COMPLICATIONS AND RESULTS OF PHACOEMULSIFICATION PERFORMED BY RESIDENTS

The use of phacoemulsification by ophthalmic surgeons has increased ma rkedly over the past five years. Previous studies have reported relati vely high rates of vitreous loss by residents learning phacoemulsifica tion. We retrospectively analyzed the complications and results in 300 cases of phacoemulsification with intraocular lens implantation perfo rmed by residents. The first 40 cases done by four residents in their second year of training were compared with approximately the last 40 c ases done by each resident at the end of the third year. The overall r ate of surgical complications was 6.3%, and the total rate of vitreous loss was 3.3%. The rate of surgical complications during the initial surgeries in the second year of residency was 9.3%; it was 3.3% by the end of the third year. The rate of vitreous loss was 5.3% in the seco nd year and 1.3% during the third year. Postoperatively, 90.6% of all eyes had a final best corrected visual acuity of 20/40 or better (95% excluding patients with pre-existing ocular disease). With proper trai ning and supervision, the rate of surgical complications for residents learning phacoemulsification is acceptably low when compared with the rate for extracapsular cataract extraction.