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CC BY-NC-ND 4.0 · Journal of Academic Ophthalmology 2022; 14(01): e70-e73
DOI: 10.1055/s-0042-1744270
Research Article

Rate of Posterior Capsule Rupture in Phacoemulsification Cataract Surgery by Residents with Institution of a Wet Laboratory Course

Lauren J. Jeang
1   University of South Florida Department of Ophthalmology, Tampa, Florida
,
Jacob J. Liechty 
1   University of South Florida Department of Ophthalmology, Tampa, Florida
,
Asyvia Powell
2   University of South Florida School of Medicine, Tampa, Florida
,
Christopher Schwartz
2   University of South Florida School of Medicine, Tampa, Florida
,
Mark DiSclafani
1   University of South Florida Department of Ophthalmology, Tampa, Florida
,
Mitchell D. Drucker
1   University of South Florida Department of Ophthalmology, Tampa, Florida
,
William M. McDowell
3   James A. Haley Veterans' Hospital Division of Ophthalmology, Tampa, Florida
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Abstract

Purpose To determine if a structured surgical wet laboratory curriculum for ophthalmology residents reduced the rate of posterior capsule rupture (PCR) in phacoemulsification cataract surgery.

Setting James A. Haley Veterans' Hospital, Tampa, FL.

Design Retrospective cohort study.

Methods The study assessed resident-performed phacoemulsification cataract cases from 2011 to 2017, after the creation of a wet laboratory course. Primary outcome measure was PCR. If present, timing of complication, dropped lens fragments, and the need for anterior vitrectomies were noted. Self-reported rates of PCR prior to institution of a wet laboratory course (2010–2011) were compared with cases done by residents who completed the course (2011–2017).

Results A total of 3,445 cases were reviewed of which 2.44% (84 cases) noted PCR. Of these, 19% (16) had dropped lens fragments, and 60.7% (51) required anterior vitrectomy. Sixty-nine cases documented timing of PCR with the majority, 58%, occurring during phacoemulsification. When comparing rates of PCR in cases done prior to the presence of a wet laboratory course versus after, there was a significant reduction observed (5.20% before vs. 2.44% after).

Conclusion In the presence of a wet laboratory curriculum, the rate of PCR decreased dramatically. The average rate was lower than those reported at other training programs (2.6–9.9%). Most PCR occurred during phacoemulsification, suggesting need for further focused instruction in this step.

Keywords

cataract surgery - posterior capsular rupture - ophthalmology - resident - phacoemulsification - wet lab

Note

A portion of this manuscript was presented at the ASCRS, San Diego, CA, May 2019.


Disclosures

There are no financial disclosures for any of the authors. There are no disclosures of public or private support for any of the authors.


Supplementary Material



Publication History

Received: 11 September 2021

Accepted: 10 November 2021

Article published online:
10 March 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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