دورية أكاديمية
Outcomes and Complications Rate of Resident versus Attending Performed Eye Muscle Surgeries.
| العنوان: | Outcomes and Complications Rate of Resident versus Attending Performed Eye Muscle Surgeries. |
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| المؤلفون: | Arfeen SA; a Ophthalmology Department, Cairo University, Faculty of Medicine , Cairo , Egypt., Fouad HM; a Ophthalmology Department, Cairo University, Faculty of Medicine , Cairo , Egypt., Hassanein DH; a Ophthalmology Department, Cairo University, Faculty of Medicine , Cairo , Egypt., Esmael AF; a Ophthalmology Department, Cairo University, Faculty of Medicine , Cairo , Egypt., Awadein A; a Ophthalmology Department, Cairo University, Faculty of Medicine , Cairo , Egypt. |
| المصدر: | Seminars in ophthalmology [Semin Ophthalmol] 2019; Vol. 34 (5), pp. 347-352. Date of Electronic Publication: 2019 May 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8610759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5205 (Electronic) Linking ISSN: 08820538 NLM ISO Abbreviation: Semin Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: [Orlando, FL] : Grune & Stratton, [c1986- |
| مواضيع طبية MeSH: | Internship and Residency*, Clinical Competence/*statistics & numerical data , Oculomotor Muscles/*surgery , Practice Patterns, Physicians'/*statistics & numerical data , Strabismus/*surgery, Adolescent ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Intraoperative Complications ; Male ; Retrospective Studies |
| مستخلص: | Purpose : to compare the type, complications rate, and success rate of eye muscle surgeries performed by residents to those performed by attending consultants. Methods : A retrospective review was done on the charts of all children who underwent an eye muscle surgery in Cairo University Hospital during the period from January 2015 to December 2017. Preoperative data including age, sex, and type of deviation were tabulated. Details of the operative procedure including the surgeon, the type of eye muscle surgery, the number of muscles operated upon, perioperative complications, and the final ocular alignment at the end of the third month after surgery were recorded. Results : A total of 319 patients were included; 143 patients (315 muscles) in the supervised resident group and 176 patients (387 muscles) in the attending group. More vertical and oblique muscles surgeries were done by the attending consultants than by residents. Surgical success after three months was higher in the attending group (n = 126, 72%) than the resident group (n = 91, 64%). However, the difference was not statistically significant ( P = .129). The perioperative complications rate was significantly higher ( P = .004) in the resident group (14%) than the attending group (6%). Accidental scleral perforation was the most commonly encountered complication in the resident group (n = 6, 1.9%) followed by extruded/exposed Tenon (n = 5, 1.6%), and muscle slippage (n = 4, 1.3%). Conclusions : Success rate is similar in eye muscle surgeries performed by residents and attending consultants. However, perioperative complications are still more common among residents. |
| فهرسة مساهمة: | Keywords: Strabismus; complications; outcome; residents |
| تواريخ الأحداث: | Date Created: 20190528 Date Completed: 20190807 Latest Revision: 20190807 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1080/08820538.2019.1622024 |
| PMID: | 31132284 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1744-5205 |
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| DOI: | 10.1080/08820538.2019.1622024 |