Eyeworld

40 | EYEWORLD | SUMMER 2026 ATARACT C Contact Anshu: arundhati.anshu @singhealth.com.sg Cherwek: dhunterc@yahoo.com Dick: burkhard.dick@kk-bochum.de Fernández: joaquinfernandezoft@gmail.com Huang: yush.huang@gmail.com Stodulka: stodulka@lasik.cz Talcott: talcotk@ccf.org Thompson: vance.thompson@ vancethompsonvision.com Whang: olokl@nate.com ESCRS Recommendations for Cataract Surgery, which are based on a meta-analysis. Dr. Dick then went into the ESCRS Cataract Surgery Simulation Curriculum, which aims to design a stepwise simulation curriculum aligned to cataract surgery steps and competency assessment. This would include the core design principles of transparent entry requirements and staged progression, mapping simulation tools to specific surgical steps, proficiency-based progression using validated assessment tools, continuous growth, costing specifications to support adoption, and maintenance of compe- tency (e.g., periodic simulation-based refreshers and performance reviews). The implementa- tion deliverables are to collate wet lab and VR options by cataract step, including indicative costs; link simulation steps to ESCRS education- al content on the ESCRS platform; and embed feedback mechanisms to update the curriculum. We also need to consider constraints and sustainability. That means you need to evaluate all the artificial eye models, he said. ends and bring a sense of meaninglessness if the virtuous end of the academic life is overlooked. You may lose your sense of meaningful goals and good decisions, he said. Finally, Dr. Fernández mentioned techne (craft/art), the ability to make something through the use of true reasoning. Across all do- mains of academics, scholars tend to be artisans of academic papers. Empirical evidence suggests that academics are increasingly using AI to write papers, favoring their publication metrics rather than advancing scholarly dialogue. You may lose your ability to create work through your own reasoning, he said. Dr. Fernández noted that you must ensure the accuracy, comprehensiveness, and impar- tiality of all AI-generated output and that the manuscript represents the author's authentic and original contribution and reflects their own analysis, interpretation, insights and ideas. Authors must verify that AI tool terms ensure that the tool only has the right to use materials to provide the service and that no additional rights are granted over input ma- terials. This includes ensuring that the AI tool is not granted rights to train on the provided materials. Authors must also ensure that the AI tool does not impose restrictions on the use of its outputs. Dr. Dick wrapped up the presentations, focusing on different training cultures, and he gave a European perspective on surgical simu- lation. ESCRS is looking for a formal pathway for cataract and refractive surgery training, is reviewing evidence, and has differentiated between simulation vs. wet labs. Simulation improves surgical performance, Dr. Dick said, noting some of the mechanisms of skills trans- fers to live cataract surgery, such as motor skills, like bimanual coordination, microscope-based depth cues, and instrument tip control (tremor management), and cognitive task structure, like step sequencing, error recognition, and decision-making without time pressure. It could also be useful for complication preparedness, in- cluding PCR scenarios, anterior vitrectomy, and small pupil/weak zonules. It could play a role in human factors, like stress inoculation, standard- ized debrief, and communication and workflow. Dr. Dick mentioned the ESCRS iLearn plat- form, as well as cataract educational programs, moving simulators that travel between cities in Europe (using the Eyesi simulator), and the continued from page 39 Relevant disclosures Anshu: None Cherwek: None Dick: None Fernández: None Huang: None Stodulka: Bausch + Lomb, Keranova Talcott: 4DMT, AbbVie, Alimera, Apellis, Astellas, Bausch + Lomb, Boehringer Ingelheim, Eyepoint, Genentech, Harrow, Ocular Ther- apeutix, Outlook, Regeneron, Zeiss Thompson: ForSight Robotics Whang: PuzzleAI To hear the complete presentations, 2026 ASCRS Annual Meeting attendees can access this session on ASCRS On Demand. Dr. Dick co-moderated the symposium at the 2026 ASCRS Annual Meeting on AI, robotics, and simulation. He also presented a European perspective on surgical simulation. Source: ASCRS

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