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Graefe's Archive for Clinical and Experimental Ophthalmology

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01.09.2012 | Cataract

Complication rate and risk factors for intraoperative complications in resident-performed phacoemulsification surgery

verfasst von: Andrea Briszi, Philipp Prahs, Jost Hillenkamp, Horst Helbig, Wolfgang Herrmann

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 9/2012

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Abstract

Background/Aim

To determine the complication rate and risk factors for intraoperative complications in resident-performed phacoemulsification surgery at a tertiary care center during the first 100 surgeries.

Methods

Retrospective chart review of the first 100 performed phacoemulsification cases of six consecutive residents. Posterior capsule tear, vitreous loss, and dislocation of lenticular fragments into the vitreous were defined as intraoperative complications. Patient characteristics considered risk factors for surgery were identified and correlated with the occurrence of intraoperative complications.

Results

Complications occurred in 23 of 600 operations (3.8 %). Surgery was complicated by posterior capsular tear in 23 eyes (3.8 %) with vitreous loss in 17 eyes (2.8 %) and loss of lenticular fragments into the vitreous in seven eyes (1.2 %). Eyes with dense nuclear sclerosis (p = 0.002) and white cataracts (p = 0.019) were associated with a statistically significantly greater incidence of posterior capsular tears and vitreous loss (p = 0.007 and p = 0.027 respectively). An intraocular lens was implanted in 591 eyes as intended.

Conclusions

Residents achieve an acceptable complication rate during their initial 100 phacoemulsification cases.

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Titel: Complication rate and risk factors for intraoperative complications in resident-performed phacoemulsification surgery
verfasst von: Andrea Briszi
Philipp Prahs
Jost Hillenkamp
Horst Helbig
Wolfgang Herrmann
Publikationsdatum: 01.09.2012
Verlag: Springer-Verlag
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 9/2012
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-012-2003-y

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Complication rate and risk factors for intraoperative complications in resident-performed phacoemulsification surgery

Abstract

Background/Aim

Methods

Results

Conclusions

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Springer Medizin

Abstract

Background/Aim

Methods

Results

Conclusions

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