Visual outcomes and incidence of vitreous loss for residents performing phacoemulsification without prior planned extracapsular cataract extraction experience.
OBJECTIVE
Phacoemulsification cataract surgery is one of the most important surgical procedures learned by ophthalmology residents during their residency training. We evaluated the visual outcomes and incidence of vitreous loss of phacoemulsification cataract surgeries performed by ophthalmology residents without prior planned extracapsular cataract extraction experience.


METHODS
Interventional case series.


METHODS
A retrospective review was performed on 332 consecutive phacoemulsification cataract surgeries performed by third-year ophthalmology residents from July 1999 through June 2001. Data included are preoperative and postoperative best-corrected visual acuity, preexisting ocular comorbidities, and intraoperative and postoperative complications.


RESULTS
Postoperative best-corrected visual acuity was 20/40 or better in 89% of eyes. After excluding the cases with preexisting ocular comorbidities, the percentage increased to 97.7%. Vitreous loss occurred in 4.8% of cases.


CONCLUSIONS
Ophthalmology residents can learn to perform phacoemulsification cataract surgery safely and effectively without prior planned extracapsular cataract extraction experience.
Quillen
David A
DA
Department of Ophthalmology, Penn State College of Medicine, Hershey, Pennsylvania 17033, USA. daq2@psu.edu
Phipps
Stephen J
SJ
D002983:Clinical Competence; D005128:Eye Diseases / Q000209:etiology*; D006801:Humans; D015994:Incidence; D007396:Internship and Residency; D007431:Intraoperative Complications; D009885:Ophthalmology / Q000193:education; D018918:Phacoemulsification / Q000193:education*; D012189:Retrospective Studies; D014792:Visual Acuity; D014822:Vitreous Body / Q000473:pathology*