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Comparison of different types of complications in resident phacoemulsification surgery according to the number of operations performed

Poster Details

First Author: M.Mangan TURKEY

Co Author(s):    E. Atalay              

Abstract Details

Purpose:

To compare the differences of intraoperative complications rates by the number of residents-performed sequential phacoemulsification surgeries

Setting:

Tertiary care university hospital. Istanbul University, Cerrahpasa School of Medicine

Methods:

Preoperative and postoperative ophthalmological examination records and intraoperative data of 180 eyes of 140 patients who underwent cataract surgery by two residents between november 2009 and february 2012 were analysed retrospectively. The data of 180 eyes were evaluated into 3 groups with 60 operated cases in each group. Group A, B and C consisted of the data of 1-60, 61-120, 121-180 operated cases, respectively. Number of direct supervisor intervention and the rates of different types of complications were compared between three groups.

Results:

Number of direct supervisor intervention was 45, 35 and 19 in group A, B and C respectively. The number of complications anterior to the iris plane was 3, 4 and 12 in group A, B and C respectively. The difference in the rate of complications between group B and C was statistically significant (P=0.029). The number of complications posterior to the iris plane was 6, 14 and 3 in group A, B and C respectively. The difference in the rate of complications between the groups was statistically significant (P=0.042, P=0.004).

Conclusions:

This study gives a clue on which different types of complications might arise in phaco training period. The trends in the rates of different complication types in clinics may be analyzed and this analysis may be used to improve and modify phaco training programmes according to the needs of residents.

Financial Disclosure:

NONE

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