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Outcomes of strabismus surgery with or without trainee participation as surgeon
Viraj Jayesh Mehta1, Virginia Miraldi Utz2, Elias I Traboulsi3
1Department of Ophthalmology and Visual Sciences, Vanderbilt Eye Institute, Vanderbilt University, School of Medicine, Nashville, Tennessee; Department of Ophthalmology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Purpose:
To compare success rates of strabismus surgery that involves trainees versus those performed solely by staff surgeons.
Design:
Retrospective, comparative case series.
Subjects:
Patients undergoing eye muscle surgery for primarily horizontal deviations.
Methods:
Retrospective comparative case series of 543 patients (921 eyes) undergoing eye muscle surgery, with or without trainee participation, for horizontal deviations.
Main Outcome Measures:
Success in surgery defined as residual horizontal deviations of 10 prism diopters or less.
Results:
Trainees were involved in surgeries on 396 patients (672 eyes), whereas only staff surgeons operated on 147 patients (249 eyes). After minimum follow-up of 8 weeks, there was no overall significant difference between the success rates of procedures that involved trainees as surgeons and those that did not (P = 0.59).
Conclusions:
The involvement of trainees as operators in surgeries on horizontal eye muscles does not result in a worse outcome than surgeries exclusively performed by staff. With a shift toward competency-based education and more scrutiny of patient outcomes, these data further support the quality of surgical care provided by trainees.
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