DR. RUPALI BARNWAL

DR. MEHUL SHAH, Dr. SHREYA SHAH, DR. VEDANT RAJORIYA

Abstract

AIM: TO STUDY WHICH STAGE IS MORE CHALLENGING FOR TRAINEE SURGEON WHILE LEARNING SICS

METHOD: THIS IS A PROSPECTIVE STUDYWHERE WE ENROLLED ALL CATARACTS OPERATED BETWEEN 2008-2022 AND ANY COMPLICATION AND ITS REPAIR REPORTED IN PRETESTED ONLINE FORMAT AND ALL POST-OPERATIVE DATA DOCUMENTED FROM EMR AND ANALYSIS DONE BY SPSS22.

RESULTS: OUR COHORT INVOLVED 3513 CASES. 1624(46.2%) F, 1885(53.7%)M, 1607(45.7%) SICS+IOL, 1533(43.6%) SICS. WE FOUND COMPLICATIONS DOCUMENTED FOR DIFFERENT STAGES WOUND MANAGEMENT(WM) 625(17.8%), NUCLEUS MANAGEMENT 806(23%), CORTICAL CLEAN UP 1618(46.1%), PCR WITH VITREOUS LOSS 851(24.2%) 1400(39.8%). OUT OF 625 WM, 272(43.5%) HAD VISUAL OUTCOME OF >6/12 (P=0.00).OUT OF 851 PCR WITH VL, 237(27.8%) HAD VISUAL OUTCOME >6/12.(P=0.00)

CONCLUSION: CATARACT SURGERIES DONE BY TRAINEE SURGEONS CAUSED COMPLICATIONS AT VARIOUS STAGES, INTERVENTIONS DONE BY VITREO RETINAL SURGEONS MADE SIGNIFICANT DIFFERENCE IN FINAL VISUAL OUTCOME

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