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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Cataract Surgery Numbers in U.S. Ophthalmology Residency Programs: An ACGME Case Log Analysis.

Brittany C Tsou1, Hursuong Vongsachang1, Boonkit Purt2,3

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Ophthalmic Epidemiology
|December 16, 2021
PubMed
Summary

Ophthalmology resident cataract surgery logs show increasing phacoemulsification and laser capsulotomies as primary surgeon, but decreasing other procedures. Surgical volumes dipped in 2019-20 due to COVID-19.

Keywords:
Cataractcataract surgeryophthalmology residencysurgical educationsurgical volume

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Area of Science:

  • Ophthalmology
  • Surgical Education

Background:

  • Cataract surgery is a core competency for ophthalmology residents.
  • Assessing resident surgical experience is crucial for effective training and patient safety.

Purpose of the Study:

  • To analyze trends in cataract surgical procedures performed by ophthalmology residents in the United States.
  • To evaluate the impact of training years and external factors on resident surgical volume.

Main Methods:

  • Analysis of Accreditation Council for Graduate Medical Education (ACGME) cataract procedure logs from 2009-2020.
  • Utilized linear regression on log-transformed data to identify yearly trends in surgical volumes.
  • Examined procedures logged as both primary surgeon and assistant.

Main Results:

  • Phacoemulsification and laser capsulotomies logged as primary surgeon showed overall yearly increases (2.9% and 5.3%, respectively).
  • Non-phacoemulsification extracapsular extraction, other cataract surgeries, and anterior vitrectomies showed significant yearly decreases.
  • All ACGME minimum categories logged as assistant demonstrated decreasing trends.

Conclusions:

  • Resident experience with phacoemulsification and laser capsulotomies as primary surgeon has grown over the past decade.
  • Other cataract procedures and assistant surgical volumes have declined.
  • The COVID-19 pandemic impacted surgical volumes in 2019-20, though volumes remained higher than earlier periods.