Comparison of Strabismus Surgical Efficiency and Complications Between Attending Surgeon Versus Supervised Ophthalmology Residents.

Journal of Pediatric Ophthalmology and Strabismus
Alixandra RidderingKim Le

Abstract

To compare surgical operating times and complication rates in strabismus surgery undertaken by attending surgeons versus supervised residents. Eye muscle surgeries are one of the first operations in which ophthalmology residents can actively participate for a majority of the surgery. These surgeries provide an ideal controlled environment to compare attending surgeon and resident surgical performance. A total of 36 surgeries were included: 19 were bilateral muscle surgeries and 17 were unilateral surgeries. Residents completed a microsurgical course prior to operating. One attending surgeon was present for all surgeries, but there were 10 different residents throughout the cases. Primary outcomes were attending surgeon and resident surgical times and complications. On average, residents took 35.5 minutes to perform eye muscle surgeries compared to 19.3 minutes for the attending surgeon (P < .0001). Of the resident surgeries, there was one complication requiring a return to the operating room. There were six minor complications during resident surgeries and one minor complication during attending surgeon surgery. As expected, resident operation times were nearly double attending surgeon surgical times. Although there was one sig...Continue Reading

References

Jul 22, 2018·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Hans AndrewsDavid Quillen
May 28, 2019·Seminars in Ophthalmology·Shaimaa A ArfeenAhmed Awadein

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