TY - JOUR
T1 - Risk factors for vitreous complications in resident-performed phacoemulsification surgery
AU - Blomquist, Preston H.
AU - Morales, Marlene E.
AU - Tong, Liyue
AU - Ahn, Chul
N1 - Funding Information:
Supported in part by an unrestricted research grant from Research to Prevent Blindness, Inc. , New York, New York, USA. Statistical analysis supported in part by a Clinical and Translational Science Award, National Institutes of Health , Grant UL1-RR024982 .
PY - 2012/2
Y1 - 2012/2
N2 - Purpose: To identify risk factors for intraoperative vitreous complications in resident-performed phacoemulsification surgery. Setting: Two urban public county hospitals. Design: Case series. Methods: Phacoemulsification cataract surgeries performed by residents between January 4, 2005, and January 8, 2008, were retrospectively reviewed. Clinical characteristics of patients with and without intraoperative vitreous complications were compared and independent factors associated with vitreous complications identified using univariate and multivariate analysis. Results: Of 2434 cases meeting inclusion criteria, there were 92 vitreous complications (3.8%). On univariate analysis, significant preoperative risk factors for vitreous complications included older age (P=.020), poor preoperative corrected distance visual acuity (CDVA) (P=.007), left eye (P=.043), history of trauma (P=.045), prior pars plana vitrectomy (P=.034), dementia (P=.020), phacodonesis (P=.014), zonule dehiscence (P<.0001), posterior polar cataract (P=.037), white/mature cataract (P=.005), dense nuclear sclerotic cataract (P=.0006), and poor red reflex (P=.002). Factors that remained significant on multivariate analysis were older age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01-1.05), poor preoperative CDVA (OR, 1.52; 95% CI, 1.14-2.03), left eye (OR, 1.63; 95% CI, 1.05-2.51), prior pars plana vitrectomy (OR, 1.88; 95% CI, 1.01-3.51), dementia (OR, 3.65; 95% CI, 1.20-11.17), and zonule dehiscence (OR, 8.55; 95% CI, 3.92-18.63). Conclusion: Elements of the preoperative history and examination can identify patients at higher risk for intraoperative complications during resident-performed phacoemulsification surgery. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
AB - Purpose: To identify risk factors for intraoperative vitreous complications in resident-performed phacoemulsification surgery. Setting: Two urban public county hospitals. Design: Case series. Methods: Phacoemulsification cataract surgeries performed by residents between January 4, 2005, and January 8, 2008, were retrospectively reviewed. Clinical characteristics of patients with and without intraoperative vitreous complications were compared and independent factors associated with vitreous complications identified using univariate and multivariate analysis. Results: Of 2434 cases meeting inclusion criteria, there were 92 vitreous complications (3.8%). On univariate analysis, significant preoperative risk factors for vitreous complications included older age (P=.020), poor preoperative corrected distance visual acuity (CDVA) (P=.007), left eye (P=.043), history of trauma (P=.045), prior pars plana vitrectomy (P=.034), dementia (P=.020), phacodonesis (P=.014), zonule dehiscence (P<.0001), posterior polar cataract (P=.037), white/mature cataract (P=.005), dense nuclear sclerotic cataract (P=.0006), and poor red reflex (P=.002). Factors that remained significant on multivariate analysis were older age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01-1.05), poor preoperative CDVA (OR, 1.52; 95% CI, 1.14-2.03), left eye (OR, 1.63; 95% CI, 1.05-2.51), prior pars plana vitrectomy (OR, 1.88; 95% CI, 1.01-3.51), dementia (OR, 3.65; 95% CI, 1.20-11.17), and zonule dehiscence (OR, 8.55; 95% CI, 3.92-18.63). Conclusion: Elements of the preoperative history and examination can identify patients at higher risk for intraoperative complications during resident-performed phacoemulsification surgery. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
UR - http://www.scopus.com/inward/record.url?scp=84857039464&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84857039464&partnerID=8YFLogxK
U2 - 10.1016/j.jcrs.2011.10.001
DO - 10.1016/j.jcrs.2011.10.001
M3 - Article
C2 - 22104643
AN - SCOPUS:84857039464
SN - 0886-3350
VL - 38
SP - 208
EP - 214
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
IS - 2
ER -