To evaluate the effectiveness of an intensive phacoemulsification training program for Rwandan ophthalmologists and the necessary ecosystem for successful implementation.
Approach:
Key Findings:
The trainees performed 85 cases during the training and 754 cases in the following year with complication rates comparable to international standards.
The training environment included high surgical volume, dedicated phaco machines, simulation training, and on-site experienced surgeons.
Vitreoretinal (VR) support was crucial for managing complications and enhancing trainee confidence.
Interpretation:
The training program was effective due to a supportive ecosystem that included mentorship and VR services, highlighting the importance of a comprehensive approach to surgical education.
Limitations:
The study involved only two surgeons at a single center, limiting generalizability.
Further research is needed to assess the reproducibility of this training model in different contexts.
Conclusion:
With the right infrastructure and support, advanced ophthalmic surgery can be effectively taught in sub-Saharan Africa, fostering a culture of local training and improving patient outcomes.
As cataract surgery continues to evolve, the focus is shifting beyond the operating theatre to the weakest part of the patient pathway – postoperative drops