/span><\/span>6)<\/span><\/span> En outre, un essai randomis\u00e9 et contr\u00f4l\u00e9 a montr\u00e9 que les stagiaires <\/span>ont commis moins d'erreurs au cours de leurs 20 premi\u00e8res interventions chirurgicales ind\u00e9pendantes <\/span>lorsqu'un syst\u00e8me de simulation bas\u00e9 sur la r\u00e9alit\u00e9 virtuelle a \u00e9t\u00e9 utilis\u00e9 par rapport aux m\u00e9thodes de formation traditionnelles. (<\/span><\/span>7)<\/span><\/span><\/p>\n

Simulations avec m\u00e9canismes de r\u00e9troaction active<\/span>, comme le <\/span>HelpMeSee<\/span> Simulateur de chirurgie oculaire,<\/span> permettre <\/span>r\u00e9sidents<\/span> de recevoir une \u00e9valuation imm\u00e9diate et des conseils pour s'am\u00e9liorer, ce qui favorise l'apprentissage actif et la r\u00e9tention des connaissances. En effectuant de mani\u00e8re r\u00e9p\u00e9t\u00e9e des t\u00e2ches et des <\/span>conqu\u00e9rir divers <\/span>sc\u00e9narios chirurgicaux, <\/span>les individus<\/span> peut <\/span>renforcer les voies neuronales associ\u00e9es \u00e0 des comp\u00e9tences sp\u00e9cifiques, <\/span>ce qui a permis d'am\u00e9liorer la qualit\u00e9 de l'eau. <\/span>comp\u00e9tence<\/span> au fil du temps. (<\/span><\/span>8)<\/span><\/span> La simulation peut \u00e9galement am\u00e9liorer l'encodage et la r\u00e9cup\u00e9ration de la m\u00e9moire, <\/span>optimiser<\/span> r\u00e9sultats de l'apprentissage. (<\/span><\/span>9)<\/span><\/span>\u00a0<\/span><\/p>\n

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Le <\/span>HelpMeSee<\/span> Le simulateur de chirurgie oculaire est con\u00e7u pour faciliter la formation \u00e0 la chirurgie de la cataracte.<\/span> gr\u00e2ce \u00e0 des simulations bas\u00e9es sur la r\u00e9alit\u00e9 virtuelle<\/span>.<\/span> L'inclusion des instructeurs dans ce mod\u00e8le d'apprentissage <\/span>garantir<\/span>es<\/span> utilisateurs<\/span> recevoir un retour d'information verbal externe qui r\u00e9sulte<\/span>s<\/span> des am\u00e9liorations durables des performances. (<\/span><\/span>10)<\/span> <\/span>Ils <\/span>premier <\/span>d\u00e9montrer<\/span> les \u00e9tapes et ensuite <\/span>observer<\/span> et donner aux stagiaires un retour d'information imm\u00e9diat <\/span>sur <\/span>leur <\/span>la technique chirurgicale, le positionnement des instruments et <\/span>des conseils sur la mani\u00e8re d'am\u00e9liorer<\/span>. A la fin de la formation, les instructeurs \u00e9valuent les comp\u00e9tences chirurgicales du stagiaire<\/span> avec le <\/span>HelpMeSee<\/span> Simulateur de chirurgie oculaire<\/span> qui compare les performances chirurgicales avec des param\u00e8tres objectifs et des rubriques d'\u00e9valuation des comp\u00e9tences. (<\/span><\/span>10)<\/span><\/span> Le simulateur <\/span>est <\/span>\u00e9galement <\/span>utilis\u00e9 pour <\/span>\u00e9valuer la performance de l'utilisateur lors de man\u0153uvres sp\u00e9cifiques, telles que la taille de l'appareil, le nombre d'heures de travail, etc. <\/span>capsulorhexis<\/span> et la profondeur du tunnel d'incision<\/span>,<\/span> ainsi que le nombre d'erreurs <\/span>fait <\/span>et l\u00e9sions zonulaires<\/span> caus\u00e9e<\/span>. (<\/span><\/span>11)<\/span><\/span> Les stagiaires peuvent \u00e9galement visionner des enregistrements vid\u00e9o de leurs proc\u00e9dures de simulation, ce qui leur offre la possibilit\u00e9 d'un apprentissage r\u00e9flexif.\u00a0<\/span><\/span>\u00a0<\/span><\/p>\n

