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Importance of supervised surgical training of residents for phacoemulsification surgery

Poster Details

First Author: P.Behera INDIA

Co Author(s):    A. Shrivastava                    

Abstract Details


To compare the incidence of intraoperative complications and post operative visual outcome by two group of trainee residents during phacoemulsification surgery


Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, India.


Single center study prospectively analyzed phacoemulsification performed by trainee residents over a period of six months. Trainees were divided into two groups. Group one received training under supervision while trainees in group two was allowed to perform surgery independently. Patients 40-70 years of age with grade II – III nuclear sclerosis of cataract were included while those with poorly dilating pupil, corneal pathology, any ocular co-morbidity (ocular injury, uveitis) were excluded from the study. Intraoperative complications and postoperative best corrected visual acuity (BCVA) at six weeks follow up, of all patients were recorded.


Ninety patients with mean age of 58.25 ± 8.18 years were included. Uneventful surgical rate (p=0.02), posterior capsule tear (p=0.01) and post operative BCVA (p=0.03) were statistically different in two groups. Other complications such as rhexis irregularities, zonular dialysis, corneal edema, wound related complication and nucleus drop were not statistically significant (p >0.05).


Learning surgery is always an uphill task for trainees. The rate of surgical complications for residents in training, learning phacoemulsification in a supervised manner can be acceptably low, thereby improving final visual outcome.

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