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Darby D. Miller, Joseph Buglisi, Michael Summerfield; Resident Trabeculectomy Success and Complication Rates in an Inner City Training Hospital. Invest. Ophthalmol. Vis. Sci. 2011;52(14):629.
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To evaluate the success and complication rates of trabeculectomies performed by ophthalmology residents, under the supervision of attending physicians, at an inner city training hospital.
A retrospective analysis of resident-performed trabeculectomies at Washington Hospital Center from 2006 to 2008 was performed. Pre- and post-operative data for 50 eyes in 44 patients were evaluated.
The average follow-up period was 18.6 +/- 11.4 months and follow-up periods ranged from 6 months to over 2 years. Preoperative and postoperative visual acuity, intraocular pressure (IOP), and average number of glaucoma medications were examined at Day 1, Week 1, Month 1, Month 3, Month 6, Year 1 and Year 2. Visual acuity remained stable in 31 eyes (62%), improved in 12 eyes (24%), and decreased in 7 eyes (14%). Intraocular pressure decreased from 23.1 +/- 6.6 mm Hg preoperatively to 14.5 +/- 2.9 mm Hg at last follow up (P<0.001). The number of medications required decreased from 3.2 +/- 0.9 preoperatively to 0.7 +/- 0.7 at last follow up (P<0.001). In addition, postoperative complications were analyzed. One eye (2%) developed uveitis and three eyes (6%) required subsequent glaucoma surgery due to bleb failure. There were no cases of endophthalmitis or phthisis.
Results of this study suggest that trabeculectomies performed by ophthalmology residents at an inner city training hospital can have a high success rate under attending physician supervision.
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