Cataract Surgery Training

Phaco Cataract Surgery Training Guide with Artificial Eyes

By Dr. Lorenz Kuske · 10 min read · Based on the video

⚡ Key Takeaways

Watch the Full Video

Why Train on Artificial Eyes?

Cataract surgery has a steep learning curve. The first time you hold a phaco handpiece in the OR, you want to have already felt the instruments, practiced the movements, and understood the steps. Artificial eyes provide a safe, repeatable environment to build these fundamental skills.

Structured Training Approach

Phase 1: Wound Construction

Practice creating a clear corneal incision and paracentesis. Focus on wound architecture, depth, and self-sealing properties.

Phase 2: Capsulorhexis

This is where most beginners struggle. Practice creating a continuous, centered, appropriately-sized rhexis. Use both forceps and cystotome technique.

Phase 3: Hydrodissection

Practice the injection technique, recognizing the fluid wave, and managing the lens movement within the capsular bag.

Phase 4: Phacoemulsification

Start with basic nucleus removal techniques. Learn to use the foot pedal, manage the phaco tip position, and coordinate bimanual movements.

Phase 5: I/A and IOL Insertion

Practice cortex aspiration and IOL injection. Learn to navigate the capsular bag and properly unfold the IOL.

Available Training Models

Several companies offer artificial eyes for cataract surgery training, each with different features and levels of realism. Check out the detailed reviews:

Frequently Asked Questions

How many practice sessions before I'm ready for real surgery?

There's no fixed number. Most training programs recommend extensive wet lab practice until you can complete each step consistently. Discuss readiness with your supervising surgeon.

Can I practice at home?

Basic steps like capsulorhexis can be practiced at home with simple setups (like the Christmas chocolate technique). Full phaco practice requires a phaco machine, which is typically only available in a wet lab setting.

Are artificial eyes realistic enough?

Modern models are surprisingly good, especially for the early learning stages. They don't perfectly replicate human tissue, but they teach you instrument handling, spatial awareness, and basic technique. The transition to real surgery is smoother with extensive simulator practice.

Start your surgical training journey

Subscribe to the YouTube channel for more training content, or explore the online courses.