Is there a difference in cataract surgery complication rates between female and male surgeons?

Session Details

Session Title: Training & Surgical Practice

Session Date/Time: Tuesday 25/09/2018 | 16:00-18:00

Paper Time: 17:42

Venue: Room A2

First Author: : Z.Shalchi UK

Co Author(s): :    M. Okada   C. Whiting   V. Maurino   R. Hamilton           

Abstract Details

Purpose:

A recent study of over 100,000 patients undergoing common general and specialist surgical procedures in Canada has identified that patients had better outcomes when treated by female surgeons. However, whether this translates across to ocular surgery is unknown. We wanted to investigate if female surgeons have less risk of posterior capsule rupture during cataract surgery than male surgeons.

Setting:

Moorfields Eye Hospital, London, UK

Methods:

This was a large database observational study of all cataract surgery performed on adult patients over a 44-month period to August 2016 at Moorfields Eye Hospital. Clinical data including demographic data, occurrence of posterior capsular rupture and surgeon gender were extracted. Logistic regression analyses were performed with the Hosmer-Lemeshow test for goodness of fit to generate odds ratios for possible risk factors.

Results:

The cohort included 60,264 cataract surgery procedures undertaken by 492 unique surgeons. PCR occurred in 650 (1.04%) eyes and this was not related to surgeon gender (p=0.281). PCR was less common in consultant (attending) surgeons (p<0.001) and reduced with increasing volume of cases by surgeon (p=0.025).

Conclusions:

Surgeon gender does not appear to be a risk factor for PCR during cataract surgery.

Financial Disclosure:

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