Outcomes of Cataract Surgery by Residents at a Public County Hospital
To determine whether outcomes of extracapsular cataract surgery with intraocular lens implantation performed by residents at an urban county hospital are comparable to previously reported patient outcomes at Veterans Affairs and university hospitals. We performed a retrospective analysis of all extr...
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| Veröffentlicht in: | American journal of ophthalmology 1997-04, Vol.123 (4), p.448-454 |
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| creator | SMITH, JEANNE HEPLER SEIFF, STUART R. |
| description | To determine whether outcomes of extracapsular cataract surgery with intraocular lens implantation performed by residents at an urban county hospital are comparable to previously reported patient outcomes at Veterans Affairs and university hospitals.
We performed a retrospective analysis of all extracapsular cataract procedures with intraocular lens implantation, both by standard extracapsular cataract extractions and by phacoemulsification, performed by first-year, second-year, and third-year residents at San Francisco General Hospital from January 1, 1994, through June 30, 1995.
Final best-corrected visual acuity of 20/40 or better was achieved in 183 (84%) of 218 eyes. When patients with preexisting eye disease limiting visual potential were excluded, 20/40 or better visual acuity was achieved in 159 (94%) of 169 eyes. Vitreous loss occurred in six (16%) of 37 eyes operated on by first-year residents, in six (10%) of 63 eyes operated on by second-year residents, and in seven (6%) of 118 eyes operated on by third-year residents. The mean change in vision was a gain of 6 lines of Snellen acuity.
Patients undergoing cataract surgery performed by residents at an urban county hospital have visual outcomes equivalent to those of patients at Veterans Affairs and at university facilities. |
| doi_str_mv | 10.1016/S0002-9394(14)70170-9 |
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We performed a retrospective analysis of all extracapsular cataract procedures with intraocular lens implantation, both by standard extracapsular cataract extractions and by phacoemulsification, performed by first-year, second-year, and third-year residents at San Francisco General Hospital from January 1, 1994, through June 30, 1995.
Final best-corrected visual acuity of 20/40 or better was achieved in 183 (84%) of 218 eyes. When patients with preexisting eye disease limiting visual potential were excluded, 20/40 or better visual acuity was achieved in 159 (94%) of 169 eyes. Vitreous loss occurred in six (16%) of 37 eyes operated on by first-year residents, in six (10%) of 63 eyes operated on by second-year residents, and in seven (6%) of 118 eyes operated on by third-year residents. The mean change in vision was a gain of 6 lines of Snellen acuity.
Patients undergoing cataract surgery performed by residents at an urban county hospital have visual outcomes equivalent to those of patients at Veterans Affairs and at university facilities.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(14)70170-9</identifier><identifier>PMID: 9124241</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cataract Extraction - adverse effects ; Clinical Competence - standards ; Female ; Follow-Up Studies ; Hospitals, County ; Hospitals, Public ; Humans ; Internship and Residency - standards ; Intraoperative Complications ; Lenses, Intraocular ; Male ; Medical sciences ; Middle Aged ; Phacoemulsification - adverse effects ; Postoperative Complications ; Retrospective Studies ; San Francisco ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Treatment Outcome ; Visual Acuity</subject><ispartof>American journal of ophthalmology, 1997-04, Vol.123 (4), p.448-454</ispartof><rights>1997 Elsevier Inc.</rights><rights>1997 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. Apr 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-5474686a0d60be4092d0e5309763ddd884128c87b7dd73dad02a4ca1ba1dfa313</citedby><cites>FETCH-LOGICAL-c416t-5474686a0d60be4092d0e5309763ddd884128c87b7dd73dad02a4ca1ba1dfa313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-9394(14)70170-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2630255$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9124241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SMITH, JEANNE HEPLER</creatorcontrib><creatorcontrib>SEIFF, STUART R.</creatorcontrib><title>Outcomes of Cataract Surgery by Residents at a Public County Hospital</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>To determine whether outcomes of extracapsular cataract surgery with intraocular lens implantation performed by residents at an urban county hospital are comparable to previously reported patient outcomes at Veterans Affairs and university hospitals.
We performed a retrospective analysis of all extracapsular cataract procedures with intraocular lens implantation, both by standard extracapsular cataract extractions and by phacoemulsification, performed by first-year, second-year, and third-year residents at San Francisco General Hospital from January 1, 1994, through June 30, 1995.
Final best-corrected visual acuity of 20/40 or better was achieved in 183 (84%) of 218 eyes. When patients with preexisting eye disease limiting visual potential were excluded, 20/40 or better visual acuity was achieved in 159 (94%) of 169 eyes. Vitreous loss occurred in six (16%) of 37 eyes operated on by first-year residents, in six (10%) of 63 eyes operated on by second-year residents, and in seven (6%) of 118 eyes operated on by third-year residents. The mean change in vision was a gain of 6 lines of Snellen acuity.
