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Jennifer E. DeNiro, Ayman Naseri; Intraoperative Vitreous Loss in Early Resident-Performed Phacoemulsification versus Extracapsular Cataract Extraction. Invest. Ophthalmol. Vis. Sci. 2011;52(14):4725.
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To compare rates of major complications between early resident-performed manual extracapsular cataract extraction (ECCE) versus phacoemulsification.
Settings: Three hospitals affiliated with an ophthalmology residency program.
171 eyes of 160 patients underwent ECCE and 255 eyes of 242 patients underwent phacoemulsification. Vitreous loss occurred in 29 (17.0%) of 171 ECCE operations and in 43 (16.9%) of 255 phacoemulsifications (P = 0.95). PCIOL placement occurred in 153 (89.5%) of ECCE cases as compared to 248 (97.3%) of phacoemulsifications (P = 0.002). Re-operation within 90 days of surgery took place in 5 (2.9%) of ECCE cases versus 13 (5.1%) of phacoemulsifications (P = 0.31). In a multivariate analysis controlling for preoperative best-corrected visual acuity, hospital, and age, there was no evidence of a relationship between type of cataract extraction and vitreous loss (P = 0.86), PCIOL placement (P= 0.10), or re-operation rate (P = 0.10).
Among this group of beginning resident surgeons, there was no significant difference in vitreous loss between ECCE and phacoemulsification surgeries. The ECCE technique was associated with a lower rate of PCIOL placement, but this effect was not significant in a multivariate analysis.
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