Winter Academy - Pre Evaluation Vitrectomy - mts

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Winter Academy 2026 - Pre Evaluation Vitrectomy

Dear Vitrectomy Participant, please fill in the following questionnaire to help us tailor the Winter Academy Vitrectomy course to your level of experience. This information is only for our course instructors and will not be published.

Please enable JavaScript in your browser to complete this form.

If yes, how many vitrectomy procedures?

Last Name *

First Language *

Email *

Mobile Number *

My workplace is: *

A university hospital
A public hospital
A private practice
Other

Workplace Name *

Workplace City *

In the past, I have performed complete phaco procedures on humans. *

No
Yes

If yes, how many complete phacos in total?

In the past, I have participated in vitrectomy wetlabs (at congresses, in the clinic, or with industry). *

No
Yes

If yes, total hours of work in the wetlab?

I have observed vitrectomy procedures. *

No
Yes

I have assisted in vitrectomy procedures. *

No
Yes

I have independently performed vitrectomy procedures. *

No
Yes

If yes, how many vitrectomy procedures?

Main topics I want to learn:

Name

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