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首页> 外文期刊>Journal of cataract and refractive surgery >Phacoemulsification learning curve: experience of two junior trainee ophthalmologists.
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Phacoemulsification learning curve: experience of two junior trainee ophthalmologists.

机译：超声乳化学习曲线：两位初级眼科医师的经验。

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摘要

PURPOSE: To establish the incidence of complications during surgery performed by junior trainees learning phacoemulsification. SETTING: Eye infirmary in a United Kingdom district general hospital. METHODS: A retrospective review of case notes of the first 102 cases of phacoemulsification procedures performed by two senior house officers was done. Main outcome measures were change in surgical plan, position of implanted lens, posterior capsule tear, vitreous loss, zonule loss, and visual outcome at discharge. Follow-up was 6 weeks. RESULTS: A posterior capsule tear occurred in 6 eyes (5.8%) and vitreous loss in 3 (2.9%). All eyes had a posterior chamber lens, 6 (5.8%) implanted in the sulcus and 96 (94.2%), in the capsular bag. Eleven eyes (10.8%) had a visual acuity of 6/18 or worse at discharge: of these, 10 had pre-existing pathology in keeping with the level of acuity. In the other eye, there was no apparent cause for the 6/18 acuity. CONCLUSIONS: The study indicates that junior trainees can be taught phacoemulsification with acceptable complication rates and visual results. The results compare favorably with reports of senior surgeons converting to phacoemulsification, trainee surgeons learning extracapsular surgery, and recently reported phacoemulsification series.
机译：目的：确定初中学员接受超声乳化术的手术并发症的发生率。地点：英国地区综合医院的眼科医院。方法：回顾性回顾了由两名高级房官进行的前102例超声乳化手术的病例记录。主要结局指标包括手术计划，植入晶状体的位置，后囊撕裂，玻璃体丢失，小带丢失和出院时视觉效果的改变。随访6周。结果：6眼（5.8％）发生了后囊撕裂，3眼（2.9％）发生了玻璃体脱落。所有的眼睛都有一个后房镜，在沟中植入了6个（5.8％），在囊袋中植入了96个（94.2％）。出院时有11眼（10.8％）的视敏度为6/18或更差：其中有10眼具有与视敏度水平一致的既往病理。在另一只眼中，6/18视力没有明显原因。结论：该研究表明，初级学员可以接受超声乳化术，并具有可接受的并发症发生率和视觉效果。与高级外科医生进行超声乳化术，实习外科医生学习囊外手术以及最近报道的超声乳化术系列报告相比，该结果令人满意。

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