COMPLICATIONS AND RESULTS OF PHACOEMULSIFICATION PERFORMED BY RESIDENTS

被引：98

作者：

TARBET, KJ ^{[1
]}

MAMALIS, N ^{[1
]}

THEURER, J ^{[1
]}

JONES, BD ^{[1
]}

OLSON, RJ ^{[1
]}

机构：

[1] UNIV UTAH,HLTH SCI CTR,DEPT OPHTHALMOL,MORAN EYE CTR,SALT LAKE CITY,UT 84132

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 1995年 / 21卷 / 06期

关键词：

CATARACT SURGERY; COMPLICATION; INTRAOCULAR LENS; PHACOEMULSIFICATION; VITREOUS LOSS;

D O I：

10.1016/S0886-3350(13)80562-7

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

The use of phacoemulsification by ophthalmic surgeons has increased markedly over the past five years. Previous studies have reported relatively high rates of vitreous loss by residents learning phacoemulsification. We retrospectively analyzed the complications and results in 300 cases of phacoemulsification with intraocular lens implantation performed by residents. The first 40 cases done by four residents in their second year of training were compared with approximately the last 40 cases done by each resident at the end of the third year. The overall rate of surgical complications was 6.3%, and the total rate of vitreous loss was 3.3%. The rate of surgical complications during the initial surgeries in the second year of residency was 9.3%; it was 3.3% by the end of the third year. The rate of vitreous loss was 5.3% in the second year and 1.3% during the third year. Postoperatively, 90.6% of all eyes had a final best corrected visual acuity of 20/40 or better (95% excluding patients with pre-existing ocular disease). With proper training and supervision, the rate of surgical complications for residents learning phacoemulsification is acceptably low when compared with the rate for extracapsular cataract extraction.

引用

页码：661 / 665

页数：5

共 12 条

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