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iRubric: Cataract Surgery Assessment rubric

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Cataract Surgery Assessment Rubric Code: N22647X By oiqbal Ready to use Public Rubric Subject: Medical Type: Assessment Grade Levels: (none)

Surgical Assessment / Scale
	Poor Not competent / cannot correctly and/or safely perform this step 1 pts	Fair Competent and can safely and correctly perform the step 2 pts	Good Competent, can safely and correctly perform the step. Demonstrates grace and has steady good hands 3 pts	Excellent Competent, can safely and correctly perform the step. Demonstrates grace, has steady hands. Creative + adapts to new scenarios. Will be better than just a good surgeon (may be only applicable to certain steps) 4 pts	Not Applicable When a step is not applicable to the particular surgery (N/A)	Comments If a constructive pertinent comment is needed for a particular step (N/A)
Patient Draping Enter description	Poor	Fair	Good	Excellent	Not Applicable	Comments
Cutting Drape Enter description	Poor	Fair	Good	Excellent	Not Applicable	Comments
Inserting Speculum Enter description	Poor	Fair	Good	Excellent	Not Applicable	Comments
Paracentesis Based on location, angle, depth	Poor	Fair	Good	Excellent	Not Applicable	Comments
Lido Injection Based on ease of entry and exit	Poor	Fair	Good	Excellent	Not Applicable	Comments
Trypan Blue For cases that may need it, based on 1. Air Bubble protection of endo 2. Viscoat valve 3. Trypan coating of capsule and avoiding endo staining/overfilling	Poor	Fair	Good	Excellent	Not Applicable	Comments
Viscoat Injection Based on ease of entry and exit and appropriate fill (not overfill of short eyes and not underfill of long eyes)	Poor	Fair	Good	Excellent	Not Applicable	Comments
Main Wound Based on correct tunnel length and wound architecture	Poor	Fair	Good	Excellent	Not Applicable	Comments
Capsulorrhexis Based on size, centration, ability to pivot in the wound, and cosmetic appearance	Poor	Fair	Good	Excellent	Not Applicable	Comments
Hydrodissection Ease at hydrodissection and ability to obtain a good fluid wave	Poor	Fair	Good	Excellent	Not Applicable	Comments
Nuclear Sculpting Based on symmetry, centration to wound, efficiency	Poor	Fair	Good	Excellent	Not Applicable	Comments
Cracking Based on getting instruments deep enough, efficiency of cracking, eye centration, stress on zonules, completion of crack	Poor	Fair	Good	Excellent	Not Applicable	Comments
Connor manipulation 1 Based on grace in getting connor underneath heminucleus 1	Poor	Fair	Good	Excellent	Not Applicable	Comments
Quad Crack + Lift Based on grace and efficiency of lifting nucleus out of bag, cracking 1 quadrant, and lifting one quad out of bag	Poor	Fair	Good	Excellent	Not Applicable	Comments
Phaco Quad 1 Efficiency of phaco quad 1	Poor	Fair	Good	Excellent	Not Applicable	Comments
Connor manipulation quad 2 Based on efficiency of getting behind quad 2 and lifting out of bag	Poor	Fair	Good	Excellent	Not Applicable	Comments
Phaco Quad 2 Efficiency of phaco quad 2	Poor	Fair	Good	Excellent	Not Applicable	Comments
Vacuum / Lift hemi nuc 2 out of bag Based on efficiency of purchase / vacuuming heminucleus 2 out of bag	Poor	Fair	Good	Excellent	Not Applicable	Comments
Connor manipulation / Crack quad 3 Based on efficiency and grace of using the connor to get behind lifted heminucleus and crack into quad 3 and 4	Poor	Fair	Good	Excellent	Not Applicable	Comments
Phaco Quad 3 Efficiency of phaco quad 3	Poor	Fair	Good	Excellent	Not Applicable	Comments
Connor bag protection / flip quad 4 Based on efficiency of lifting quad 4 to phaco/flipping nucleus Based on grace of getting connor deep to protect bag	Poor	Fair	Good	Excellent	Not Applicable	Comments
Overall Nuclear disassembly Efficiency Based on amount of instrument manipulation/efficiency of nuclear disassembly. Based on eye centration and ability to phaco in the iris place away from endo. CDI usage efficiency	Poor	Fair	Good	Excellent	Not Applicable	Comments
I/A Cortex removal Based on efficiency of I/A cortical material / adaptation to cases with a thick epinuclear shell	Poor	Fair	Good	Excellent	Not Applicable	Comments
Lidocaine inj For anticipation of angle surgery, based on ease of entry or exit / good injection	Poor	Fair	Good	Excellent	Not Applicable	Comments
Provisc Based on efficiency / resourcefulness of provisc fill of capsular bag and a/c	Poor	Fair	Good	Excellent	Not Applicable	Comments
Lens injection Based on effective insertion of IOL into capsular bag	Poor	Fair	Good	Excellent	Not Applicable	Comments
Lens insertion Based on efficiency of connor manipulation of lens into capsular bag	Poor	Fair	Good	Excellent	Not Applicable	Comments
Wound Hydration Based on efficiency of wound and para gentle hydration in anticipation of angle surgery	Poor	Fair	Good	Excellent	Not Applicable	Comments
Healon Injection Based on efficiency, resourcefulness of healon injection into angle and on top of cornea	Poor	Fair	Good	Excellent	Not Applicable	Comments
KDB For KDB cases based on angle visibility, level of wound distortion, effective goniosynechiolysis, safe entry and exit of kdb blade into and out of eye	Poor	Fair	Good	Excellent	Not Applicable	Comments
OMNI For OMNI cases, based on angle visibility, level of wound distortion, efficacy of scratch, efficacy of moving back, tilting up, pushing in adequately, performing the canal dilation with the cannula, performing viscodilation, rethreading and performing the goniotomy. Also based on visibility, centration, wound distortion, pivoting, and safe entry and exit to and from the eye	Poor	Fair	Good	Excellent	Not Applicable	Comments
Toric positioning For toric lenses, efficiency, safety, and grace with turning lens into proper position. Push + Pull w/ connor	Poor	Fair	Good	Excellent	Not Applicable	Comments
I/A Viscoat removal behind lens If attempted, efficiency and ease of getting behind the lens to remove viscoat	Poor	Fair	Good	Excellent	Not Applicable	Comments
I/A OVD removal Efficiency and grace of removal of OVD from AC and angle	Poor	Fair	Good	Excellent	Not Applicable	Comments
Lens Centration Overall lens centration and position	Poor	Fair	Good	Excellent	Not Applicable	Comments
Hydration / Sealing of Wounds Efficiency, amount of edema, no leaking	Poor	Fair	Good	Excellent	Not Applicable	Comments
Overall Overall score of surgery. Based on ability to keep eye in primary position, instrument manipulation, pivoting in wounds. Based of ultrasound energy efficiency (CDI) and fluid utilization	Poor	Fair	Good	Excellent	Not Applicable	Comments

Subjects:

Medical

Types:

Assessment

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