Posters
Learning curve of residents for phacoemulsification surgery
Poster Details
First Author: K. Singh INDIA
Co Author(s): A. Shrivastava S. Mushriff D. Verma
Abstract Details
Purpose:
To study the incidence of intraoperative complications and visual outcome during phacoemulsification surgery by residents.
Setting:
Tertiary care teaching hospital in central India
Methods:
This single center study prospectively analyzed cases of phacoemulsification performed by three residents at a tertiary center in central India over a period six months from July to December 2015. Each resident had performed more than 200 cases of small incision cataract surgery before undertaking phacoemulsification. Patients 40-70 years of age with Grade II-III nuclear sclerosis were included, whereas those with other grades of nuclear sclerosis, subluxated lens, poorly dilating pupil, uveitis, and other ocular pathology were excluded from the study. A total of 90 eyes of 90 patients were included in the study. Each resident performed 30 phacoemulsification surgeries.
Results:
Ninety patients with a mean age of 58.25 ± 8.18 years were included in the study. The main outcome measures included corneal edema, posterior capsule tear, zonular dialysis, continuous curvilinear capsulorhexis (CCC) extending to periphery, wound burn and vitreous loss. Corneal edema occurred in 10 (11.11%), posterior capsule tear in 6 (6.66%), zonular dialysis in 2 (2.22%), wound related complication in 3 (3.33%) and nucleus drop in one case respectively. Best corrected visual acuity was 6/12 or better in 82 (91.1%) patients after 6 weeks of follow up.
Conclusions:
The rate of surgical complications for residents in training, learning phacoemulsification in a supervised manner, can be acceptably low, thereby improving final visual outcome.
Prior experience of small incision cataract surgery (SICS in this study) helps in better hand eye coordination, tissue feeling and reducing intraoperative complications.
Financial Disclosure:
NONE
