Comparison of posterior capsule rupture rate during phacoemulsification by novice ophthalmologists: Microscope vs. Intracameral illumination

Yu Jeong Kim, Hyejin Seo, Jong Hwan Lee, Seong Woo Kim, Tae Young Chung, Sung Jin Lee, Kyu Hyung Park, Dong Heun Nam

    Research output: Contribution to journalArticlepeer-review

    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.

    Original languageEnglish
    Pages (from-to)654-660
    Number of pages7
    JournalJournal of Korean Ophthalmological Society
    Volume60
    Issue number7
    DOIs
    Publication statusPublished - 2019

    Keywords

    • Intracameral illumination
    • Learning curve
    • Novice ophthalmologist
    • Phacoemulsification
    • Posterior capsule rupture

    ASJC Scopus subject areas

    • Ophthalmology

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