First Author: T.Triwijayanti INDONESIA
Co Author(s): B. Harmani
Purpose:
To evaluate phacoemulsification learning curve by resident in FKUI and to evaluate safety procedure of phacoemulsification done by resident.
Setting:
Cataract is leading cause of blindness in Indonesaia and can be resolved by increasing ophthalmologist capability to do cataract surgery. Cataract surgey is one of the most commonly performed surgeries in the world. Nowadays, Phacoemulsification is the technique of choice in cataract surgery which can result good post-operative outcomes because of the small incison. Resident in Indonesaia ,particulary in FKUI, started learning phacoemulsification in 2008.
Methods:
This research method is retrospective review of 10 residents performed phacoemulsification cases at Cipto Mangunkusumo Hospital and Kasih Sayang Clinic for period January to December 2010. Outcomes measured include phacoemulsification procedure, intraoperative complication, post operative uncorrected visual acuty (UCVA) and best corrected viaual acuity (BCVA).
Results:
We analyzed 387 phacoemulsification cases done by residents. It was found thar 78.5% subject more than 55 years old, 86% have cataract grade II-III and 89% have axial length 22-25 mm. Each resident performed 32-46 cases. Post operative , good visual outcomes (6/18) UCVA was 71.09% and BCVA was 95% . Total complication rate was 12.4 % with vitreous prolaps of 10.7%. the most difficult phacoemulsification procedure was Segment removal, chopping, and lens insertion.
Conclusions:
Surgical competency can be measured by phacoemulsification efficiency and complication rate. Complication has been reducing as the number of surgery increasing. Surgical case numbers performed by resident in FKUI has not reached numbers of cases that can reduced total complication (>80 cases). FINANCIAL DISCLOSURE?: No
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