| 발표일자: |
2016년 11월 4일(금) ~ 11월 6일(일) |
| 발표번호: |
P(판넬)-080 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| visual outcome of cataract surgery performed by residents |
| Preah Ang Doung Hospital(1)
Takeo Eye Hospital(2) |
| UN Leng(1), Chea Ang(2), Ouk Sok Hean(3) |
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Purpose : To analyze the visual outcome in patients undergoing cataract surgery performed by senior residents at Takeo Eye Hospital (TEH) during their training program.
Methods : Non-comparative retrospective study reviewed the surgical outcomes of 100 cataract surgery among 298 patients operated upon by senior residents ( Third year resident ) conducted at THE from January to October 2014. Sample selection was randomized by RANDBTWEEN Excel program.
The majority of the patients underwent manual small incision cataract surgery (manual SICS). However, extracapsular cataract extractions with posterior chamber intraocular lens (ECCE-PCIOL) were also done on a few patients as clinically indicated.
Follow up was scheduled day 1, 2 weeks, and 1 month post operation.
Results : There were 64 female (64%) and 36 male (36%) patients. The majority of patients were older than 50 years of age (93.5%) who had age-related cataract. 6.5% belongs to the age group of 20-49.
Pre-operatively, presenting visual acuity was poor (<6/60) in 96%. At discharge, uncorrected visual acuity of ≥ 6/18 was achieved in 46%. 44.6% had visual acuity of >6/18 - <6/60 while 9.4% had poor visual outcome (VA<6/60). On the 30th postoperative day, VA of ≥6/18 and >6/18 -<6/60 was 70.8% and 23.7% respectively. 5.5% had poor visual outcome.
Conclusion : The result shows the better quality of cataract surgery performed by residents under supervision of senior ophthalmologist. This study lends support for continuing this surgical training and education. Further work must ensure that we remain aware of the balance between education and patients care.
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