| Descriptors |
- Demonstrate competency in advanced clinical diagnosis, investigation and management of cataract in outpatients, inpatients and emergency settings.
- Perform cataract surgery independently, including, but not limited to:
- high myopes
- high astigmatic error
- those with previous anterior or posterior segment surgery
- previous iritis
- unusually hard or soft cataracts
- white cataracts
- small pupils
- pseudoexfoliation syndrome
- subluxated lenses and post-trauma
- Demonstrate ability to use monofocal, toric, sulcus and anterior chamber lenses.
- Demonstrate ability to manage problems including, but not limited to:
- anterior and posterior capsule tears
- iris complications
- intraocular lens (IOL) misplacement or replacement
- wound complications
- Manage anterior vitreous loss and anterior vitrectomy; placement of the secondary IOL into the sulcus.
- Identify and manage suprachoroidal haemorrhage.
- Use simulated environments to enhance practical skills for complex cases.
- Perform a whole list of cataract operations and take responsibility for the efficient management of the session.
- Understand the limitations of biometry, and manage cases accordingly, e.g. following corneal disease and surgery (including refractive surgery).
- By the end of training, undertake a prospective audit of 50 consecutive cataract cases where the surgery is performed within three calendar years of achieving Level 4 Cataract Surgery. Post-operative refractive data must be provided on at least 10% of cases.
- Maintain a record of activities, using the RCOphth electronic logbook.
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