Rev. Soc. Colomb. Oftalmol; 53 (2), 2020
Publication year: 2020
Método:
Se realizó un estudio retrospectivo en el cual se comparó la tasa de
RCP y de complicaciones postoperatorias entre las cirugías de facoemulsifi cación
realizadas por residentes antes de la implementación del protocolo quirúrgico
estandarizado en años académicos 2017 a 2018 (grupo 1) con las realizadas por
residentes entrenados con la aplicación sistemática del protocolo quirúrgico
mejorado y estandarizado en el año académico 2019 (grupo 2)
Resultados: Se analizaron los datos de 140 ojos del grupo 1, y de 125 ojos
del grupo 2. Los grupos resultaron similares en edad, sexo y nivel complejidad
del caso quirúrgico basado en el Royal College of Ophthalmologistes National
Opthalmology Database. La tasa de RCP fue del 15% en el grupo 1 y del 4% en el
grupo 2 (p= 0.003981; RR= 0.11; IC95%=0.03 - 0.45). Se observó complicación
postoperatoria en 23 casos (16.4%) en el grupo 1 y en 7 casos (5.6%) en el grupo
2 (p=0.004194)
Conclusión: Se observó una disminución estadísticamente signifi cativa en la
incidencia de RCP en la cirugía de catarata y de complicaciones postoperatorias
al implementar un protocolo de entrenamiento quirúrgico estandarizado para
residentes enfocado en la facoemulsifi cación del último fragmento nuclear.
Background:
Th e most common intraoperative complication in cataract
surgery is posterior capsule rupture (PCR)
Objective: To evaluate the impact on the incidence of PCR post cataract
surgery by adding a standardized systematic to the residents surgical training
protocol during phacoemulsifi cation of the last nuclear fragment.
Study design:
retrospective observational
Method: A retrospective study was carried out in which the rate of PCR
and postoperative complications was compared between phacoemulsifi cation
surgeries performed by residents before the implementation of the standardized
surgical protocol in academic years 2017 to 2018 (group 1) with the surgeries
performed by trained residents with the systematic application of the improved
and standardized surgical protocol in the academic year 2019 (group 2)
Results: Data from 140 eyes in group 1 and 125 eyes in group 2 were analyzed.
Th e groups were similar in age, sex, and level of complexity of the surgical case
based on the Royal College of Ophthalmologists National Ophthalmology
Database. Th e PCR rate was 15% in group 1 and 4% in group 2 (p = 0.003981;
RR = 0.11; 95% CI = 0.03 - 0.45). Postoperative complication was observed in
23 cases (16.4%) in group 1 and in 7 cases (5.6%) in group 2 (p = 0.004194).
Conclusion:
A statistically signifi cant decrease in the incidence of PCR
in cataract surgery and postoperative complications was observed when
implementing a standardized surgical training protocol for residents focused on
phacoemulsifi cation of the last nuclear fragment