Outcomes of trabecular microbypass surgery: Comparison of resident trainees and attending surgeons.

Autor:	Zheng CX; Wills Eye Hospital, Philadelphia, Pennsylvania, USA. Electronic address: cindyzheng9@gmail.com., Copparam S; Wills Eye Hospital, Philadelphia, Pennsylvania, USA., Lin MM; Wills Eye Hospital, Philadelphia, Pennsylvania, USA., Moster SJ; Wills Eye Hospital, Philadelphia, Pennsylvania, USA., Sanvicente CT; Wills Eye Hospital, Philadelphia, Pennsylvania, USA., Katz LJ; Wills Eye Hospital, Philadelphia, Pennsylvania, USA., Razeghinejad MR; Wills Eye Hospital, Philadelphia, Pennsylvania, USA., Myers JS; Wills Eye Hospital, Philadelphia, Pennsylvania, USA., Lee D; Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
Jazyk:	angličtina
Zdroj:	Journal of cataract and refractive surgery [J Cataract Refract Surg] 2019 Dec; Vol. 45 (12), pp. 1704-1710.
DOI:	10.1016/j.jcrs.2019.07.021
Abstrakt:	Purpose: To determine the efficacy, safety, and surgical outcomes of trabecular microbypass stent (iStent) surgery performed by resident trainees and attending surgeons. Setting: Wills Eye Hospital, Philadelphia, Pennsylvania, USA. Design: Retrospective case series. Methods: Records of all patients who had microbypass stent surgery by a resident at Wills Eye Hospital were retrospectively reviewed. The attending-performed group included any patient who had a microbypass stent implanted by an attending surgeon on the same day a resident case was performed. Results: Between 2016 and 2018, 31 microbypass stents were implanted by a resident supervised by an attending and 93 microbypass stents were implanted by an attending surgeon on the day a resident case was performed. The mean follow-up was 16.2 months ± 17.9 (SD). The mean intraocular pressure (IOP) decreased from 16.0 ± 4.6 mm Hg at baseline to 14.0 ± 3.1 mm Hg at most recent follow-up visit in the resident group (P = .02) and from 17.5 ± 4.8 mm Hg to 15.1 ± 4.3 mm Hg, respectively, in the attending group (P < .001). The final mean IOP and mean number of hypotensive medications were similar between the 2 groups (P = .83 and P = .12, respectively). Self-resolving hyphema occurred in 1 resident case and 2 attending cases. The resident group had 1 case of iridodialysis, which did not require additional surgery. One eye in the attending group ultimately required a trabeculectomy. Conclusion: Microbypass stent implantation by resident trainees with attending supervision had similar efficacy and safety as surgery performed by attending surgeons. (Copyright © 2019 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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