Be able to perform phacoemulsification and intra ocular lens implantation surgery safely and successfully, and managing complications during surgery

OBJECTIVE :

1. Perform the complete preoperative ophthalmologic examination of cataract patients
2. Perform complete pre operative preparation of cataract patient including refraction, keratometry, biometry
3. Understand phacoemulsification machine and being able to prepare the machine for the surgery
4. Perform phacoemulsification and intra ocular lens implantation surgery
5. Manage basic and advanced clinical and surgical cataract problems
6. Effectively diagnose and manage intra operative and post operative complications

COGNITIVE SKILLS

1. Identify the most common causes and types of cataract (anterior polar, posterior sub capsular, cortical nuclear sclerosis etc)
2. List the basic history and examination steps for preoperative cataract evaluation (refraction, IOP, slitlamp, funduscopy, retinoscopy,  keratometry, biometry)
3. Describe the relationship of glaucoma and uveitis to cataract surgery
4. Describe the types, indications and techniques of anesthesia of phaco surgery (topical, local and general)
5. Describe the steps in phaco surgical procedures / techniques including  instruments for the phaco surgery
6. Describe the phaco machines (including trouble shooting and altering parameter setting)
7. Describe the types of IOLs and IOL power calculation
8. Describe the types and application of OVD in phaco surgery
9. Describe the common complications of phaco surgery and its management
10. Describe the indications for, principles of, techniques of, and proper time of YAG laser capsulotomy
11. Describe the post operative evaluation
12. Recognize, treat or refer post op complications

CLINICAL / SURGICAL SKILLS

1. Perform keratometry
2. Perform US biometry, and calculation of IOL  power
3. Able to perform phacoemulsification and intra ocular lens implantation, including mastering of the following skills :
   • wound construction
   • CCC
   • Utilization of OVD
   • Phaco techniques ( stop n chop, horizontal / vertical chop)
   • Instrumentation and techniques of I/A
   • IOL implantation (rigid and foldable IOLs)
4. Perform intraoperative and postoperative management of any event  that may occur during or as a result of cataract surgery, including :

• PCR
• Vitreous loss
• Anterior and posterior segment bleeding
• Positive posterior pressure
• Choroidal detachment
• Expulsive hemorrhage
• Elevated intra ocular pressure and secondary glaucoma
• Use of topical medications
• Astigmatism
• Corneal edema
• Wound dehiscence
• Hyphema
• Residual cortex or nucleus remnant
• Dropped nucleus
• Uveitis
• CME

Post operative early and late intra ocular infection

DURATION of TRAINING

1. Length of time : 3 months
2. Frequency of training : 12 days/time
3. Timing of training : every Sunday
4. Depend training center

PLACE

Location :

• INASCRS Training Center
  
  

TRAINER

TRAINEE

• Ophthalmologists who are successfully passed the official INASCRS phaco course program test
• Member of INASCRS

ASSESMENT DURING TRAINING

1. Method of assessment:

• Will be done inherited during the training

2. Certification:

• Will be endorsed by INASCRS and will be recognized  by KOI (Kolegium oftalmologi Indonesia)

3. TUITION FEE

In member Area and each Program details on website