Ophthalmology Residents' Experience in Cataract Surgery: Preoperative Risk Factors, Intraoperative Complications, and
Yaacov Cnaany1, Ayelet Goldstein2, Itay Lavy1
1Department of Ophthalmology, Hadassah-Hebrew University Medical Center, POB 12000, 91120, Jerusalem, Israel.
Ophthalmology and Therapy
|May 2, 2024
Summary
As ophthalmology residents gain experience, they increasingly perform complex cataract surgeries. Their complication rates decrease with experience, improving patient outcomes and ensuring safer surgical training.
Area of Science:
- Ophthalmology
- Surgical Education
- Patient Safety
Background:
- Retrospective analysis of cataract surgeries performed by residents.
- Investigated the link between resident experience, patient risk factors, and surgical outcomes.
- Focus on data from Hadassah Medical Center between January 2018 and February 2022.
Purpose of the Study:
- To explore the relationship between preoperative patient risk factors, resident experience, and cataract surgery outcomes.
- Hypothesized that increased resident experience improves outcomes for higher-risk patients.
- To assess the impact of a structured risk assessment on surgical training and patient safety.
Main Methods:
- Analyzed data from 691 cataract surgeries in 590 patients.
- Included demographics, surgeon experience, and a preoperative risk assessment score.
- Correlated risk scores with resident experience and pre- and postoperative corrected distance visual acuity (CDVA).
Main Results:
- Residents performed more complex cases (higher risk factors) as their experience grew (54% to 75%).
- Intraoperative complication rates per patient decreased with increasing resident experience.
- Patients without risk factors had better postoperative CDVA and improvement compared to those with risk factors.
Conclusions:
- A preoperative risk assessment system can guide surgery allocation to residents based on experience.
- This approach may mitigate surgical risks and enhance patient safety.
- Facilitates a progressive learning curve for residents in cataract surgery.
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