First Author: V.Volante ITALY
Co Author(s): M. Bigliardi M. Bosi E. Fornasari G. Cavallini
Purpose:
To evaluate complications and outcomes of B-MICS performed by a surgeon in training.
Setting:
Institute of Ophthalmology, University of Modena & Reggio Emilia, Modena, Italy.
Methods:
A prospective study regarding the first 42 eyes of 38 patients who underwent cataract surgery performed by the same surgeon in training, using for the first time B-MICS, under supervision by expert surgeon. Intra- and postoperative complications and intraoperative parameters were recorded. Preoperative and postoperative parameters evaluated were visual acuity, astigmatism, corneal pachymetry and endothelial cell count.
Results:
Of the 42 cataract surgery cases, 5 were iris trauma (11.9%), one of these (2.38%) with postoperative iris prolapse; 2 of capsule rupture without vitreous loss (4.76%); 2 of posterior capsule rupture with vitreous loss (4.76%); 1 of IOL implantation in the sulcus owing to marked zonular laxity (2.38%); 1 IOL loop malposition (2.38%).
After surgery, visual acuity improved at 7 and at 30 days. There was a statistically significant endothelial cell loss between the pre- and postoperative stages, at 7 and at 30 days from surgery. There was no statistically significant difference between pre- and postoperative astigmatism, either at 7 or at 30 days. Instead, we recorded a higher mean astigmatism after surgery in complicated cases (vitreous loss, capsular tear or capsular weakness) as compared with the preoperative values.
Conclusions:
Complication rates are similar to those reported in the literature on cataract surgery performed by a surgeon in training with traditional phacoemulsification technique. B-MICS is a good and safe technique, also when performed by a surgeon in training and it can be considered as easy to learn or, at least, of no greater difficulty than the traditional coaxial technique. FINANCIAL DISCLOSURE?: No
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