Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsification
Background: Currently, phacoemulsification is a very common cataract surgical procedure in which the lens is emulsified and aspirated from the eye through a small corneal incision. Aim: To compare early regional corneal thickness changes following phacoemulsification done by experienced surgeons ve...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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AOSIS
2021-02-01
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| Series: | African Vision and Eye Health |
| Subjects: | |
| Online Access: | https://avehjournal.org/index.php/aveh/article/view/572 |
| _version_ | 1818827572816904192 |
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| author | Yousif F. Dawood Ammar F. Issa Essam S. Faraj |
| author_facet | Yousif F. Dawood Ammar F. Issa Essam S. Faraj |
| author_sort | Yousif F. Dawood |
| collection | DOAJ |
| description | Background: Currently, phacoemulsification is a very common cataract surgical procedure in which the lens is emulsified and aspirated from the eye through a small corneal incision.
Aim: To compare early regional corneal thickness changes following phacoemulsification done by experienced surgeons versus trainee surgeons.
Setting: A prospective cohort study was done at Ibn Al Haitham tertiary eye hospital in Baghdad, Iraq.
Methods: The data were collected for 5 months, from 01 March 2018 until 31 July 2018. Adult patients undergoing phacoemulsification and intraocular lens surgery were prospectively evaluated and divided into two groups. Group 1 comprised those operated by experienced surgeons, whilst Group 2 patients were operated by trainee surgeons. Slit lamp examination and endothelial specular microscopy were assessed with the measurement of central corneal thickness (CCT) and peripheral corneal thickness (PCT), using Scheimpflug imaging (Pentacam).
Results: There was a significant statistical difference in post-operative CCT between Groups 1 and 2, being 596.72 ± 50.69 µm compared to 631.54 ± 67.84 µm in Groups 1 and 2, respectively, with a mean difference of 34.82 µm (p = 0.000). More difference was observed in post-operative PCT (148.38 µm) as it was 734.8 ± 88.55 µm in the experienced group, compared to 883.18 ± 128.43 µm in the trainee group (p = 0.005).
Conclusion: Phacoemulsification done by trainee surgeons was associated with higher CCT and PCT. |
| first_indexed | 2024-12-19T00:45:42Z |
| format | Article |
| id | doaj.art-a27d21a6b465477a88414dc7eb90340f |
| institution | Directory Open Access Journal |
| issn | 2413-3183 2410-1516 |
| language | English |
| last_indexed | 2024-12-19T00:45:42Z |
| publishDate | 2021-02-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Vision and Eye Health |
| spelling | doaj.art-a27d21a6b465477a88414dc7eb90340f2022-12-21T20:44:17ZengAOSISAfrican Vision and Eye Health2413-31832410-15162021-02-01801e1e710.4102/aveh.v80i1.572451Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsificationYousif F. Dawood0Ammar F. Issa1Essam S. Faraj2Department of Ophthalmology, College of Medicine, University of Anbar, Anbar, Iraq; and, Department of Ophthalmology, Ibn Al Haitham Teaching Eye Hospital, BaghdadDepartment of Ophthalmology, Ibn Al Haitham Teaching Eye Hospital, Baghdad, Iraq; and, Jenna Ophthalmic Center, BaghdadDepartment of Ophthalmology, Ibn Al Haitham Teaching Eye Hospital, BaghdadBackground: Currently, phacoemulsification is a very common cataract surgical procedure in which the lens is emulsified and aspirated from the eye through a small corneal incision. Aim: To compare early regional corneal thickness changes following phacoemulsification done by experienced surgeons versus trainee surgeons. Setting: A prospective cohort study was done at Ibn Al Haitham tertiary eye hospital in Baghdad, Iraq. Methods: The data were collected for 5 months, from 01 March 2018 until 31 July 2018. Adult patients undergoing phacoemulsification and intraocular lens surgery were prospectively evaluated and divided into two groups. Group 1 comprised those operated by experienced surgeons, whilst Group 2 patients were operated by trainee surgeons. Slit lamp examination and endothelial specular microscopy were assessed with the measurement of central corneal thickness (CCT) and peripheral corneal thickness (PCT), using Scheimpflug imaging (Pentacam). Results: There was a significant statistical difference in post-operative CCT between Groups 1 and 2, being 596.72 ± 50.69 µm compared to 631.54 ± 67.84 µm in Groups 1 and 2, respectively, with a mean difference of 34.82 µm (p = 0.000). More difference was observed in post-operative PCT (148.38 µm) as it was 734.8 ± 88.55 µm in the experienced group, compared to 883.18 ± 128.43 µm in the trainee group (p = 0.005). Conclusion: Phacoemulsification done by trainee surgeons was associated with higher CCT and PCT.https://avehjournal.org/index.php/aveh/article/view/572phacoemulsificationcentral corneal thicknessperipheral corneal thicknesscumulative dissipated energy |
| spellingShingle | Yousif F. Dawood Ammar F. Issa Essam S. Faraj Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsification African Vision and Eye Health phacoemulsification central corneal thickness peripheral corneal thickness cumulative dissipated energy |
| title | Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsification |
| title_full | Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsification |
| title_fullStr | Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsification |
| title_full_unstemmed | Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsification |
| title_short | Impact of surgical experience on early post-operative regional corneal thickness after phacoemulsification |
| title_sort | impact of surgical experience on early post operative regional corneal thickness after phacoemulsification |
| topic | phacoemulsification central corneal thickness peripheral corneal thickness cumulative dissipated energy |
| url | https://avehjournal.org/index.php/aveh/article/view/572 |
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