Les cours de formation HelpMeSee bas\u00e9s sur la simulation comprennent Chirurgie manuelle de la cataracte par petite incision<\/a>La simulation de r\u00e9alit\u00e9 virtuelle est l'une des composantes du programme de formation HelpMeSee, qui comprend \u00e9galement des sessions d'auto-apprentissage en classe et des exercices pratiques en laboratoire. La simulation de r\u00e9alit\u00e9 virtuelle est l'une des composantes du programme de formation HelpMeSee, qui se compose \u00e9galement d'autoformation, de s\u00e9ances en classe et d'exercices pratiques en laboratoire.<\/span>\u00a0<\/span><\/p>\n

La formation \u00e0 la simulation chirurgicale bas\u00e9e sur la r\u00e9alit\u00e9 virtuelle est une solution gagnante pour les r\u00e9sidents et les directeurs de programmes de r\u00e9sidence. Elle peut \u00eatre utilis\u00e9e pour enseigner des comp\u00e9tences chirurgicales essentielles, mieux pr\u00e9parer les r\u00e9sidents \u00e0 g\u00e9rer les complications et, en fin de compte, am\u00e9liorer la s\u00e9curit\u00e9 des patients.\u00a0<\/span>\u00a0<\/span><\/p>\n

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  1. Stein JD, Grossman DS, Mundy KM, Sugar A, Sloan FA. Severe adverse events after cataract surgery among Medicare beneficiaries. Ophtalmologie.<\/em> 2011;118(9):1716-1723.<\/li>\n\n\n\n
  2. Rogers G, Oetting T, Lee A, et al. Impact of a structured surgical curriculum on ophthalmic resident cataract surgery complication rates. J Cataract Refract Surg.<\/em> 2009;35:1956-1960.<\/li>\n\n\n\n
  3. Hashemi H, Mohammadpour M, Jabbarvand M, Nezamdoost Z, Ghadimi H. Incidence of and risk factors for vitreous loss in resident-performed phacoemulsification surgery. J Cataract Refract Surg<\/em>. 2013;39:1377\u20101382.<\/li>\n\n\n\n
  4. Thomsen AS, Bach-Holm D, Kjaerbo H, et al. Learning cataract surgery: wet-lab versus virtual reality training. Acta Ophthalmol.<\/em> 2014;92(7):629-633.<\/li>\n\n\n\n
  5. Vongsachang H, Fliotsos MJ, Lorch AC, Singman EL, Woreta FA, Justin GA. The impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis. BMC Med Educ.<\/em> 2022;22:142.<\/li>\n\n\n\n
  6. Staropoli PC, Gregori NZ, Junk AK, Galor A, Goldhardt R, Goldhagen BE. Surgical simulation training reduces intraoperative cataract surgery complications among residents. Simul Healthc<\/em>. 2018;13:11-15.<\/li>\n\n\n\n
  7. Nair AG, Ahiwalay C, Bacchav AE, et al. Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial. Sci Rep.<\/em> 2021;11:10945.<\/li>\n\n\n\n
  8. Sayala S, Sala JB, Courtney SM. Increased neural efficiency with repeated performance of a working memory task is information-type dependent. Cerebral Cortex.<\/em> 2006(16);5:609-617.<\/li>\n\n\n\n
  9. Sato N, Yamaguchi Y. Simulation of human episodic memory by using a computational model of the hippocampus. Advances in Artificial Intelligence. 2010. doi: 10.1155\/2010\/392868<\/a><\/li>\n\n\n\n
  10. Lansingh VC, Nair AG. More than simulation: the HelpMeSee approach to cataract surgical training. Community Eye Health Journal.<\/em> 2023;36(120):4-5.<\/li>\n\n\n\n
  11. Lansingh VC, Ravindran RD, Garg P, et al. Embracing technology in cataract surgical training \u2013 the way forward. Indian J Ophthalmol<\/em>. 2022;70:4079-4081.<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"

    Virtual reality\u2013based surgical simulation-based training is a win-win for residents and residency program directors. It can be used to teach vital surgical skills\u2026<\/p>","protected":false},"author":1,"featured_media":3899,"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":""},"categories":[10],"tags":[],"class_list":["post-933","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-through-the-scope"],"acf":[],"yoast_head":"\nThe Power of Cataract Simulation Training: Benefits Unveiled<\/title>\n<meta name=\"description\" content=\"Discover the benefits of cataract simulation-based surgery training and revolutionize your approach to eye care. 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