"Feasibility of the BIONIKO 3D-Printed Eye Model as a Training Tool for Internal Limiting Membrane Peeling".

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-07-15 DOI:10.1097/IAE.0000000000004612

Georges AbouKasm, Seyyedehfatemeh Ghalibafan, Ronaldo Nuesi, Flavius Beca, Michael Klufas, Nimesh A Patel, Ninel Z Gregori, Nicolas A Yannuzzi

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引用次数: 0

Abstract

Purpose: To evaluate ophthalmology trainees' experience with BIONIKO 3D-printed eye model in internal limiting membrane (ILM) peeling.

Methods: Ophthalmology trainees were randomly assigned to two groups, BIONIKO-first and Eyesi-first, performing ILM peels on both models. Surgical performance was assessed via Eyesi score output, while an anonymous survey assessed model effectiveness.

Results: Thirty-nine trainees participated (20 BIONIKO-first, 19 Eyesi-first). The BIONIKO-first group had a higher mean Eyesi score (50.63±31.68 vs. 37.53±30.30, p=0.497). The Eyesi-first group achieved a higher ILM peeling rate inside the macula (95.05%±4.58 vs. 92.66%±10.75, p=0.039). Completion time and forceps use were comparable. The BIONIKO-first group had fewer total spotted hemorrhages (2.4±2.1 vs. 4.4±3.6, p=0.035), while macular and retinal injuries were similar.Subgroup analysis by training level showed that in the junior group, BIONIKO-first resulted in fewer hemorrhages (p=0.012), while Eyesi-first had higher ILM peeling rate inside the macula (p=0.002). Among seniors, BIONIKO-first demonstrated a statistically lower area of macular injury (0.02 mm2±0.05 vs. 0.07 mm2±0.12, p=0.020).Survey results favored BIONIKO for tactile feedback (p=0.002) and surgical realism (p<0.001), while Eyesi was preferred for procedural feedback (p<0.001).

Conclusion: BIONIKO and Eyesi models offer complementary advantages. A hybrid approach may optimize skill acquisition and patient safety in vitreoretinal surgery training.

查看原文本刊更多论文

“BIONIKO 3d打印眼睛模型作为内部限制膜剥离训练工具的可行性”。

目的：评价眼科实习生使用BIONIKO 3d打印眼模型进行内限制膜（ILM）剥离的体验。方法：将眼科实习生随机分为BIONIKO-first组和eyei -first组，分别对两组模型进行ILM剥脱。通过Eyesi评分输出评估手术效果，同时匿名调查评估模型有效性。结果：参加培训的学员39人（BIONIKO-first 20人，eyes -first 19人）。BIONIKO-first组平均Eyesi评分较高（50.63±31.68比37.53±30.30,p=0.497）。视力优先组黄斑内ILM剥落率较高（95.05%±4.58 vs. 92.66%±10.75,p=0.039）。完成时间和钳的使用具有可比性。BIONIKO-first组总斑点出血较少（2.4±2.1 vs 4.4±3.6,p=0.035），黄斑和视网膜损伤相似。按训练水平进行亚组分析，低龄组BIONIKO-first出血较少（p=0.012）， Eyesi-first黄斑内ILM剥落率较高（p=0.002）。在老年人中，bioniko首先显示出较低的黄斑损伤面积（0.02 mm2±0.05比0.07 mm2±0.12,p=0.020）。调查结果显示，BIONIKO模型在触觉反馈（p=0.002）和手术真实感（p=0.002）方面更受欢迎。在玻璃体视网膜手术培训中，混合方法可以优化技能获得和患者安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.