Resident-performed neodymium:YAG laser posterior capsulotomy.
Can J Ophthalmol
; 52(4): 324-330, 2017 Aug.
Article
em En
| MEDLINE
| ID: mdl-28774511
ABSTRACT
OBJECTIVE:
To investigate the outcomes of resident-performed NdYAG laser posterior capsulotomy.DESIGN:
Combined retrospective and prospective study.PARTICIPANTS:
Patients (N = 301) who underwent NdYAG capsulotomy by ophthalmology residents at Rassoul Akram Hospital, Tehran, Iran.METHODS:
Assessment of visual outcomes and complications and the results of second- and third-year residents.RESULTS:
In the retrospective arm, 131 eyes of 129 patients were enrolled. Mean best-corrected visual acuity (BCVA) improved significantly from 1.15 ± 0.26 to 0.54 ± 0.39 logMAR (p < 0.001). Mean intraocular pressure (IOP) before capsulotomy and at the final visit was 13.1 ± 2.34 mm Hg and 13.6 ± 2.17 mm Hg, respectively (P = 0.30). Retinal detachment occurred in 2 eyes (1.5%). No case of intraocular lens decentration or endophthalmitis was detected. In the prospective arm on 173 eyes of 172 patients, mean pre-YAG BCVA was 1.14 ± 0.25 logMAR and increased to 0.51 ± 0.37 logMAR after surgery (p < 0.001). There was no significant difference between pre-laser IOP measurements compared with the 1-month IOP measurements (P = 0.32). The postoperative changes in mean BCVA and IOP between the second- and third-year residents were not significant; however, the applied laser power, the number of laser spots, rate of incomplete capsulotomies, and the amount of total and central laser-induced IOL pits were significantly higher among the second-year residents.CONCLUSIONS:
Resident-performed capsulotomy appears to be effective with a low complication profile. Despite the lower levels of surgical skills, second-year residents could achieve good visual outcomes. The laser parameters and IOL-related complications improved with increasing surgical experience.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Competência Clínica
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Educação de Pós-Graduação em Medicina
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Terapia a Laser
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Lasers de Estado Sólido
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Capsulotomia Posterior
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Internato e Residência
Tipo de estudo:
Observational_studies
Limite:
Adult
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Can J Ophthalmol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Irã