The influence of surgeons and technicians on the learning curve of femtosecond-laser cataract surgery

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dc.contributor.authorFrancisco Poyales
dc.contributor.authorBlanca Poyales
dc.contributor.authorDavid Medel
dc.contributor.authorIsrael López-Brea
dc.contributor.authorEsther López-Artero
dc.contributor.authorNuria Garzón
dc.contributor.authorGarzón Jiménez, Nuria
dc.date.accessioned2023-11-17T20:01:19Z
dc.date.available2023-11-17T20:01:19Z
dc.date.issued2020-10
dc.description.abstractPurpose: To demonstrate the influence of the surgeon's and the operating room (OR) technicians' experience upon the outcome of femtosecond laser-assisted cataract surgery (FLACS). Materials and methods: Our study included 250 eyes from 156 patients who had undergone either cataract surgery or clear-crystalline-lens extraction and where capsulorhexis and lens fragmentation had been performed using the CATALYS® Precision System femtosecond platform (Abbott Medical Optics Inc., Santa Ana, CA, USA). The patients were operated either by an experienced surgeon in the use of femtosecond laser or by an inexperienced surgeon in that field and two technicians. The quantitative outcome measures were: Suction loss rate, vacuum time, number of consumables used by the patient, and intraoperative complication rate. Results: Both for the experienced and the inexperienced surgeons, suction loss rates as well as vacuum time decreased progressively as time went by and more surgical procedures had been completed by that surgeon. For a given surgeon suction time decreased significantly, going from 137 to 99s, as the assisting technician gradually gained experience. The number of consumables used in each procedure by the experienced surgeon ranged from 1.10 (for the first 50 cases) to 1.02 from those initial cases onwards. Regarding intraoperative complications, they also decreased progressively as the number of procedures completed by the surgeon increased. Conclusions: The experience of each team member involved in such procedures-be it surgeons or technicians-have an impact, to a greater or lesser extent, upon the surgery's outcome, as quantified by the outcome variables of choice.
dc.description.departmentDepto. de Optometría y Visión
dc.description.facultyFac. de Óptica y Optometría
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationPoyales F, Poyales B, Medel D, López-Brea I, López-Artero E, Garzón N. The influence of surgeons and technicians on the learning curve of femtosecond-laser cataract surgery. J Optom. 2020 Oct-Dec;13(4):242-248.
dc.identifier.doi10.1016/j.optom.2020.01.001
dc.identifier.essn1989-1342
dc.identifier.issn1888-4296
dc.identifier.officialurlhttps://doi.org/10.1016/j.optom.2020.01.001
dc.identifier.urihttps://hdl.handle.net/20.500.14352/88808
dc.issue.number4
dc.journal.titleJournal of Optometry
dc.language.isoeng
dc.page.final248
dc.page.initial242
dc.publisherElsevier
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.cdu617.741-004.1
dc.subject.cdu617.7-089
dc.subject.cdu617.7:535.374
dc.subject.keywordCataract, Surgery, femtosecond-laser
dc.subject.ucmOftalmología
dc.subject.ucmCirugía
dc.subject.ucmLáseres
dc.subject.unesco3201.09 Oftalmología
dc.subject.unesco3213.09 Cirugía Ocular
dc.subject.unesco2209.10 láseres
dc.titleThe influence of surgeons and technicians on the learning curve of femtosecond-laser cataract surgery
dc.typejournal article
dc.type.hasVersionAM
dc.volume.number13
dspace.entity.typePublication
relation.isAuthorOfPublication367ce491-287f-4b2a-ba6a-870a393c5609
relation.isAuthorOfPublication.latestForDiscovery367ce491-287f-4b2a-ba6a-870a393c5609
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