Training ambidexterity – A survey-based analysis on the dexterity of ophthalmologists in performing standard ophthalmic procedures

Author:

Ramesh Shruthy Vaishali1,Ramesh Prasanna Venkatesh2,Ray Prajnya3,Ansar Sheik Mohamed4,Madhanagopalan VG5,Ramesh Meena Kumari6,Rajasekaran Ramesh7

Affiliation:

1. Medical Officer, Department of Cataract and Refractive Surgery, Trichy, Tamil Nadu, India

2. Medical Officer, Department of Glaucoma and Research, Trichy, Tamil Nadu, India

3. Consultant Optometrist, Department of Optometry and Visual Science, Trichy, Tamil Nadu, India

4. Biostatistician, Department of Statistics, Trichy, Tamil Nadu, India

5. Director, JB Eye Hospital, Salem, Tamil Nadu, India

6. Head of the Department of Cataract and Refractive Surgery, Trichy, Tamil Nadu, India

7. Chief Medical Officer, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India

Abstract

Purpose: Our study was designed to determine ophthalmologists’ dexterity in performing standard ophthalmic procedures at various levels of expertise via a structured questionnaire. Methods: A structured questionnaire was administered via the Google platform from August 20 to September 19, 2022, to assess the perspectives and preferences of ophthalmologists concerning their proficiency in using their right hand, left hand, or both hands to perform routine tasks required in the practice of ophthalmic medicine and surgery. Results: Two hundred and three participants took part in the survey. A majority (n = 162, 79.8%) of the clinicians considered themselves right-handed, nine (4.4%) considered themselves left-handed, and 32 (15.7%) considered themselves ambidextrous. Also, 86% (n = 174) of the participants considered ambidexterity an essential trait in the practice of ophthalmic medicine and surgery. The number of cataract surgeries performed had an impact on the comfort of using both hands for performing anterior vitrectomy (P < 0.001), injection of viscoelastic (P < 0.001), and toric marking (P < 0.05), but not on the performance of capsulorhexis and switching of foot pedals. The number of procedures carried out had an impact on the comfort of using both hands in gonioscopy (P < 0.001), 90 D evaluation (P < 0.001), and 20 D evaluation (P < 0.05). More years of experience had an impact on skills involving the use of both hands for slit lamp joystick usage (P < 0.05) and laser procedures (P < 0.001). Conclusion: Irrespective of a person’s handedness, trained ambidexterity in the required fields is achievable and has a significant impact on one’s ability to perform the required skill optimally and appropriately.

Publisher

Medknow

Subject

Ophthalmology

Reference10 articles.

1. Ambidexterity in left-handed and right-handed individuals and implications for surgical training;Lombana;Proc (Bayl Univ Med Cent),2021

2. Coerced training of the nondominant hand resulting in cortical reorganization:A high-field functional magnetic resonance imaging study;Nakada;J Neurosurg,2004

3. Left handed non-dominant hand phacoemulsification;Vajpayee;Br J Ophthalmol,2003

4. Handedness and familial sinistrality in a Japanese student population;Shimizu;Corte×,1983

5. Hand laterality and acquired ambidexterity in surgical training;Tchantchaleishvili;Ann Surg,2016

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