Ralph Kyrillos1, Mathieu Caissie2. 1. Department of Ophthalmology, Faculty of Medicine, Université Laval, Quebec City, Que.; Centre Universitaire d׳Ophtalmologie (CUO) and CUO-Clinical Research Centre, Research Centre of CHU de Québec-Université Laval, Hôpital du Saint-Sacrement, Quebec City, Que.. Electronic address: ralph.kyrillos.1@ulaval.ca. 2. Department of Ophthalmology, Faculty of Medicine, Université Laval, Quebec City, Que.; Centre Universitaire d׳Ophtalmologie (CUO) and CUO-Clinical Research Centre, Research Centre of CHU de Québec-Université Laval, Hôpital du Saint-Sacrement, Quebec City, Que.
Abstract
OBJECTIVE: To evaluate the effect of Mozart music compared to silence on anterior segment surgical skill in the context of simulated intraocular surgery. DESIGN: Prospective stratified and randomized noninferiority trial. PARTICIPANTS: Fourteen ophthalmologists and 12 residents in ophthalmology. METHODS: All participants were asked to perform 4 sets of predetermined tasks on the EyeSI surgical simulator (VRmagic, Mannheim, Germany). The participants completed 1 Capsulorhexis task and 1 Anti-Tremor task during 3 separate visits. The first 2 sets determined the basic level on day 1. Then, the participants were stratified by surgical experience and randomized to be exposed to music (Mozart sonata for 2 pianos in D-K448) during either the third or the fourth set of tasks (day 2 or 3). Surgical skill was evaluated using the parameters recorded by the simulator such as "Total score" and "Time" for both tasks and task-specific parameters such as "Out of tolerance percentage" for the Anti-Tremor task and "Deviation of rhexis radius from 2.5 mm," "Roundness," and "Centering" for the Capsulorhexis task. The data were analyzed using the Wilcoxon signed-rank test. RESULTS: No statistically significant differences were noted between exposure and nonexposure for all the Anti-Tremor task parameters as well as most parameters for the Capsulorhexis task. Two parameters for the Capsulorhexis task showed a strong trend for improvement with exposure to music ("Total score" +23.3%, p = 0.025; "Roundness" +33.0%, p = 0.037). CONCLUSION: Exposure to music did not negatively impact surgical skills. Moreover, a trend for improvement was shown while listening to Mozart music.
RCT Entities:
OBJECTIVE: To evaluate the effect of Mozart music compared to silence on anterior segment surgical skill in the context of simulated intraocular surgery. DESIGN: Prospective stratified and randomized noninferiority trial. PARTICIPANTS: Fourteen ophthalmologists and 12 residents in ophthalmology. METHODS: All participants were asked to perform 4 sets of predetermined tasks on the EyeSI surgical simulator (VRmagic, Mannheim, Germany). The participants completed 1 Capsulorhexis task and 1 Anti-Tremor task during 3 separate visits. The first 2 sets determined the basic level on day 1. Then, the participants were stratified by surgical experience and randomized to be exposed to music (Mozart sonata for 2 pianos in D-K448) during either the third or the fourth set of tasks (day 2 or 3). Surgical skill was evaluated using the parameters recorded by the simulator such as "Total score" and "Time" for both tasks and task-specific parameters such as "Out of tolerance percentage" for the Anti-Tremor task and "Deviation of rhexis radius from 2.5 mm," "Roundness," and "Centering" for the Capsulorhexis task. The data were analyzed using the Wilcoxon signed-rank test. RESULTS: No statistically significant differences were noted between exposure and nonexposure for all the Anti-Tremor task parameters as well as most parameters for the Capsulorhexis task. Two parameters for the Capsulorhexis task showed a strong trend for improvement with exposure to music ("Total score" +23.3%, p = 0.025; "Roundness" +33.0%, p = 0.037). CONCLUSION: Exposure to music did not negatively impact surgical skills. Moreover, a trend for improvement was shown while listening to Mozart music.
Authors: Victor X Fu; Pim Oomens; Vincent E E Kleinrensink; Karel J Sleurink; Willemijn M Borst; Pascale E Wessels; Johan F Lange; Gert-Jan Kleinrensink; Johannes Jeekel Journal: Surg Endosc Date: 2020-10-07 Impact factor: 4.584
Authors: Pim Oomens; Victor X Fu; Vincent E E Kleinrensink; Gert-Jan Kleinrensink; Johannes Jeekel Journal: World J Surg Date: 2020-08 Impact factor: 3.352