HULL, QC — June 19, 2002 —
Certain pre-operative conditions should be noted by surgeons to minimize complications associated with cataract surgeries, according to a chart review presented Sunday at the annual meeting of the Canadian Ophthalmological Society (COS) in Hull, Quebec, Canada.
The chart review identified 98 patients, average age 72 years, who underwent cataract
surgeries at a resident-run clinic between 1992 and 2001. Eighteen different residents were primary surgeon and all procedures were supervised by one of four experienced staff surgeons. A total of 11 percent of patients were self-referred, and 38 percent were referred by a general practitioner. In terms of pre-operative conditions, 27 percent had age-related macular degeneration, 15 percent had glaucoma and 10 percent had diabetic retinopathy, reported Dr. Yann Brierley, a medical resident at the University of British Columbia,Vancouver, British Columbia, Canada.
The average waiting time prior to 2001 was 81 days. Second year residents did 11 percent of the total 98 surgeries, third-year residents did 18 percent, fourth-year did 42 percent, and fifth year residents did 29 percent. In total, there were 11 complications, representing a rate of 10 percent — five were anterior capsular tears, three were posterior capsular tears, two cases were vitreous loss, and there was one zonular loss. Phacoemulsification time was three minutes.
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