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In resource-poor countries, there is a reported lack of quality and structured retinal laser training in residency and hospital eye programs. This unmet training need has been validated in current international diabetic retinopathy screening centers.1 In our own experience, there is a lack of specialist laser expertise that is a barrier to highquality and competent laser treatment delivery for patients in the developing world. Furthermore, with the introduction of new pattern scan laser technology, clinicians in the developing world have variable insights into new contemporary laser settings. One of the critical issues for a diabetic eye screening programs in the developing world is the significant risk of loss of vision from inadequate laser treatment despite successful eye screening and detection of sight-threatening diabetic retinopathy.

QUALITY IMPROVEMENT OF LASER TREATMENT (QUILT)A New Retinal Laser Simulation System for Training in Resource-Poor Countries