April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Intraoperative Vitreous Loss in Early Resident-Performed Phacoemulsification versus Extracapsular Cataract Extraction
Author Affiliations & Notes
  • Jennifer E. DeNiro
    Ophthalmology, California Pacific Medical Center, San Frnacisco, California
    Ophthalmology, University of California, San Francisco, San Francisco, California
  • Ayman Naseri
    Ophthalmology, University of California, San Francisco, San Francisco, California
  • Footnotes
    Commercial Relationships  Jennifer E. DeNiro, None; Ayman Naseri, None
  • Footnotes
    Support  That Man May See, a nonprofit organization.
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 4725. doi:
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    • Get Citation

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

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Abstract

Purpose: : To compare rates of major complications between early resident-performed manual extracapsular cataract extraction (ECCE) versus phacoemulsification.

Methods: : Settings: Three hospitals affiliated with an ophthalmology residency program.

Results: : 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).

Conclusions: : 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.

Keywords: cataract • training/teaching cataract surgery 
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