国际眼科杂志2009，Vol.9Issue(11)：2057-2059,3.DOI:10.3969/j.issn.1672-5123.2009.11.004
低年资住院医师行手法小切口白内障手术的术后视力和玻璃体脱出发生率
Visual outcomes and incidence of vitreous loss among third-year ophthalmology residents performing manual small incision cataract surgery
Pipat Kongsap1
作者信息
- 1. 泰国曼谷朱拉隆功大学庄他武里县医学院帕婆可牢医院眼科
- 折叠
摘要
Abstract
AIM:To determine the visual outcome and the incidence of vitreous loss in patients undergoing manual small incision cataract surgery(MSICS)by third-year ophthalmology residents.METHODS:Hospital records of 799 consecutive patients undergoing MSICS at Department of Ophthalmology,Prapokklao Hospital by third-year ophthalmology residents between July 2005 and June 2007 were reviewed.Bestcorrected visual acuity(BCVA)were compared between the eyes operated by residents and those operated by the staffs.For the complication of vitreous loss,the study group(patients with vitreous loss)were compared with the control group(patients without vitreous loss)using analytic case-control study.RESULTS:One month postoperatively,91.0%of patients in resident group and 92.5%in the staff group had visual acuity of 6/18 or better.The difference in visual outcome between the two groups was not statistically significant(P =0.526).The incidence of vitreous loss among residents was 5.01%(20/399)and 1.00%(4/400)among the staff.The overall incidence of vitreous loss was 3.0%.The odds that the eyes in the resident group would have an intraoperative complication of vitreous loss were 5.22 times,the odds that the eyes in the staff group would have such a complication(P = 0.002,95%confidential interval(Cl)of relative risk =1.769-15.426).CONCLUSION:Good visual acuity can be achieved after resident perfoming MSICS.The vitreous loss rate in this study is high.关键词
手法小切口白内障手术/视力/玻璃体脱出/住院医师/受训手术医生Key words
manual small incision cataract surgery/ visual outcome/vitreous loss/resident/surgeons-in-training分类
医药卫生引用本文复制引用
Pipat Kongsap..低年资住院医师行手法小切口白内障手术的术后视力和玻璃体脱出发生率[J].国际眼科杂志,2009,9(11):2057-2059,3.
