Sessão de Encontro com o Autor – Tema Livre


Código

P015

Área Técnica

Catarata

Instituição onde foi realizado o trabalho

  • Principal: Universidade Estadual de Campinas (UNICAMP)

Autores

  • BRUNA GIL FERREIRA (Interesse Comercial: NÃO)
  • MATHEUS IVAN SCHMITZ VIEIRA (Interesse Comercial: NÃO)
  • IURI CARDOSO DA SILVA (Interesse Comercial: NÃO)
  • HERMANO LUCIO GOMES ASSIS FILHO (Interesse Comercial: NÃO)
  • ALEXANDRE RICARDO ABDEL FATTAH MARTINI (Interesse Comercial: NÃO)
  • MATHIAS VIOLANTE MÉLEGA (Interesse Comercial: NÃO)
  • MONICA ALVES (Interesse Comercial: NÃO)
  • RODRIGO PESSOA CAVALCANTI LIRA (Interesse Comercial: NÃO)
  • CARLOS EDUARDO LEITE ARIETA (Interesse Comercial: NÃO)

Título

PROSPECTIVE STUDY ON RESIDENT-PERFORMED PHACOEMULFICATION SURGERIES: COMPLICATIONS AND OUTCOMES

Objetivo

This study aims to compare the outcomes and incidence of complications by resident-performed phacoemulsifications during 2nd, 3rd and 4th years

Método

A prospective evaluation of 424 consecutive resident-performed phacoemulsifications from Jun-2016 to Nov-2016. All surgeries were performed by 24 residents from UNICAMP (University of Campinas) tutored by a senior surgeon. We included surgeries performed by 10 second year residents (group R2), 9 third year residentes (R3) and 5 fourth year residentes (R4) evaluating: best corrected visual acuity before surgery, intra/post operative complications, techniques used for phacoemulsification, best corrected final visual acuity (at the 30th post operative) and endothelial parameters by especular microscopy and pachymetry before surgery and at the 60th day post-operatively

Resultado

In the R2 group there was 80 surgeries, R3 group 142 surgeries and R4 202 surgeries. The mean age was 70.3± 7.5 years-old; for group R2; 66.9± 9.2; for group R3; and 67.0± 12,0; for group R4. The BCVA before surgery was 0.26 ± 0.18. A total of 50 intra-operative complications was numbered (11.79% of all surgeries): 17 for group R2, 22 group R3 and 11 group R4. Among the complications: we had 31 posterior capsule tears, 19 vitreous loss, 2 nuclear loss into the vitreous, 6 aphakic, 2 wound burns, 4 zonular dialysis, 9 iris’ lesions. In long term monitoring, we observed no endophthalmitis and 2 cases of bullous keratophaty (1 in R2 and 1 in R3). Final BCVA has shown statistically significant improvement(p=0.001). Comparing specular microscopy before and at the 60th post-operative: there was no statistical difference in most of parameters: endothelium density (p=0.28), percentage of hexagonal cells (p=0,30), except for the CV (p=0.03). Likewise, pachymetry hasn’t shown statistical difference (p=0.08)

Conclusão

Despite the learning curve, surgical phacomeulsification performed by surgeon in training had low complication rates and good visual outcomes

Realização

Realização - CBO

Organização

Arx

Transportadora Aérea Oficial

Latam

Transportadora Oficial

Shuttle

Agência de Transfer Oficial

ClaraTur

Agência Oficial

Naja Turismo

Agência Web

Sistema de Gerenciamento desenvolvido por Inteligência Web

Cota Platina

Apoio

UNIMED

Apoio Institucional

SNNO
Sociedade Cearense de Oftalmologia

61º Congresso Brasileiro de Oftalmologia

6 a 9 de setembro | Fortaleza | Ceará | Brasil