Outcomes of temporal clear cornea versus superior scleral tunnel phacoemulsification incisions in a university training program

Kenneth O Karp; Chris V Albanis; Julie B Pearlman; Kenneth M Goins

doi:10.3928/1542-8877-20010501-09

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Journal article

Outcomes of temporal clear cornea versus superior scleral tunnel phacoemulsification incisions in a university training program

Kenneth O Karp, Chris V Albanis, Julie B Pearlman and Kenneth M Goins

Ophthalmic surgery and lasers, Vol.32(3), pp.228-232

05/01/2001

DOI: 10.3928/1542-8877-20010501-09

PMID: 11371090

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Abstract

Background and objectives: To evaluate the complication and visual outcomes of residents performing temporal clear cornea (TCC) compared to superior scleral tunnel (SST) phacoemulsification. Patients and methods: We conducted a retrospective analysis of complications and visual outcomes for 534 phacoemulsification procedures done by third-year residents over a five-year period (June 1992-July 1997) at the department of ophthalmology, University of Chicago. All cases were completed using a TCC or SST incision. Results: There was vitreous loss in 6.0% of 348 eyes with TCC incisions and in 11.8% of 186 eyes with SST incisions (P < 0.02). Posterior capsule breaks occurred in 1 1.5% of the TCC group versus 17.7% in the SST group (P < 0.0453). Best corrected visual acuity of 20/40 or better was achieved in 82.5% of all eyes with TCC incisions and in 75.3% of all eyes with SST incisions (P < 0.05). When 151 patients with previous ophthalmic conditions were excluded, the difference in BCVA between the two groups was not statistically significant. Conclusions: Most institutions train residents with the SST technique prior to advancing to TCC. This study demonstrates that with proper teaching, residents can achieve excellent outcomes using TCC incisions, and can therefore be trained in this technique concurrently with SST incisions.

Biological and medical sciences

Medical sciences

Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases

Surgery of the eye and orbit

Details

Title: Subtitle: Outcomes of temporal clear cornea versus superior scleral tunnel phacoemulsification incisions in a university training program
Creators: Kenneth O Karp - University of Chicago
Chris V Albanis - University of Chicago
Julie B Pearlman - University of Chicago
Kenneth M Goins - University of Chicago
Resource Type: Journal article
Publication Details: Ophthalmic surgery and lasers, Vol.32(3), pp.228-232
Publisher: Slack
DOI: 10.3928/1542-8877-20010501-09
PMID: 11371090
ISSN: 1082-3069
eISSN: 2325-8179
Number of pages: 5
Language: English
Date published: 05/01/2001
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9984806607702771

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