Bacterial Endophthalmitis After Resident-Performed Cataract Surgery

To determine if there is an increased rate of postoperative bacterial endophthalmitis after resident-performed cataract extraction relative to the reported rates of experienced surgeons. Retrospective, observational case series. The operative reports of the resident-performed cataract surgeries at S...

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Bibliographic Details
Published in:American journal of ophthalmology 2006-05, Vol.141 (5), p.949-951
Main Authors: Hollander, David A., Vagefi, M. Reza, Seiff, Stuart R., Stewart, Jay M.
Format: Article
Language:English
Subjects:
Antibiotics
Biological and medical sciences
Cataract Extraction - statistics & numerical data
Cataracts
Confidence intervals
Education, Medical, Graduate
Endophthalmitis - epidemiology
Endophthalmitis - microbiology
Eye Diseases - epidemiology
Eye Infections, Bacterial - epidemiology
Eye Infections, Bacterial - microbiology
Eye surgery
Hospitals
Humans
Internship and Residency - statistics & numerical data
Lens diseases
Medical sciences
Miscellaneous
Ophthalmology
Ophthalmology - education
Postoperative Complications
Retrospective Studies
Surgery
Vitreous Body - pathology
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Summary:To determine if there is an increased rate of postoperative bacterial endophthalmitis after resident-performed cataract extraction relative to the reported rates of experienced surgeons. Retrospective, observational case series. The operative reports of the resident-performed cataract surgeries at San Francisco General Hospital between 1983 and 2002 were reviewed. Cases of culture-positive bacterial endophthalmitis and vitreous loss were identified. Between 1983 and 2002, three cases (0.11%) of culture-positive bacterial endophthalmitis occurred after 2718 resident-performed cataract extractions. The overall vitreous loss rate was 6.7%. Two endophthalmitis cases were acute ( Staphylococcus epidermidis, Streptococcus viridans), presenting within five days of surgeries complicated by vitreous loss, and one case was delayed-onset ( Corynebacterium species) after Nd:YAG posterior capsulotomy after uncomplicated cataract extraction. Despite higher rates of vitreous loss, the rate of endophthalmitis following resident-performed cataract surgery remains comparable with the rates of more experienced surgeons.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2005.11.055