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IOP Elevation After Cataract Surgery: Results for Residents and Senior Staff at Henry Ford Health System
- Source :
- Journal of glaucoma. 25(10)
- Publication Year :
- 2016
-
Abstract
- Purpose To determine the incidence of intraocular pressure (IOP) elevation on postoperative day 1 (POD1) after cataract surgery performed by resident surgeons compared with attending surgeons and to examine the influence of associated variables on the incidence of postoperative IOP elevation. Patients and methods Retrospective review of 2472 consecutive 2.2 to 2.8 mm temporal clear corneal cataract extractions by phacoemulsification performed by either residents or attending surgeons at Henry Ford Health System. Fellow eyes were excluded, resulting in 1847 eyes. IOP measurements of >40, >30, and >23 mm Hg were noted along with incremental IOP elevations of ≥10 and 20 mm Hg over preoperative/baseline IOP. Associated variables included: age, sex, diabetes mellitus, hypertension, glaucoma, glaucoma suspect, uveitis, prior ocular trauma, and vitreous loss at surgery. Results Resident-performed cataract surgery was associated with statistically significant higher rates of IOP elevation in all categories and in all clinical situations known to be associated with postoperative IOP spike, that is, vitreous loss at surgery, prior ocular trauma, and preexisting glaucoma. Conclusions The incidence of postoperative day 1 IOP elevation after phacoemulsification performed by resident surgeons was 2 to 5 times that of experienced cataract surgeons. Variables including vitreous loss at surgery, prior ocular trauma, preexisting glaucoma, glaucoma suspect status, and male sex were significant contributors. Consideration for prophylactic IOP lowering is advised in high-risk patients.
- Subjects :
- Adult
Male
medicine.medical_specialty
Intraocular pressure
genetic structures
Adolescent
medicine.medical_treatment
0211 other engineering and technologies
Glaucoma
Ocular hypertension
02 engineering and technology
Cataract
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Ophthalmology
medicine
Medical Staff, Hospital
Humans
Intraocular Pressure
Aged
Retrospective Studies
Aged, 80 and over
021110 strategic, defence & security studies
Phacoemulsification
business.industry
Incidence (epidemiology)
Incidence
Internship and Residency
Retrospective cohort study
Cataract surgery
Middle Aged
medicine.disease
eye diseases
Surgery
Education, Medical, Graduate
030221 ophthalmology & optometry
Female
Ocular Hypertension
sense organs
business
Uveitis
Subjects
Details
- ISSN :
- 1536481X
- Volume :
- 25
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of glaucoma
- Accession number :
- edsair.doi.dedup.....151d209259bfe7e6e5459d2b29c86610