A Polysomnographic Study of Effects of Sleep Deprivation on Novice and Senior Surgeons during Simulated Vitreoretinal Surgery

– A study was conducted to assess the impact of sleep deprivation on the surgical performance of vitreoretinal surgeons with different levels of experience.
– The study included 11 junior VR surgery fellows with less than 2 years of experience and 11 senior surgeons with more than 10 years of experience.
– Surgical performance was evaluated using the Eyesi simulator after a 3-hour sleep-deprived night and compared with baseline performance.
Novice surgeons had worse simulated surgical performance after sleep deprivation compared to their baseline performance, while senior surgeons showed no differences in performance.
– The time for task completion increased in participants with a high apnea-hypopnea index (AHI) and those with fragmented sleep compared to those with normal AHI and fewer arousals per hour.
– Sleep fragmentation was associated with a decrease in the Eyesi-generated score the following morning.
– The study suggests that poor sleep quality has a greater impact on the surgical skills of novice surgeons compared to senior surgeons.
– Sleep fragmentation and AHI were found to be associated with compromised surgical performance after sleep deprivation.
– The study highlights the importance of assessing sleep deprivation and poor sleep patterns in microsurgeons.