NDLI: Standardization of laser in situ keratomileusis surgical technique evaluated by comparison of procedure time between 2 experienced surgeons.

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Standardization of laser in situ keratomileusis surgical technique evaluated by comparison of procedure time between 2 experienced surgeons.

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Standardization of laser in situ keratomileusis surgical technique evaluated by comparison of procedure time between 2 experienced surgeons.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Reinstein, Dan Z. Carp, Glenn I. de Benedictis, Daria Archer, Timothy J. Gobbe, Marine Khan, Raynan Von Borch, Max
Description	Author Affiliation: Reinstein DZ ( From the London Vision Clinic (Reinstein, Carp, de Benedictis, Archer, Gobbe, Khan, von Borch), London, United Kingdom); Carp GI ( From the London Vision Clinic (Reinstein, Carp, de Benedictis, Archer, Gobbe, Khan, von Borch), London, United Kingdom); de Benedictis D ( From the London Vision Clinic (Reinstein, Carp, de Benedictis, Archer, Gobbe, Khan, von Borch), London, United Kingdom); Archer TJ ( From the London Vision Clinic (Reinstein, Carp, de Benedictis, Archer, Gobbe, Khan, von Borch), London, United Kingdom); Gobbe M ( From the London Vision Clinic (Reinstein, Carp, de Benedictis, Archer, Gobbe, Khan, von Borch), London, United Kingdom); Khan R ( From the London Vision Clinic (Reinstein, Carp, de Benedictis, Archer, Gobbe, Khan, von Borch), London, United Kingdom); von Borch M ( From the London Vision Clinic (Reinstein, Carp, de Benedictis, Archer, Gobbe, Khan, von Borch), London, United Kingdom)
Abstract	PURPOSE: To evaluate the concordance of surgical step pacing between 2 experienced surgeons following a standardized surgical protocol for bilateral laser in situ keratomileusis (LASIK). SETTING: London Vision Clinic, London, United Kingdom. DESIGN: Retrospective comparative case series. METHOD: This was a video review comprising an equal number of consecutive bilateral LASIK patients for 2 surgeons following a standardized surgical protocol using the Visumax femtosecond laser and MEL 80 excimer laser. Timestamps were recorded for flap creation, flap lift, excimer laser ablation, and flap replacement. Total surgery time was defined with the endpoints of speculum insertion and removal. RESULTS: Each surgeon performed bilateral LASIK on 30 patients. The mean total surgery time was 11 minutes 17 seconds ± 1 minute 46 seconds (SD) for surgeon 1 and 12 minutes 13 seconds ± 1 minute 37 seconds for surgeon 2. The mean bilateral flap creation time was 3 minutes 5 seconds ± 24 seconds and 3 minutes 42 seconds ± 25 seconds, respectively. The mean suction time for an individual eye was 26 seconds ± 4 seconds for surgeon 1 and 23 seconds ± 1 second for surgeon 2. The difference in timing was accounted for by differences in the length of surgeon conversation with patients rather than by physical surgical steps. CONCLUSIONS: Bilateral LASIK procedure time was highly concordant within and between surgeons using a standardized surgical protocol. Use of a standardized surgical protocol can optimize the efficiency of corneal suction time as well as total surgical time while providing the expected equivalency in visual outcomes between surgeons.
File Format	HTM / HTML
ISSN	08863350
Issue Number	5
Volume Number	41
e-ISSN	18734502
Journal	Journal of Cataract & Refractive Surgery
Language	English
Publisher	Elsevier
Publisher Date	2015-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Ophthalmology Keratomileusis, Laser In Situ Standards Lasers, Excimer Operative Time Ophthalmology Physician's Practice Patterns Adult Aged Female Humans Hyperopia Surgery Male Middle Aged Myopia Manpower Retrospective Studies Surgical Flaps Video Recording Young Adult Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Surgery

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