Comparison of Posterior Capsule Rupture Rate during Phacoemulsification by Novice Ophthalmologists: Microscope vs. Intracameral Illumination
- Authors
- Kim, Yu Jeong; Seo, Hyejin; Lee, Jong Hwan; Kim, Seong-Woo; Chung, Tae-Young; Lee, Sung Jin; Park, Kyu Hyung; Nam, Dong Heun
- Issue Date
- Jul-2019
- Publisher
- 대한안과학회
- Keywords
- Intracameral illumination; Learning curve; Novice ophthalmologist; Phacoemulsification; Posterior capsule rupture
- Citation
- 대한안과학회지, v.60, no.7, pp 654 - 660
- Pages
- 7
- Journal Title
- 대한안과학회지
- Volume
- 60
- Number
- 7
- Start Page
- 654
- End Page
- 660
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4411
- DOI
- 10.3341/jkos.2019.60.7.654
- ISSN
- 0378-6471
2092-9374
- Abstract
- Purpose: We compared the posterior capsule rupture (PCR) rate between microscope versus intracameral illumination in phacoemulsification surgery performed by novice ophthalmologists. Methods: We conducted a retrospective chart review of 300 eyes of 211 patients who underwent phacoemulsification by novice ophthalmologists from March 2012 to October 2017. Novice ophthalmologists (n = 6) were divided into those using microscope illumination (n = 4) and intracameral illumination users (n = 2). The first 50 cataract surgery cases of each novice ophthalmologist were reviewed. The results using a phacoemulsification machine and microscopy were the same. The intraoperative complications and learning curve in each case were evaluated. Results: Phacoemulsifications performed by novice ophthalmologists showed a statistically significant difference in PCR rate between the microscope illumination (19.0%, 38/200) and intracameral illumination (4.0%, 4/100) groups (p = 0.001). The incidence of PCR was reduced to 22%, 18%, 16%, 12%, and 8% per 10 cases in the microscope group, while it was 15% in the first 10 cases and 0% in 50 cases thereafter in the intracameral illumination group. Conclusions: Novice surgeons had a lower PCR rate during cataract surgery using intracameral illumination than using microscope illumination. Both groups showed a tendency for the PCR to decrease with increasing surgical cases, but the intracameral illumination group showed a shorter learning curve.
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Collections - College of Medicine > Department of Ophthalmology > 1. Journal Articles
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