Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA

Sidra Zafar, Xinyi Chen, Shameema Sikder, Divya Srikumaran, Fasika A Woreta Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA Purpose: To assess outcomes of resident-performed small incision cataract surgery (SICS) at a single academic institute and to determine the availability of...

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Autores principales:	Zafar S, Chen X, Sikder S, Srikumaran D, Woreta FA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Resident cataract mature SICS surgical training Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/81c509cdb2c442b6b52f007cd694486d
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spelling	oai:doaj.org-article:81c509cdb2c442b6b52f007cd694486d2021-12-02T01:06:10ZOutcomes of resident-performed small incision cataract surgery in a university-based practice in the USA1177-5483https://doaj.org/article/81c509cdb2c442b6b52f007cd694486d2019-03-01T00:00:00Zhttps://www.dovepress.com/outcomes-of-resident-performed-small-incision-cataract-surgery-in-a-un-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sidra Zafar, Xinyi Chen, Shameema Sikder, Divya Srikumaran, Fasika A Woreta Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA Purpose: To assess outcomes of resident-performed small incision cataract surgery (SICS) at a single academic institute and to determine the availability of SICS-oriented educational resources in residency programs across the USA. Patients and methods: A retrospective chart review was conducted on all patients who underwent SICS performed by postgraduate year 4 residents between January 2014 and January 2018 at the Wilmer Eye Institute, Baltimore, MD, USA. Postoperative visual acuity, intraoperative complications, and postoperative complications were the main outcomes measured. In addition, a survey was administered to all ophthalmology residency program directors in the USA to assess the presence of SICS-related content in their surgical training curriculum. Results: Twenty-two eyes of 17 patients underwent planned resident-performed SICS, mainly for white cataracts. Intraoperative complications occurred in two (9.1%) eyes. The most common postoperative complication was transient increased intraocular pressure (two eyes, 9.1%). Mean preoperative best-corrected visual acuity (BCVA) was approximately 20/4,000. The large majority (95.2%) of eyes experienced improved BCVA following SICS, with a mean postoperative BCVA of 20/138 over an average follow-up of 4.2 months. Forty-seven programs responded to the survey (40.1% response rate). Residents were trained in SICS in 66.7% of these programs. However, more than half of all the programs did not have SICS-oriented educational resources available for residents. Conclusion: Resident-performed SICS was found to be a safe and effective technique for cataract management. Considering the limited surgical volume for SICS in the USA, training programs might instead consider implementing SICS-oriented content in their surgical curriculum, including wet labs. Keywords: resident, cataract, mature, SICS, surgical trainingZafar SChen XSikder SSrikumaran DWoreta FADove Medical PressarticleResidentcataractmatureSICSsurgical trainingOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 529-534 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Resident cataract mature SICS surgical training Ophthalmology RE1-994
spellingShingle	Resident cataract mature SICS surgical training Ophthalmology RE1-994 Zafar S Chen X Sikder S Srikumaran D Woreta FA Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA
description	Sidra Zafar, Xinyi Chen, Shameema Sikder, Divya Srikumaran, Fasika A Woreta Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA Purpose: To assess outcomes of resident-performed small incision cataract surgery (SICS) at a single academic institute and to determine the availability of SICS-oriented educational resources in residency programs across the USA. Patients and methods: A retrospective chart review was conducted on all patients who underwent SICS performed by postgraduate year 4 residents between January 2014 and January 2018 at the Wilmer Eye Institute, Baltimore, MD, USA. Postoperative visual acuity, intraoperative complications, and postoperative complications were the main outcomes measured. In addition, a survey was administered to all ophthalmology residency program directors in the USA to assess the presence of SICS-related content in their surgical training curriculum. Results: Twenty-two eyes of 17 patients underwent planned resident-performed SICS, mainly for white cataracts. Intraoperative complications occurred in two (9.1%) eyes. The most common postoperative complication was transient increased intraocular pressure (two eyes, 9.1%). Mean preoperative best-corrected visual acuity (BCVA) was approximately 20/4,000. The large majority (95.2%) of eyes experienced improved BCVA following SICS, with a mean postoperative BCVA of 20/138 over an average follow-up of 4.2 months. Forty-seven programs responded to the survey (40.1% response rate). Residents were trained in SICS in 66.7% of these programs. However, more than half of all the programs did not have SICS-oriented educational resources available for residents. Conclusion: Resident-performed SICS was found to be a safe and effective technique for cataract management. Considering the limited surgical volume for SICS in the USA, training programs might instead consider implementing SICS-oriented content in their surgical curriculum, including wet labs. Keywords: resident, cataract, mature, SICS, surgical training
format	article
author	Zafar S Chen X Sikder S Srikumaran D Woreta FA
author_facet	Zafar S Chen X Sikder S Srikumaran D Woreta FA
author_sort	Zafar S
title	Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA
title_short	Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA
title_full	Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA
title_fullStr	Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA
title_full_unstemmed	Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA
title_sort	outcomes of resident-performed small incision cataract surgery in a university-based practice in the usa
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/81c509cdb2c442b6b52f007cd694486d
work_keys_str_mv	AT zafars outcomesofresidentperformedsmallincisioncataractsurgeryinauniversitybasedpracticeintheusa AT chenx outcomesofresidentperformedsmallincisioncataractsurgeryinauniversitybasedpracticeintheusa AT sikders outcomesofresidentperformedsmallincisioncataractsurgeryinauniversitybasedpracticeintheusa AT srikumarand outcomesofresidentperformedsmallincisioncataractsurgeryinauniversitybasedpracticeintheusa AT woretafa outcomesofresidentperformedsmallincisioncataractsurgeryinauniversitybasedpracticeintheusa
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Outcomes of resident-performed small incision cataract surgery in a university-based practice in the USA

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