September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016

Visual and anatomic outcomes after intraoperative complications in resident-performed phacoemulsification surgery
Author Affiliations & Notes
  • Marianeli Rodriguez
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
    Department of Veterans Affairs, Miami, Florida, United States
  • Ninel Gregori
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
    Department of Veterans Affairs, Miami, Florida, United States
  • Karli Sapir
    Department of Veterans Affairs, Miami, Florida, United States
  • Anna K Junk
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
    Department of Veterans Affairs, Miami, Florida, United States
  • Anat Galor
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
    Department of Veterans Affairs, Miami, Florida, United States
  • Sarah Wellik
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
    Department of Veterans Affairs, Miami, Florida, United States
  • Raquel Goldhardt
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
    Department of Veterans Affairs, Miami, Florida, United States
  • Jesse Pelletier
    Department of Veterans Affairs, Miami, Florida, United States
  • Wei Shi
    Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida, United States
  • Footnotes
    Commercial Relationships   Marianeli Rodriguez, None; Ninel Gregori, Second Sight Medical Products, Inc. and Ocata Therapeutics, Inc. (C); Karli Sapir, None; Anna Junk, None; Anat Galor, Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Clinical Sciences Research and Development’s Career Development Award CDA-2-024-10S (Dr. Galor), NIH Center Core Grant P30EY014801 and Research to Prevent Blindness Unrestricted Grant. (R); Sarah Wellik, None; Raquel Goldhardt, None; Jesse Pelletier, None; Wei Shi, None
  • Footnotes
    Support  NIH Center Core Grant P30EY014801, Research to Prevent Blindness Unrestricted Grant, Department of Defense (DOD-Grant#W81XWH-09-1-0675).
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 942. doi:
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      Marianeli Rodriguez, Ninel Gregori, Karli Sapir, Anna K Junk, Anat Galor, Sarah Wellik, Raquel Goldhardt, Jesse Pelletier, Wei Shi;
      Visual and anatomic outcomes after intraoperative complications in resident-performed phacoemulsification surgery. Invest. Ophthalmol. Vis. Sci. 2016;57(12):942.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose :
To review visual and anatomic outcomes after complicated cataract surgery in a teaching institution.

Methods :
IRB approved non-comparative consecutive case series of complicated phacoemulsification surgeries performed by ophthalmology residents under direct supervision of the attendings between January 1, 2006 and December 31, 2014.

Results :
133 eyes were analyzed. The mean final BCVA was 20/40. BCVA improved by a mean of 8 letters at 1 month (N=128; p=0.001), 16 letters at 3 months (N=117; p<0.001), 14 letters at 6 months (N=79; p<0.001), and 4 letters at 12 months (N=34; p=0.37). The mean OCT central subfoveal thickness (CST) increased by 36 μm (N=45; p<0.001), 27 μm (N=33; p=0.015), 45 μm (N=23; p=0.004), and 7.7 μm (N=10; p=0.62) at 1, 3, 6, and 12 months. BCVA increased by 3 lines in 41%, 56%, 57%, and 44% of eyes at 1, 3, 6, and 12 months. Sixty (45%) eyes required a secondary surgical procedure. Normal fovea was present in 66%, 59%, 39%, 44%, 33% OCTs obtained at preoperative, 1, 3, 6, and 12 months visits. Intraretinal fluid was present in 1.5%, 3.6%, 2.2%, and 9.5% eyes at 1, 3, 6, and 12 months. Visual acuity change did not correlated with the macular thickening seen on the OCT at any time point.

Conclusions :
A high proportion of eyes with complicated cataract extraction history requires additional surgical procedures however the visual gains are substantial.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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