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. 2019 Oct;67(10):1688-1689.
doi: 10.4103/ijo.IJO_89_19.

Extraocular muscle surgery on goats' eye: An inexpensive technique to enhance residents' surgical skills

Amar Pujari  1 , Shabeer Basheer  1 , Vaishali Rakheja  1 , Meghal Gagrani  1 , Rohit Saxena  1 , Swati Phuljhele  1 , Pradeep Sharma  1
Affiliations

Extraocular muscle surgery on goats' eye: An inexpensive technique to enhance residents' surgical skills

Amar Pujari et al. Indian J Ophthalmol. 2019 Oct.

Abstract

Hands-on resident surgical training for various ocular procedures is essential to impart good surgical skills to the budding ophthalmologists. Here in this report, we demonstrate a simple and inexpensive technique of performing extraocular muscle surgery on goats' eye. These animal eyes possess soft tissue resemblance to that of human eyes to a greater extent in terms of scleral rigidity, muscle elasticity, its width, thickness, and its insertion onto the sclera. Therefore, rectus muscle recession, resection, and plication surgeries can be performed repeatedly to improve an individual's orientation and practical experience before performing the procedure on human eyes.

Keywords: Extraocular muscle surgery; goat's eye; resident training.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Positioned globe with rectus on the mannequin head. (b) Around 0.5 mm from the rectus muscle insertion 6–0 polyglactin suture is passed. (c) The rectus muscle is disinserted and the amount of desired recession was marked using GV paint. (d) At the desired location of the recession muscle is re-sutured
Figure 2
Figure 2
(a) The rectus muscle is marked at the desired location of resection. (b-d) The muscle is secured with 6–0 polyglactin sutures. (e) After clamping the muscle, it is cut just anterior to the sutures. (f-i) The resected muscle is secured back to its original insertion site
See this image and copyright information in PMC

References

    1. Winter TW, Olson RJ, Larson SA, Oetting TA, Longmuir SQ. Resident and fellow participation in strabismus surgery: Effect of level of training and number of assistants on operative time and cost. Ophthalmology. 2014;121:797–801. - PubMed
    1. White CA, Wrzosek JA, Chesnutt DA, Enyedi LB, Cabrera MT. A novel method for teaching key steps of strabismus surgery in the wet lab. J AAPOS. 2015;19:468–70. - PubMed
    1. Wagner RS. Improving resident proficiency in strabismus surgery. J Pediatr Ophthalmol Strabismus. 2017;54:338. - PubMed
    1. Galvin JA, Heidary G. Strabismus surgery curriculum for residents: Yale and Harvard experience. J Am Assoc Pediatr Ophthalmol Strabismus. 2017;21:e40.
    1. Crespi-Flores VG, Minguini N, Temporini ER, Carvalho KM de. Strabismus surgery learning for ophthalmology residents of university service. Arq Bras Oftalmol. 2012;75:188–91. - PubMed