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Learning curve in phacoemulsification in residency

Poster Details

First Author: P.Biswas INDIA

Co Author(s):    N. Chandak   A. Paul   S. Kumar        

Abstract Details



Purpose:

To analyze outcomes of resident-performed phacoemulsifications and to assess the resident phacoemulsification learning curve.

Setting:

B B Eye Foundation , Kolkata, India

Methods:

Retrospective study of resident-performed phacoemulsification of 16 cases at B B Eye Foundation, a tertiary eye centre in Kolkata, India. Outcomes measured included postoperative uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), intraoperative complications

Results:

We analyzed 16 cases. Postoperative mean UCVA was 20/39, and mean BSCVA was 20/25 (> or = 20/20 in 44.0% of cases and > or = 20/40 in 97.8%). There were no differences in visual acuity outcomes over the course of residency training. Intraoperative complications occurred in 4 cases (50.0%)

Conclusions:

Quality visual outcomes after phacoemulsification can be attained throughout residency training; however, surgical competency, when measured by complication rates and phacoemulsification efficiency, continues to improve significantly with increasing surgical experience. With proper training and supervision, senior residents can achieve an acceptable complication rate. Adequate supervision is crucial to guarantee, good surgical outcomes, specially on the first 40 cases, that presents greater complications rates. FINANCIAL INTEREST: NONE

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