Posters

Importance of supervised surgical training of residents for phacoemulsification surgery

Poster Details

First Author: P.Behera INDIA

Co Author(s):    A. Shrivastava                    

Abstract Details

Purpose:

To compare the incidence of intraoperative complications and post operative visual outcome by two group of trainee residents during phacoemulsification surgery

Setting:

Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, India.

Methods:

Single center study prospectively analyzed phacoemulsification performed by trainee residents over a period of six months. Trainees were divided into two groups. Group one received training under supervision while trainees in group two was allowed to perform surgery independently. Patients 40-70 years of age with grade II – III nuclear sclerosis of cataract were included while those with poorly dilating pupil, corneal pathology, any ocular co-morbidity (ocular injury, uveitis) were excluded from the study. Intraoperative complications and postoperative best corrected visual acuity (BCVA) at six weeks follow up, of all patients were recorded.

Results:

Ninety patients with mean age of 58.25 ± 8.18 years were included. Uneventful surgical rate (p=0.02), posterior capsule tear (p=0.01) and post operative BCVA (p=0.03) were statistically different in two groups. Other complications such as rhexis irregularities, zonular dialysis, corneal edema, wound related complication and nucleus drop were not statistically significant (p >0.05).

Conclusions:

Learning surgery is always an uphill task for trainees. The rate of surgical complications for residents in training, learning phacoemulsification in a supervised manner can be acceptably low, thereby improving final visual outcome.

Financial Disclosure:

None