Patients undergoing cataract surgery performed by residents at an urban county hospital have visual outcomes equivalent to those of patients at Veterans Affairs and at university facilities.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cataract Extraction - adverse effects</subject><subject>Clinical Competence - standards</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals, County</subject><subject>Hospitals, Public</subject><subject>Humans</subject><subject>Internship and Residency - standards</subject><subject>Intraoperative Complications</subject><subject>Lenses, Intraocular</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Phacoemulsification - adverse effects</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>San Francisco</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkFFrFDEQx4Mo9Xr6EQpBRPRhNZPNJpunIkdrhULF6nOYTbKSsrc5k6xw3960d9yDLz4Nf-Y3w8yPkAtgH4GB_HTPGOONbrV4D-KDYqBYo5-RFfRKN9BreE5WJ-QlOc_5oUaphDojZxq44AJW5OpuKTZufaZxpBssmNAWer-kXz7t6bCn330Ozs8lUywU6bdlmIKlm7jMZU9vYt6FgtMr8mLEKfvXx7omP6-vfmxumtu7L183n28bK0CWphNKyF4ic5INXjDNHfNdy7SSrXOu7wXw3vZqUM6p1qFjHIVFGBDciC20a_LusHeX4u_F52K2IVs_TTj7uGSjet1xJmUF3_wDPsQlzfU2w7mur3eirVB3gGyKOSc_ml0KW0x7A8w8OjZPjs2jQAPCPDmuaU0ujsuXYevdaeootfbfHvuYLU5jwtmGfMK4bBnvuopdHjBfjf0JPplsg5-tdyF5W4yL4T-H_AW97JY0</recordid><startdate>19970401</startdate><enddate>19970401</enddate><creator>SMITH, JEANNE HEPLER</creator><creator>SEIFF, STUART R.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19970401</creationdate><title>Outcomes of Cataract Surgery by Residents at a Public County Hospital</title><author>SMITH, JEANNE HEPLER ; SEIFF, STUART R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-5474686a0d60be4092d0e5309763ddd884128c87b7dd73dad02a4ca1ba1dfa313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cataract Extraction - adverse effects</topic><topic>Clinical Competence - standards</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitals, County</topic><topic>Hospitals, Public</topic><topic>Humans</topic><topic>Internship and Residency - standards</topic><topic>Intraoperative Complications</topic><topic>Lenses, Intraocular</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Phacoemulsification - adverse effects</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>San Francisco</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SMITH, JEANNE HEPLER</creatorcontrib><creatorcontrib>SEIFF, STUART R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SMITH, JEANNE HEPLER</au><au>SEIFF, STUART R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of Cataract Surgery by Residents at a Public County Hospital</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1997-04-01</date><risdate>1997</risdate><volume>123</volume><issue>4</issue><spage>448</spage><epage>454</epage><pages>448-454</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>To determine whether outcomes of extracapsular cataract surgery with intraocular lens implantation performed by residents at an urban county hospital are comparable to previously reported patient outcomes at Veterans Affairs and university hospitals.
We performed a retrospective analysis of all extracapsular cataract procedures with intraocular lens implantation, both by standard extracapsular cataract extractions and by phacoemulsification, performed by first-year, second-year, and third-year residents at San Francisco General Hospital from January 1, 1994, through June 30, 1995.
Final best-corrected visual acuity of 20/40 or better was achieved in 183 (84%) of 218 eyes. When patients with preexisting eye disease limiting visual potential were excluded, 20/40 or better visual acuity was achieved in 159 (94%) of 169 eyes. Vitreous loss occurred in six (16%) of 37 eyes operated on by first-year residents, in six (10%) of 63 eyes operated on by second-year residents, and in seven (6%) of 118 eyes operated on by third-year residents. The mean change in vision was a gain of 6 lines of Snellen acuity.
Patients undergoing cataract surgery performed by residents at an urban county hospital have visual outcomes equivalent to those of patients at Veterans Affairs and at university facilities.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9124241</pmid><doi>10.1016/S0002-9394(14)70170-9</doi><tpages>7</tpages></addata></record> |
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| ispartof | American journal of ophthalmology, 1997-04, Vol.123 (4), p.448-454 |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Cataract Extraction - adverse effects Clinical Competence - standards Female Follow-Up Studies Hospitals, County Hospitals, Public Humans Internship and Residency - standards Intraoperative Complications Lenses, Intraocular Male Medical sciences Middle Aged Phacoemulsification - adverse effects Postoperative Complications Retrospective Studies San Francisco Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Treatment Outcome Visual Acuity |
| title | Outcomes of Cataract Surgery by Residents at a Public County Hospital |
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