Abstract

CASCO-DORIA, Diego Andrés; SAMUDIO, Margarita  and  DUERKSEN, Rainald. Learning Curve of Residents for Manual Small-Incision Cataract Surgery at Fundación Visión, Paraguay. Rev. cient. cienc. salud [online]. 2020, vol.2, n.2, pp.25-34. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/02.02.2020.25.

Introduction: Ophthalmology residency programs play a fundamental role in the training of surgeons for cataract surgery. A fundamental component for the development of competencies in cataract surgery is having a structured training program. Objective: To determine learning curve of cataract surgery with MSICS (Manual Small-Incision Cataract Surgery) technique in second- and third-year residents at Fundación Visión between February 2014 and February 2018. Method: Retrospective observational cohort study, where all cataract surgeries by the MSICS technique performed by residents in their second and third year of residence were studied. The variables were demographic characteristics of the residents, year and semester of residence, number and type of complications. Results: In the study period 807 surgeries were performed by five residents aged 27 to 33 years, three were female. The number of surgeries per resident ranged from 122 to 198. Overall complication rate was 23.7%, in the first semester it was 58.8%, which decreased to 15.2% in the fourth semester. Posterior capsule rupture occurred in 7.6% of cases and Zonular dialysis 1.9%. Conclusion: A significant reduction in the rate of complications was observed at the end of training.

Keywords : learning curve; medical residency; cataract extraction; incision surgery.

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