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E. Lee, A.A. Madu, H.M. Engel; Visual outcomes of cataract surgery complicated by vitreous loss among resident surgeons . Invest. Ophthalmol. Vis. Sci. 2004;45(13):305.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To determine the visual outcome of patients with vitreous loss during cataract surgery performed by resident surgeons. Methods: Data were collected for consecutive patients undergoing cataract extraction over an eleven–month period from August 2002 to June 2003. The data was retrospectively evaluated. Cases of vitreous loss were reported by a total of seven resident surgeons in the Department of Ophthalmology at Montefiore Medical Center and Bronx Lebanon Hospital Center. Information including resident surgeon, site and date of surgery, pre–operative and post–operative visual acuity, type of cataract extraction, type of vitrectomy, style of lens inserted, and presence of clinically significant post–operative cystoid macular edema (CME) were abstracted. Results: The residents performed over 600 cataract operations during this time period. Thirty cases of vitreous loss were reported, of which twenty–seven required anterior vitrectomies. None of the patients required pars plana vitrectomies. Five cases were excluded from the study due to loss of follow–up. Final visual acuity of 20/40 or better was achieved in 10 (40%) patients. Three (12%) of the twenty–five cases of vitreous loss underwent a weck–cel clean up while the remaining twenty–two (88%) cases required anterior vitrectomies. Four (16%) of the patients underwent an extracapsular cataract extraction. The remaining twenty–one (84%) underwent small–incision phacoemulsification. Only one patient (4%) experienced post–operative CME Conclusions: The results indicate that resident surgeons continue to achieve a low rate of vitreous loss during cataract surgery. Pre–operative visual acuity as well as the extent of vitrectomy were not predictors of visual outcome. Importantly, visual outcomes of 20/40 or better can be achieved by resident surgeons performing cataract surgery complicated by vitreous loss.
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