small incision cataract surgery

 

Small Incision Cataract Surgery Training Curriculum

1- Preparing for Small Incision Cataract Surgery:

Having decided to operate, it is always best to try and assess the patient’s systemic
and ocular health and any associated risk factors.
This is because this will affect the anesthesia type selected, the duration of surgery,
and any associated remedial steps.

For example, a poorly controlled diabetic or hypertensive patient may be a risk factor
for intraoperative bleeding.
A patient with high myopia and shallow AC is at high risk for expulsive.
All such cases are better avoided for the beginner.

The crux of the matter is that if one selects easy cases to operate upon, by and large,
the surgeon will do well and be satisfied.
On the other hand, if one selects hard cases, sooner or later complications will occur and the surgeon will end up in trouble!

Here it is important to know when to hand over hard cases to a more experienced surgeon
or alternately operate upon these cases under supervision, i.e. in a setting where immediate
help is available should the need arise.

2- Patient Evaluation and Selection:

A thorough history and examination are performed on all new patients to determine the etiology of visual loss,
determine patient goals, and assess coexisting ocular conditions.

An evaluation of the potential benefits and risks of surgery on a patient-to-patient basis is essential
in determining appropriate candidates for surgical intervention.

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