Complication rates of resident-performed cataract surgery: Impact of early introduction of cataract surgery training

摘要

PurposeTo determine the effect of the early introduction of cataract surgery training on the complication rates of resident-performed cataract surgery. SettingUniversity of California San Diego, San Diego, California, USA. DesignRetrospective case series. MethodsTwo classes of ophthalmology residents were examined, one class with a late introduction of cataract surgery and one with an early introduction of cataract surgery. All cataract cases in which residents acted as primary surgeon were included. Patient charts were reviewed to collect data on patient characteristics, surgical details, and intraoperative and postoperative complications. ResultsThe late-introduction cohort comprised 3 residents who performed 540 cataract cases, all during their final year of residency. The early-introduction cohort comprised 4 residents who performed 780 cataract cases beginning in the first year of residency. The late-introduction cohort had higher rates of major intraoperative complications than the early-introduction cohort (8.5% versus 3.1%) and of anterior vitrectomy (7.6% versus 2.1%) (bothP?