Incidence of vitreous loss and visual outcome following cataract surgery by surgeons with various levels of experience at a tertiary eye care center in North India

被引:0
作者
Sharma, Dushyant Kumar [1 ]
Bharti, Gaurav [2 ]
Pegu, Julie [1 ]
Bhumbla, Shayana [1 ]
Paul, Lagan [3 ]
Agarwal, Manisha [3 ]
Shah, Gaurav [4 ]
Mathur, Umang [5 ]
机构
[1] Dr Shroffs Char Eye Hosp, Dept Glaucoma, Delhi, India
[2] Dr Shroffs Char Eye Hosp, Dept Cataract, Delhi, India
[3] Dr Shroffs Char Eye Hosp, Dept Retina, Delhi, India
[4] Dr Shroffs Char Eye Hosp, Dept Oculoplasty, Delhi, India
[5] Dr Shroffs Char Eye Hosp, Dept Cornea, Delhi, India
关键词
Cataract surgery; posterior capsular rent; vitreous loss; POSTERIOR CAPSULE RUPTURE; LENS IMPLANTATION; RISK-FACTORS; EXTRACTION; PHACOEMULSIFICATION; COMPLICATIONS; RESIDENTS;
D O I
10.4103/ijo.IJO_1578_22
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To determine the incidence of vitreous loss and visual outcome after a vitreous loss during cataract surgery performed by surgeons with various levels of experience in adults >40 years of age at a tertiary eye care center in North India. Methods: The study was conducted at a tertiary eye care center in North India. This was an observational, retrospective, cross-sectional study of patients who underwent cataract surgery from August 1, 2011 to July 31, 2014. All adult cataract cases who were operated on from August 1, 2011 to July 31, 2014 and who experienced vitreous loss during their surgery were included in the study. The visual outcomes of these patients who experienced vitreous loss during cataract surgery in uncomplicated cataract and were managed using standard automated vitrectomy techniques were assessed for different cataract surgical techniques (extracapsular, small-incision, and phacoemulsification) as well as at different levels of skill of the operative surgeon (consultant, short term fellow, and long-term fellow). Details of the postoperative period and best-corrected visual acuity (BCVA) were collected from patient records by the principal investigator on day 1, 1 week, 4 weeks, 6 weeks, and 3 months post cataract surgery. Results: Vitreous loss occurred in 374 out of 18,430 patients who underwent cataract surgery from August 1, 2011 to July 31, 2014. The overall incidence of vitreous loss in our study was found to be 2.03% with consultants having a rate of 1.66%, short-term fellows at 5.19%, and long-term fellows at 2.02%. Two hundred eighty-eight patients of the 374 cases followed up for 3 months at the hospital and 75.69% of these patients had a final visual acuity of >= 6/18. Conclusion: In an institute with a structured training program for residents/trainees, the vitreous loss rate is low during cataract surgery. Early intervention and proper management with the standard microsurgical technique by experienced hands can improve the final visual outcome in eyes with vitreous loss. Cystoid macular edema and corneal edema were the most common causes of poor postoperative vision.
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页码:3982 / 3988
页数:7
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