Phacoemulsification learning curve: Experience of two junior trainee ophthalmologists

Prasad, Somdutt

doi:10.1016/s0886-3350(98)80077-1

Cited by 65 publications

(49 citation statements)

References 10 publications

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“…However, several reports show that trainee cataract surgeons have acceptable complication rates providing careful case selection and supervision takes place. [7][8][9] Better patient education with regard to this may help to alleviate their concern. This highlights the importance of auditing surgical outcomes for both training and consultant surgeons and the results being freely available to patients.…”

Section: Discussionmentioning

confidence: 99%

Patients' attitudes towards trainee surgeons performing cataract surgery at a teaching hospital

Moodie

Masood

Tint

et al. 2007

Eye

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Aim To evaluate patients' preferences of surgeon to perform their cataract surgery if given a choice between consultant and trainee. Methods A questionnaire based patient satisfaction survey was conducted in a large University Teaching Hospital in the UK. One hundred and eighty patients undergoing first eye cataract surgery between January and March 2006 were asked a number of set questions on their preferences regarding the surgeon performing the operation. Primary outcome measure was the patient's preference for who would perform their cataract surgery (consultant or trainee). Results Overall, 126 (70%) accepted that trainee surgeons should operate as part of their training. Only 102 (81%) of these (57% of the total) would be happy to be operated on themselves by a supervised surgical trainee. Ninety-eight (78%) patients objected to being operated on by a trainee if they were to be unsupervised. One hundred and forty-two (79%) patients stated they would choose to wait longer for their surgery if it meant that a consultant would perform their operation. This preference was held significantly more strongly among patients who had been listed for surgery from a consultant's clinic rather than from the pooled 'cataract clinic' (P ¼ 0.048). One hundred and forty-four (80%) patients thought they should be told the name and designation of the surgeon who was to perform their operation. Conclusions Patients undergoing their first cataract procedure appear to have a preference for their named consultant to perform their surgery. If 'patient choice' extends to the choice of operating surgeon, then there are clear implications for the training of future UK ophthalmologists.

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Section: Discussionmentioning

confidence: 99%

Patients' attitudes towards trainee surgeons performing cataract surgery at a teaching hospital

Moodie

Masood

Tint

et al. 2007

Eye

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“…[3][4][5][6][7][8][9][10][11][12] These studies report posterior capsule tears in 2.1-9.9% of cases and vitreous loss in 1.8-14.7% of cases. Our results compare favourably, with a posterior capsule tear rate of 0.62% (one case) and a vitreous loss rate of 0.62% (one case).…”

Section: Discussionmentioning

confidence: 99%

Modular phakoemulsification training adapted for a left-handed trainee

Freeman

Singh

Chell

et al. 2004

Eye

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Background The increasing demand for high-volume, high-quality cataract surgery creates additional challenges for surgeons providing phakoemulsification training. We describe the modular training programme used by the Worcester Eye Department for inexperienced trainees and the adaptation of this programme to the needs of a left-handed trainee. Methods The intraoperative complications of a left-handed trainees' first 161 cases are reported. Results In this series, there was one case of vitreous loss (0.62%) and one case of posterior capsular tear (0.62%). Two cases developed stable anterior capsular tears (1.24%) and two cases required a single suture to ensure wound stability. Conclusion We demonstrate a safe, effective and flexible method of phakoemulsification training.

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“…A rotura de cápsula posterior varia entre 4,8 a 11% e a perda vítrea entre 1,0 a 13,7% 7 . Os parâmetros de funcionamento do equipamento utilizado (Harmony Special Phaco -D.O.R.C ) foram estabelecidos pelos cirurgiões e orientadores já que não havia similar no mercado.…”

Section: Discussionunclassified

Facoemulsificação: resultados e complicações nos primeiros 100 olhos

Araújo¹,

Chou²,

Silva³

et al. 2000

Arq. Bras. Oftalmol.

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Objetivo: Analisar o resultado visual e as complicações dos 100 primeiros olhos submetidos à facoemulsificação, realizados no Hospital do Servidor Público Estadual de São Paulo (HSPE), por cirurgiões iniciantes nesta técnica. Pacientes e Método: As 100 primeiras cirurgias de facoemulsificação realizadas por 05 cirurgiões, em pacientes do ambulatório de Catarata do HSPE, foram analisadas. A técnica utilizada foi incisão tunelizada, capsulorrexis curvilínea contínua anterior, facoemulsificação do núcleo, usando um aparelho de bomba peristáltica, e implante de lente intra-ocular, sob anestesia com bloqueio peribulbar.Resultados: As complicações ocorreram em 15,2% dos olhos, sendo rotura de cápsula posterior sem perda vítrea em 8,7%, perda vítrea em 5,4% e luxação de núcleo no vítreo em 1 olho. Em 96,7% dos olhos foram implantados LIO de câmara posterior, sendo 70,8% no saco capsular, 28% no sulco, 1,2% fixação escleral superior. A acuidade visual final foi maior que 20/40 em 89% dos olhos e nenhum evoluiu para ceratopatia bolhosa ou descolamento de retina.Conclusão: A incidência de complicações foi comparável a da literatura, sugerindo que o aprendizado pode ser iniciado no período da residência médica.

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Phacoemulsification learning curve: Experience of two junior trainee ophthalmologists

Cited by 65 publications

References 10 publications

Patients' attitudes towards trainee surgeons performing cataract surgery at a teaching hospital

Patients' attitudes towards trainee surgeons performing cataract surgery at a teaching hospital

Modular phakoemulsification training adapted for a left-handed trainee

Facoemulsificação: resultados e complicações nos primeiros 100 olhos

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