Conventional surgical teaching techniques face several challenges, highlighting a necessity for ongoing innovation in ophthalmology education to align with the evolving demands of clinical practice. The recent rapid advancement of computer technology has enabled the integration of virtual reality (VR) into medical training, thereby revolutionizing ophthalmic surgical education through VR-based educational methods. VR technology offers a safe, risk-free environment for trainees to practice repeatedly, enhancing surgical skills and accelerating the learning curve without compromising patient safety. This research outlines the application of VR technology in ophthalmic surgical skills training, particularly in cataract and vitreoretinal surgery. Including assessing the effectiveness of intraocular surgery training systems, evaluating skills transfer to the operating room, comparing it with wet lab cataract surgery training, and enhancing non-dominant hand training for cataract surgery, among other aspects. Additionally, this paper will identify the limitations of VR technology in ocular surgical skills training, offer improvement strategies, and detail the advantages and prospects, with the objective of guiding subsequent researchers.
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Open Access
Review Article
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Open Access
Meta-analysis
Issue
To figure out whether various atropine dosages may slow the progression of myopia in Chinese kids and teenagers and to determine the optimal atropine concentration for effectively slowing the progression of myopia.
A systematic search was conducted across the Cochrane Library, PubMed, Web of Science, EMBASE, CNKI, CBM, VIP, and Wanfang database, encompassing literature on slowing progression of myopia with varying atropine concentrations from database inception to January 17, 2024. Data extraction and quality assessment were performed, and a network Meta-analysis was executed using Stata version 14.0 Software. Results were visually represented through graphs.
Fourteen papers comprising 2475 cases were included; five different concentrations of atropine solution were used. The network Meta-analysis, along with the surface under the cumulative ranking curve (SUCRA), showed that 1% atropine (100%)>0.05% atropine (74.9%) >0.025% atropine (51.6%)>0.02% atropine (47.9%)>0.01% atropine (25.6%)>control in refraction change and 1% atropine (98.7%)>0.05% atropine (70.4%)>0.02% atropine (61.4%)>0.025% atropine (42%)>0.01% atropine (27.4%)>control in axial length (AL) change.
In Chinese children and teenagers, the five various concentrations of atropine can reduce the progression of myopia. Although the network Meta-analysis showed that 1% atropine is the best one for controlling refraction and AL change, there is a high incidence of adverse effects with the use of 1% atropine. Therefore, we suggest that 0.05% atropine is optimal for Chinese children to slow myopia progression.
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