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Intraocular pressure elevation after cataract surgery: residents versus attending surgeons

Poster Details

First Author: T.López Montes SPAIN

Co Author(s):    M. Gonzalez Rodriguez   C. Fernandez Otero   C. Martinez Reglero              

Abstract Details

Purpose:

To investigate the incidence of intraocular pressure elevation on postoperative day 1 (IOPD1) after phacoemulsification cataract surgery with intraocular lens implantation performed by attending surgeons and residents (PGY3 and PGY4).

Setting:

Department of Ophthalmology, University Hospital of Vigo, Spain.

Methods:

379 consecutives cataract surgery performed by residents of attending surgeons between June 2016 and December 2016 were included. Intraocular pressure was measured on postoperative day 1 and divided into groups: >23 to �â�‰�¤30 mmHg, >30 to �â�‰�¤40 mmHg and >40 mmHg. The results were compared between attending surgeons, PGY3 and PGY4. Associated variables included: age, sex, diabetes mellitus, systemic hypertension, use of tamsulosin, auricular fibrillation, cardiovascular ischemia, ocular trauma, previous intraocular surgery, pseudoexfoliation, glaucoma, number of anti-glaucomatous eye drops, axial length and vitreous loss during surgery.

Results:

The incidence of IOPD1 >23 to �â�‰�¤30 mmHg was 15,8% in the group of attending surgeons, 24,4% in the group of PGY3 and 18,7% in the group of PGY4. The incidence of IOPD1 > 30 to �â�‰�¤40 mmHg was 3,3%, 9,8% and 6,1% in the group of attending surgeons, PGY3 and PGY4 respectively. When considering IOPD1 > 40 mmHg the rates were 2,2% in the group of attending surgeons and 4,9% and 0,7% in the group of residents (PGY3 and PGY4 respectively). None of the variables studied were significant contributors to the IOPD1 elevation (all p >0,05).

Conclusions:

Phacoemulsification surgery performed by residents surgeons early in their surgical training is associated with higher rates of acute IOPD1 elevation. Higher number of surgeries during their training is associated with an improvement on the surgical results.

Financial Disclosure:

NONE

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