DR. SAKSHI MAKHLOGA

DR. MEHUL SHAH, Dr. SHREYA SHAH, DR. RAJ VADOR

Abstract

AIM:STUDY INCIDENCE & VISUAL OUTCOME OF COMPLICATION IN NUCLEAR MANAGEMENT STAGE SURGERIES PERFORMED BY TRAINEE SURGEONS.

METHOD:THIS IS A RETROSPECTIVE STUDY,ALL CATARACTS OPERATED BETWEEN 2008-2022 AND COMPLICATION & ITS REPAIR AND ALL POST-OPERATIVE DATA REPORTED IN PRETESTED ONLINE FORMAT FROM EMR AND ANALYSIS DONE BY SPSS22.

RESULTS:OUR COHORT CONSIST OF 3513 CASES,1624(46%) FEMALE,1889(54%)MALE,1607(46%) SICS+IOL,1533(43.6%) SICS.WE FOUND COMPLICATIONS FOR NUCLEUS MANAGEMENT 962(27.4%),OUT OF WHICH 136(3.9%)WERE NUCLEUS DROP, 254(7.3%) WERE ZONULAR DEHISCENCE & 139(4%) WITH BAG DELIVERY.OUT OF 136 NUCLEUS DROP 44(32%)IMPROVED TO>6/12 AFTER SECONDARY SURGERY.139 WITH BAG DELIVERY UNDERWENT SCLERAL TUCK IOL AS SECONDARY SURGERY,44(32%) IMPROVED TO >6/12(P=0.04).

CONCLUSION:CATARACT SURGERIES DONE BY TRAINEE SURGEONS CAUSED COMPLICATIONS DURING NUCLEUS MANAGEMENT STAGES,INTERVENTIONS DONE BY VITREO RETINAL SURGEONS MADE SIGNIFICANT DIFFERENCE IN FINAL VISUAL OUTCOME.

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