Outcomes of Phaco-Emulsification Performed by Residents: A Systematic review and meta-analysis | ||
| Egyptian Journal of Ophthalmology | ||
| Volume 5, Issue 2, June 2025, Pages 84-92 PDF (309.77 K) | ||
| Document Type: Original Articles | ||
| DOI: 10.21608/ejomos.2024.319484.1143 | ||
| Authors | ||
| Omar Waleed Sabry* ; Ahmed Tharwat Ghanem; Haytham Mohammed ALi | ||
| Misr University for Science and Technology | ||
| Abstract | ||
| Introduction Age-related cataract is the leading cause of visual loss worldwide, about 20 million procedures performed annually. Ideal cataract removal results make phaco-emulsification the best option. However, this technique is tough and requires extensive training. In residency programs, wet labs and simulators are used for phaco-emulsification training with a supervisor to avoid difficulties. Resident cataract surgery performance must be assessed to improve surgical results and training. Methods A PRISMA-compliant systematic review and meta-analysis were conducted. On August 19, 2024, PubMed, Web of Science, and Scopus were searched. Cross-sectional, cohort, and case-control observational studies on residents phaco-emulsifying patients were included. Excluded were protocols, conference abstracts, non-English studies, and RCTs. Data extraction risk of bias, primary and secondary outcomes, and study features were assessed using the Newcastle-Ottawa Scale (NOS). We used a random-effects model to reconcile between-study variation and sensitivity analysis to evaluate heterogeneity. Meta-analysis followed. Results The meta-analysis included four studies (n = 1905) from 51 publications found. The pooled complication rate estimate was 23.4% (95% CI: 16.1% to 30.7%), with considerable heterogeneity (I² = 87.42%). The pooled estimate showed a 65.4% (95% CI: 42.1% to 80.7%) surgery completion rate, with considerable heterogeneity (I² = 97.48%). The sensitivity analysis showed that eliminating one outlier study reduced heterogeneity, confirming the findings' robustness. Conclusion Residents complete 65.4% of phaco-emulsifications and 23.4% have complications. These results demonstrate the need for supervision and thorough training to improve results. Research is needed to identify factors that promote resident competency and reduce problems. | ||
| Keywords | ||
| cataract; extraction; training programs; complications | ||
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