K-RIM (Corneal Rim) Angle Surgery Training Model. Issue 2 (February 2019)

• Record Type: Journal Article
• Authors: Arora, Anish; Nazarali, Samir; Sawatzky, Lauren; Gooi, Malcolm; Schlenker, Matt; Ahmed, Ike K.; Gooi, Patrick
• Is Part Of: Journal of glaucoma. Volume 28:Issue 2(2019)
• Publication Date: 2019-02
• Subjects: glaucoma -- training model -- minimally invasive glaucoma surgery -- bimanual technique -- corneoscleral rims; Glaucoma -- Periodicals; 617.741005
• DOI: 10.1097/IJG.0000000000001131
• Languages: English
• ISSNs: 1057-0829

Abstract

Abstract : Purpose: To develop an angle surgery training model for training an array of microincisional glaucoma surgery (MIGS) procedures. Methods: We describe a method for preparing an angle surgery training model using human cadaveric corneoscleral rims. The model provides realistic tactile tissue simulation and excellent angle visualization requiring bimanual technique. Corneoscleral rims may be used multiple times and are prepared at low cost, allowing for a high volume of practice surgeries. Results: This model allows for practice in bimanual surgical training using the gonioscopy lens for visualize alongside surgical tools. The in vivo surgical conditions and limited tactile feedback are recreated using human cadaveric eyes which nonhuman models fail to provide. Our model is prepared at low cost, with relative ease and also provides appropriate positioning of Schlemm canal and for high volume of practice as the canal can be used in 90-degree segments. Conclusions: Few angle surgery training models currently exist and none provide these necessary features. The model presented here aims to meet the growing demand for adequate training models required for technically advanced MIGS techniques. Abstract : Supplemental Digital Content is available in the text.