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The initial complication rate of phacoemulsification in India
A L Robin1, S D Smith, G Natchiar
1Department of Ophthalmology, Greater Baltimore Medical Center and Johns Hopkins University, Maryland, USA.
Investigative Ophthalmology & Visual Science
|October 31, 1997
Summary
Experienced surgeons can be trained in phacoemulsification cataract surgery in India. Complication rates decreased with surgeon experience, demonstrating feasibility within one month.
Area of Science:
- Ophthalmology
- Surgical Training
- Public Health
Background:
- Cataract surgery is essential in endemic areas.
- Phacoemulsification is a modern cataract removal technique.
- Training programs are needed for widespread adoption.
Purpose of the Study:
- Assess the feasibility of teaching phacoemulsification to experienced surgeons in India.
- Document and evaluate surgical complications during training.
- Identify factors influencing complication rates.
Main Methods:
- Prospective evaluation of 300 phacoemulsification surgeries by three experienced surgeons.
- Data collection on intraoperative and postoperative complications.
- Logistic regression analysis to identify risk factors.
Main Results:
- Overall complication rate was 21.7%, with posterior capsule rents being most common (13.3%).
- Surgeon complication rates and surgical times varied significantly.
- Increased surgeon experience (phacoemulsification cases) correlated with decreased complication risk.
Conclusions:
- Phacoemulsification training is feasible for experienced surgeons in India.
- Acceptable surgical outcomes were achieved within one month of training.
- Surgical complication risk decreases by 1% with each successive case.