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First Author: H.Ilhan TURKEY
Co Author(s): A. Cetinkaya A. Bilgin M. Unal I. Yucel
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To determine the results and complications of phacoemulsification in patients operated by ophthalmology residents.
Patients operated by residents at Akdeniz University, Ophthalmology Department between December 2011 and January 2013.
This retrospective descriptive study included consecutive patients with cataracts undergoing phacoemulsification. All patients were operated under topical or local anesthesia using the divide and conquer technique. Main outcome measures included surgical time, phacoemulsification time, U/S power, the rate of posterior capsular rupture and vitreous loss as well as associated risk factors such as surgical experience, type and severity of the cataract.
Overall, 251 eyes of 246 patients with mean age of 65.6ḟ9.8 (range, 32-91) years were operated. Of all the patients, 91 (36%) were female and 160 (64%) were male. The most common cataract type was nuclear with or without posterior subcapsular cataract (61%). Mean surgical time was 26 ±7,9 minutes and mean phaco time was 11,2 ±12,3 seconds. After third year residency lower complication rate was seen. The overall rate of vitreous loss was 11,6%. Endophthalmitis didnt occur in any case postoperatively. Only one patient needed secondary surgery for intraoculer lens drop to the vitreus. Visual acuity was 0,2ḟ0,15 preoperatively and 0,7ḟ0,2 postoperatively. Vision decreased in two patients according to corneal endothelial damage.
Higher rate of vitreous loss in patients operated by ophthalmology residents were related to experience time. Also known risk factors for vitreous loss should be considered and such patients should be operated by more experienced surgeons.