Posters

Cataract phacoemulsification complication rates: Is there a difference between resident trainee vs staff ophthalmologist?

Poster Details

First Author: C.Oliveira-Ferreira PORTUGAL

Co Author(s): M. Leuzinger-Dias   J. Tavares-Ferreira   J. Macedo   F. Falcao-Reis           

Abstract Details

Purpose:

The aim of this study is to evaluate the induced astigmatism during cataract surgery, and to analyze whether it varies according to the surgical experience of the surgeon.

Setting:

Ophthalmology Department, Centro Hospitalar São João, Porto, Portugal

Methods:

This study included 2937 eyes submitted to primary phacoemulsification cataract surgery performed by staff surgeons and resident trainees, from January to December 2017. There were no exclusion criteria. Data collected included the level of resident training (1-4 years of residency), case complexity (example: intraoperative floppy iris syndrome, pseudoexfoliation, bad collaboration, central leucoma, high myopia, narrow angle) and intraoperative complications.

Results:

74.4% of all surgeries were performed by staff surgeons while 25,6% were performed by resident trainees. 85.1% of the surgeries were simple. High myopia, pseudoexfoliation and narrow angle were the most common reason for complex cases. The overall complication rate was 3.6%. The most frequent complications were posterior capsule rupture (2.24%), and vitreous loss (1.26%). Complication rate was 5.5% in resident trainees and 3.0% in staff surgeons, with a statistically significant difference (p = 0.003, contingency coefficient: 0,057) The complication rate of resident trainees did not differ according to the level of residency. (-1.96≥adjusted residuals≥1.96).

Conclusions:

The results presented an overall complication rates equal to that describe in literature. Complication rates were statistically higher in training residents than in staff surgeons, but the association was weak.

Financial Disclosure:

None