Cavallini GM, Volante V, Verdina T, Forlini M, Bigliardi MC, De Maria M, Torlai G, Delvecchio G. Results and complications of surgeons-in-training learning bimanual microincision cataract surgery.
J Cataract Refract Surg 2014;
41:105-15. [PMID:
25532638 DOI:
10.1016/j.jcrs.2014.04.034]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2014] [Revised: 04/06/2014] [Accepted: 04/11/2014] [Indexed: 10/24/2022]
Abstract
PURPOSE
To evaluate visual outcomes and complications of bimanual microincision cataract surgery performed by surgeons in training.
SETTING
Institute of Ophthalmology, University of Modena and Reggio Emilia, Modena, Italy.
DESIGN
Prospective case series.
METHODS
The corrected distance visual acuity (CDVA), astigmatism, corneal pachymetry, and endothelial cell count were evaluated before and 7 and 30 days after bimanual MICS performed by surgeons in training. Intraoperative and postoperative complications were also recorded.
RESULTS
Three surgeons in training performed bimanual MICS in 150 eyes of 131 patients. There were 18 intraoperative complications (12.0%) (10 iris traumas [6.6%]; 4 capsule ruptures without vitreous loss [2.7%]; 3 capsule ruptures with vitreous loss [2.0%]; 1 intraocular lens [IOL] implantation in the sulcus due to zonular laxity [0.7%]). There were 5 postoperative complications (3.3%) (2 iris prolapses [1.3%]; 1 IOL loop malposition [0.7%]; 1 narrowing of anterior chamber [0.7%]; 1 capsulorhexis phimosis [0.7%]). Thirty days postoperatively, the mean CDVA improvement was 0.53 ± 0.20 (Snellen decimal) (P < .05), the mean decrease in astigmatism was 0.09 ± 0.54 diopter (P = .29), and the mean increase in corneal pachymetry was 7.42 ± 22.01 μm (P = .12). There was statistically significant endothelial cell loss (mean 496.50 ± 469.66 cells/mm(2)) (P < .05).
CONCLUSIONS
Bimanual MICS performed by surgeons in training was safe and effective. Visual outcomes and complication rates were similar to those reported for coaxial cataract surgery performed by surgeons in training.
FINANCIAL DISCLOSURE
No author has a financial or proprietary interest in any material or method mentioned.
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