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An Eye Simulation for Training in the Use of Ophthalmologic Equipment and Corneal Foreign Body Removal Techniques

Authors Thompson LB

Received 21 August 2019

Accepted for publication 4 February 2020

Published 21 February 2020 Volume 2020:11 Pages 155—161

DOI https://doi.org/10.2147/AMEP.S228087

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Anwarul Azim Majumder


Linda Brindley Thompson

Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA

Correspondence: Linda Brindley Thompson
Department of Emergency Medicine, University of Alabama at Birmingham, 619 19th Street South, OHB 246B, Birmingham, AL 35249-7013, USA
Tel +1 205 975 9358
Email lbthompson@uabmc.edu

Purpose: This simulation curriculum is structured to teach the use of common eye assessment equipment and corneal foreign removal techniques using harvested cow eye models, the ophthalmologic burr, and the hollow-bore needle.
Methods: This curriculum involves using one self-assessment (SA) station and three skills stations. The skill stations teach the use of the iCareTonometer, Woods Lamp, and Slit Lamp, and train corneal foreign body removal using a burr and hollow-bore needle.
Results: Sixteen first, second, and third-year (PGY 1– 3) residents of the University of Alabama at Birmingham (UAB) Emergency Medicine participated.  100% indicated this should be an annual training with 87% indicating this was highly realistic. There was a 44% Pre-Sim to 94% Post-Sim SA for improvement with iCareTonometer skill. There was a 7% Pre-Sim to 100% post-Sim SA for improvement with Slit-Lamp skill. There was a 32% Pre-Sim to 100% Post-Sim SA improvement with Woods Lamp skill. For CFB removal, there was a 13% Pre-Sim to 94% Post-Sim SA for improvement with burr and hollow-bore needle skill.
Conclusion: The self-assessments indicated that this simulation was successful in leading these emergency medicine residents to attaining enhanced self-assessed competencies in the use of common eye assessment equipment and for corneal foreign body removal using the burr and the hollow-bore needle. To establish curriculum globalization, reliability, and competency, larger test groups will have to be studied and objective qualified testers will need to assess competencies.

Keywords: ophthalmologic burr, slit-lamp, iCare Tonometer, Woods Lamp, harvested cow eyes, metal-grind foreign bodies


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