Abstract Results of Cataract Surgeries Performed by Residents Aim: It is planned to evaluate the visual outcomes and complication rates of cataract surgeries performed by residents under the supervision of specialist ophthalmologists. Method: Phacoemulsification surgeries were performed by six residents, who were in their fourth year of education, under the supervision of a specialist ophthalmologist at Mersin University, Faculty of Medicine, Department of Ophthalmology. Fourty eyes of fourty patients were included in the study. Under local anesthesia, phacoemulsification surgeries with clear corneal incisions were performed. Visual outcomes and complications developed during and after surgeries were evaluated. Results: Mean age of the patients were 65.43±9.24 years (range: 46-90 years). They were followed up for meanly 4.9 months (range: 1-48 months). Visual acuities according to Snellen chart were determined both pre- and post-operatively as 0.13±0.10 and 0.72±0.23 respectively. Twenty-two patients (55%) had no complications whereas 18 (45%) patients developed at least one complication. Conclusion: Both the residents and the specialists face various difficulties during the training period for phacoemulsification surgeries. The related surgical practices on animal eyes prior to the training in operation room help to improve manual skills. It seems that the success rates can be increased by performing the surgeries under the supervision of experienced specialists.
Türkçe Özet: Amaç: Bu çalışmada uzman doktor gözetiminde araştırma görevlilerince yapılan katarakt cerrahilerinin görsel sonuçlarının ve komplikasyon oranlarının değerlendirilmesi planlanmıştır. Yöntem: Mersin Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı\'nda bir uzman doktor gözetiminde dördüncü yılındaki altı araştırma görevlisince fakoemülsifikasyon cerrahisi yapılan 40 hastanın 40 gözü çalışma kapsamına alındı. Lokal anestezi altında saydam korneal kesi ile fakoemülsifikasyon cerrahisi uygulanan hastalarda görme düzeyleri ile cerrahi sırasında ve sonrasında gelişen komplikasyonlar değerlendirildi. Bulgular: Yaş ortalaması 65.43±9.24 yıl (alt-üst sınırlar: 46-90 yıl) olan hastalar ortalama 4.9 ay (alt-üst sınırlar: 1-48 ay) süresince takip edildiler. Cerrahi öncesi Snellen eşeline göre 0.13±0.10 sıra olan görme düzeyleri cerrahi sonrası 0.72±0.23 sıra düzeyine çıktı. Yirmi iki hastada (%55) hiç komplikasyon görülmezken, 18 (%45) hastada en az bir komplikasyon gelişti. Sonuç: Öğrenme döneminde yapılan fakoemülsifikasyon cerrahileri hem uygulayıcı hem de eğitmen açısından çeşitli zorluklar içermektedir. Ameliyathane eğitimi öncesi hayvan gözlerinde yapılan cerrahi uygulamalar el becerilerini geliştirmektedir. Vaka başında deneyimli uzmanlar gözetiminde yapılan cerrahilerde başarı oranları arttırılabilmektedir.
Primary Language | Turkish |
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Journal Section | Articles |
Authors | |
Publication Date | March 1, 2012 |
Submission Date | June 13, 2014 |
Published in Issue | Year 2012 Volume: 5 Issue: 1 |
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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