| Comparison of Posterior Capsule Rupture Rate during Phacoemulsification by Novice Ophthalmologists: Microscope vs. Intracameral Illumination. |
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Yu Jeong Kim, Hyejin Seo, Jong Hwan Lee, Seong Woo Kim, Tae Young Chung, Sung Jin Lee, Kyu Hyung Park, Dong Heun Nam |
1Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea. eyedawns@gilhospital.com
2DMC Good Eye Clinic, Seoul, Korea.
3Department of Ophthalmology, Korea University Guro Hospital, Seoul, Korea.
4Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
5Department of Ophthalmology, Soonchunhyang University Seoul Hospital, Seoul, Korea.
6Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea. |
| 초심자 안과 전문의가 시행한 수정체유화술 중 발생한 후낭파열빈도: 현미경 조명과 안구내 조명 |
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김유정1⋅서혜진2⋅이종환1⋅김성우3⋅정태영4⋅이성진5⋅박규형6⋅남동흔1 |
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가천대학교 길병원 안과학교실1, DMC 조은안과2, 고려대학교 구로병원 안과학교실3, 성균관대학교 의과대학 삼성서울병원 안과학교실4, 순천향대학교 서울병원 안과학교실5, 서울대학교 분당서울대학교병원 안과학교실6 |
Correspondence:
Dong Heun Nam,
Email: eyedawns@gilhospital.com
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Received: 27 December 2018 • Revised: 24 February 2019 • Accepted: 25 June 2019 |
| Abstract |
PURPOSE
We compared the posterior capsule rupture (PCR) rate between microscope versus intracameral illumination in phacoemulsification surgery performed by novice ophthalmologists. METHODS: We conducted a retrospective chart review of 300 eyes of 211 patients who underwent phacoemulsification by novice ophthalmologists from March 2012 to October 2017. Novice ophthalmologists (n = 6) were divided into those using microscope illumination (n = 4) and intracameral illumination users (n = 2). The first 50 cataract surgery cases of each novice ophthalmologist were reviewed. The results using a phacoemulsification machine and microscopy were the same. The intraoperative complications and learning curve in each case were evaluated. RESULTS: Phacoemulsifications performed by novice ophthalmologists showed a statistically significant difference in PCR rate between the microscope illumination (19.0%, 38/200) and intracameral illumination (4.0%, 4/100) groups (p = 0.001). The incidence of PCR was reduced to 22%, 18%, 16%, 12%, and 8% per 10 cases in the microscope group, while it was 15% in the first 10 cases and 0% in 50 cases thereafter in the intracameral illumination group. CONCLUSIONS: Novice surgeons had a lower PCR rate during cataract surgery using intracameral illumination than using microscope illumination. Both groups showed a tendency for the PCR to decrease with increasing surgical cases, but the intracameral illumination group showed a shorter learning curve. |
| Key Words:
Intracameral illumination;Learning curve;Novice ophthalmologist;Phacoemulsification;Posterior capsule rupture |
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