Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents

Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents

Mohanna Al-Jindan, 1 Abdullah Almarshood, 2 Sanaa A Yassin, 1 Khalid Alarfaj, 1 Ammar Al Mahmood, 3 Naif M Sulaimani 3 1Department of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Ophthalmology, Qassim University, Qassim, Saudi Arabia; 3Dhahran Eye Sp...

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Autores principales: Al-Jindan M, Almarshood A, Yassin SA, Alarfaj K, Al Mahmood A, Sulaimani NM
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
phacoemulsification
learning curve
residents
training
complication rate
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/44c2f7c7580248d2b2a66103571c26f6
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spelling oai:doaj.org-article:44c2f7c7580248d2b2a66103571c26f62021-12-02T05:33:46ZAssessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents1177-5483https://doaj.org/article/44c2f7c7580248d2b2a66103571c26f62020-01-01T00:00:00Zhttps://www.dovepress.com/assessment-of-learning-curve-in-phacoemulsification-surgery-among-the--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mohanna Al-Jindan, 1 Abdullah Almarshood, 2 Sanaa A Yassin, 1 Khalid Alarfaj, 1 Ammar Al Mahmood, 3 Naif M Sulaimani 3 1Department of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Ophthalmology, Qassim University, Qassim, Saudi Arabia; 3Dhahran Eye Specialist Hospital, Al-Dhahran 31942, Saudi ArabiaCorrespondence: Sanaa A YassinDepartment of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaEmail syassin@iau.edu.saPurpose: To assess residents’ performance of phacoemulsification surgery and determine which steps of the procedure are most difficult to learn, and to measure rate of intraoperative complications.Design: This was a prospective observational study.Methods: Phacoemulsification surgery was divided into steps and each step was given a proficiency grade by the attending consultant. All intraoperative complications were recorded and analyzed.Results: 200 cases performed by the Eastern Province ophthalmology program residents were evaluated. The most commonly encountered difficulty factors were hard nucleus (20.7%), small pupil (12.6%), and white cataract (10.3%). Capsulorhexis, nucleus disassembly and removal, and cortex removal were the most difficult steps to learn. General complication rate was 17.5%, and posterior capsular rupture was the most common complication (40%). Proficiency more than 90% of the time in each step was noted in residents with prior experience of more than 40 cases, except for nucleus disassembly.Conclusion: The study showed that nucleus disassembly remained the major obstacle in the residents’ exponential learning curve of phacoemulsification surgery. Majority of complications occurred at level of capsulorhexis and cortical removal steps.Keywords: phacoemulsification, learning curve, residents, training, complication rateAl-Jindan MAlmarshood AYassin SAAlarfaj KAl Mahmood ASulaimani NMDove Medical Pressarticlephacoemulsificationlearning curveresidentstrainingcomplication rateOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 113-118 (2020)
institution DOAJ
collection DOAJ
language EN
topic phacoemulsification
learning curve
residents
training
complication rate
Ophthalmology
RE1-994
spellingShingle phacoemulsification
learning curve
residents
training
complication rate
Ophthalmology
RE1-994
Al-Jindan M
Almarshood A
Yassin SA
Alarfaj K
Al Mahmood A
Sulaimani NM
Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents
description Mohanna Al-Jindan, 1 Abdullah Almarshood, 2 Sanaa A Yassin, 1 Khalid Alarfaj, 1 Ammar Al Mahmood, 3 Naif M Sulaimani 3 1Department of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Ophthalmology, Qassim University, Qassim, Saudi Arabia; 3Dhahran Eye Specialist Hospital, Al-Dhahran 31942, Saudi ArabiaCorrespondence: Sanaa A YassinDepartment of Ophthalmology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaEmail syassin@iau.edu.saPurpose: To assess residents’ performance of phacoemulsification surgery and determine which steps of the procedure are most difficult to learn, and to measure rate of intraoperative complications.Design: This was a prospective observational study.Methods: Phacoemulsification surgery was divided into steps and each step was given a proficiency grade by the attending consultant. All intraoperative complications were recorded and analyzed.Results: 200 cases performed by the Eastern Province ophthalmology program residents were evaluated. The most commonly encountered difficulty factors were hard nucleus (20.7%), small pupil (12.6%), and white cataract (10.3%). Capsulorhexis, nucleus disassembly and removal, and cortex removal were the most difficult steps to learn. General complication rate was 17.5%, and posterior capsular rupture was the most common complication (40%). Proficiency more than 90% of the time in each step was noted in residents with prior experience of more than 40 cases, except for nucleus disassembly.Conclusion: The study showed that nucleus disassembly remained the major obstacle in the residents’ exponential learning curve of phacoemulsification surgery. Majority of complications occurred at level of capsulorhexis and cortical removal steps.Keywords: phacoemulsification, learning curve, residents, training, complication rate
format article
author Al-Jindan M
Almarshood A
Yassin SA
Alarfaj K
Al Mahmood A
Sulaimani NM
author_facet Al-Jindan M
Almarshood A
Yassin SA
Alarfaj K
Al Mahmood A
Sulaimani NM
author_sort Al-Jindan M
title Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents
title_short Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents
title_full Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents
title_fullStr Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents
title_full_unstemmed Assessment of Learning Curve in Phacoemulsification Surgery Among the Eastern Province Ophthalmology Program Residents
title_sort assessment of learning curve in phacoemulsification surgery among the eastern province ophthalmology program residents
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/44c2f7c7580248d2b2a66103571c26f6
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