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首页> 美国卫生研究院文献>The British Journal of Ophthalmology >Visual results and complications of temporal incision phacoemulsification performed with the non-dominant left hand by junior ophthalmologists
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Visual results and complications of temporal incision phacoemulsification performed with the non-dominant left hand by junior ophthalmologists

机译：初级眼科医生使用非优势左手进行颞切口超声乳化的视觉结果和并发症

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>Aims: To assess the results of temporal incision phacoemulsification and aspiration performed with dominant and non-dominant hand of ophthalmology trainees.>Methods: Retrospective analysis were made of 203 surgeries with dominant hand and 207 with non-dominant by five trainees at two institutions. Trainees sat at the patient’s head, manipulating instruments with the dominant right hand for the right eye, and the non-dominant left hand for the left eye.>Results: Vitreous loss occurred in 12 (5.9%) of 203 dominant operated eyes and seven (3.4%) of 207 non-dominant operated eyes. The rate of endothelial cell loss was 6.1% (9.8%) in dominant and 7.4% (12.4%) in non-dominant. Mean ultrasound time were 1.81 (0.70) minutes in dominant and 1.78 (0.78) minutes in non-dominant. One trainee showed statistically significant excesses in incidence of vitreous loss in dominant operated eyes (8.7%, p=0.0270), and one showed statistically significant prolongation of the operation in nondominant operated eyes (26.3 minutes, p=0.0315). In all other trainees, all parameters had no difference in both sides.>Conclusions: Ophthalmology trainees could successfully learn the technique with both hands. The authors consider that the skill of the non-dominant hand may be knowledge based and that surgeons avoid mistakes by mental efforts.
机译：>目标：评估眼科受训者的优势手和非优势手进行颞切口超声乳化和抽吸的结果。>方法：对203例优势手外科进行回顾性分析207名由两个机构的五名学员担任主要职务。受训人员坐在患者的头部，用占优势的右手握住右眼，用不占优势的左手握住左眼。>结果：12％（5.9％）的患者发生玻璃体损失203只主要手术眼和207只非主要手术眼中的7只（3.4％）。显性的内皮细胞损失率为6.1％（9.8％），非显着的为7.4％（12.4％）。平均超声时间占优势的为1.81（0.70）分钟，非优势为1.78（0.78）分钟。一位受训者在优势手术眼中玻璃体损失的发生率在统计学上显着过高（8.7％，p = 0.0270），而一位在非优势眼中的手术时间延长在统计学上显着延长（26.3分钟，p = 0.0315）。在所有其他受训者中，双方的所有参数均无差异。>结论：眼科受训者可以成功地双手学习该技术。作者认为，非优势手的技能可能是基于知识的，并且外科医生可以通过脑力劳动避免错误。

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