Evaluation of a Computer-based Retinal Laser Simulation Training Course in Nigeria

Background and Objective: Retinal laser photocoagulation remains an important treatment for diabetic retinopathy and other retinal conditions. To prevent diabetes-related blindness, it is essential to enhance ophthalmologists’ understanding of laser treatment modalities and their practical use. However, structured opportunities for laser training are not readily available. Simulation in ophthalmology has become increasingly popular, and simulation-based training may provide a safer and more accessible way to develop foundational retinal laser skills. We describe the first-phase implementation process of a computer-based retinal laser simulation training course in Nigeria and evaluate participant feedback. Materials and Methods: This descriptive study evaluated postcourse feedback from 15 participants who attended a preconference retinal laser workshop at the Nigerian Ophthalmological Society Scientific Conference 2025. The course was divided into two main parts: an online prelearning theory module followed by a supervised face-to-face computer-based simulation session using the Quality Improvement in Laser Training (QUILT) platform. Participants were required to achieve at least 80% in the online assessment before they were eligible to participate in the face-to-face supervised simulation session. Participants completed a 14-item feedback questionnaire. The data collected were entered into a Google Spreadsheet and summarized using the frequency and percentage distribution. Results: All 15 individuals who attended the course agreed to the participation terms outlined in the introductory statement and completed the feedback survey. The majority of participants (93.3%) reported that the course met their expectations and supported their learning. The computer-based simulation session (QUILT) received the highest usefulness ratings. Several participants suggested inclusion of live model-eye laser application in future courses. Conclusion: Phase 1 implementation of a computer-based retinal laser simulation course in Nigeria was feasible and well received. While findings are limited to self-reported outcomes, this approach may help address the gaps in structured laser training. Further studies are needed to evaluate objective skill acquisition and the integration of live laser simulation.