Effect of the COVID-19 pandemic on cataract surgery by residents who had routine surgical simulator training during residency

• Published in: Arquivos brasileiros de oftalmologia Vol. 87; no. 2; p. e20230038
• Main Authors: Magalhães, Maria Clara O, Sarmento, Mariana M G, Sant'Anna, Guilherme H, Soares, Ana Karine A, Ventura, Camila V, Rocha, Camilla S, Ventura, Bruna V
• Format: Journal Article
• Language: English
• Published: Brazil Conselho Brasileiro de Oftalmologia 2024
• Subjects: Cataract; COVID-19 - epidemiology; COVID-19 - prevention & control; Humans; Internship and Residency; OPHTHALMOLOGY; Pandemics - prevention & control; Retrospective Studies; COVID-19; Cataract extraction/education; Clinical competence; Pandemics; Computer simulation; Simulation training/methods; Surgery; Internship and residency/methods; Phacoemulsification/education; computer-assisted; Ophthalmology/education
• ISSN: 0004-2749; 1678-2925; 1678-2925
• DOI: 10.5935/0004-2749.2023-0038

To assess the effect of the coronavirus disease 2019 (COVID-19) pandemic on cataract surgery by residents who had mandatory surgical simulator training during residency.
In this retrospective, observational analytical study, the total number of cataract surgeries and surgical complications by all senior residents of 2019 (2019 class; prepandemic) and 2020 (2020 class; affected by the reduced number of elective surgeries due to the COVID-19 pandemic) were collected and compared. All residents had routine mandatory cataract surgery training on a virtual surgical simulator during residency. The total score obtained by these residents on cataract challenges of the surgical simulator was also evaluated.
The 2020 and 2019 classes performed 1275 and 2561 cataract surgeries, respectively. This revealed a reduction of 50.2% in the total number of procedures performed by the 2020 class because of the pandemic. The incidence of surgical complications was not statistically different between the two groups (4.2% in the 2019 class and 4.9% in the 2020 class; p=0.314). Both groups also did not differ in their mean scores on the simulator's cataract challenges (p<0.696).
Despite the reduction of 50.2% in the total number of cataract surgeries performed by senior residents of 2020 during the COVID-19 pandemic, the incidence of surgical complications did not increase. This suggests that surgical simulator training during residency mitigated the negative effects of the reduced surgical volume during the pandemic.