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首页> 外文期刊>Journal of cataract and refractive surgery >Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital
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Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital

机译：Aravind眼科医院超声乳化术和人工小切口白内障手术的并发症发生率

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Purpose: To analyze the rate of intraoperative complications, reoperations, and endophthalmitis with phacoemulsification, manual small-incision cataract surgery (SICS), and large-incision extracapsular cataract extraction (ECCE). Setting: Aravind Eye Hospital, Madurai, India. Design: Retrospective cohort study. Methods: This study comprised consecutive cataract surgeries performed during a 12-month period. All surgical complications and endophthalmitis cases were tabulated and analyzed for each of 4 surgeon groups (staff, fellows, residents, visiting trainees). Within each surgeon group, complication rates with phacoemulsification, manual SICS, and ECCE were compared. Results: The surgical distribution was 20438 (26%) phacoemulsification, 53603 (67%) manual SICS, and 5736 (7%) ECCE. The overall intraoperative complication rate was 0.79% for staff, 1.19% for fellows, 2.06% for residents, and 5% for visiting trainees. Extracapsular cataract extraction had the highest overall rate of surgical complications (2.6%). The overall complication rate was 1.01% for manual SICS and 1.11% for phacoemulsification. However, the combined complication rate for trainees was significantly higher with phacoemulsification (4.8%) than with manual SICS (1.46%) (P<.001). The corrected distance visual acuity was better than 6/12 in 96% after phacoemulsification complications and 89% after manual SICS complications (P<.001). There were 27 cases (0.04%) of endophthalmitis but no statistical differences between surgical methods or surgeon groups. Conclusions: For staff surgeons experienced with both phacoemulsification and manual SICS, intraoperative complication rates were comparably low. However, for trainee surgeons, the complication rate was significantly higher with phacoemulsification, suggesting that manual SICS may be a safer initial procedure to learn for inexperienced cataract surgeons in the developing world. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
机译：目的：分析超声乳化，手动小切口白内障手术（SICS）和大切口白内障囊外摘除术（ECCE）的术中并发症，再次手术和眼内炎的发生率。地点：印度马杜赖Aravind眼科医院。设计：回顾性队列研究。方法：本研究包括在12个月内连续进行的白内障手术。将所有外科手术并发症和眼内炎病例汇总并分析为四个外科医生组（工作人员，研究员，居民，来访学员）。在每个外科医生组中，比较了超声乳化，手动SICS和ECCE的并发症发生率。结果：手术分布为20438（26％）超声乳化，53603（67％）手动SICS和5736（7％）ECCE。工作人员的整体术中并发症发生率为0.79％，同伴为1.19％，居民为2.06％，来访学员为5％。白内障囊外摘除术的总体手术并发症发生率最高（2.6％）。人工SICS的总并发症发生率为1.01％，超声乳化术的总并发症发生率为1.11％。然而，接受超声乳化术的学员的综合并发症发生率（4.8％）显着高于人工SICS（1.46％）（P <.001）。白内障超声乳化术后并发症的矫正远视力优于6/12，人工SICS并发症后的矫正远视力优于89％（P <.001）。眼内炎有27例（0.04％），但手术方法或外科医生组之间无统计学差异。结论：对于具有白内障超声乳化和手工SICS经验的医护人员，术中并发症发生率相对较低。然而，对于受训的外科医生，超声乳化术的并发症发生率明显更高，这表明，对于经验不足的白内障外科医生来说，手动SICS可能是一种更安全的初始程序。财务披露：没有任何作者对所提及的任何材料或方法有财务或专有利益。

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