Age-related Cataract
Conditions
Keywords
Phacoemulsification, Learning curve in cataract surgery, Training of ophthalmology residents
Brief summary
The goal of this clinical trial is to compare between two methods used in training residents on phacoemulsification. The residents were classified into two groups; the first group were trained on surgical steps in a chronological order, while the second groups in non-chronological order. The outcomes included surgical competency, success rate and incidence of complications.
Interventions
Residents trained step-by-step in the natural order of phacoemulsification (incision, capsulorhexis, hydrodissection, phacoemulsification, irrigation/aspiration, IOL implantation, wound closure).
Residents trained initially on selected steps (e.g., wound construction, IOL implantation, cortical cleanup) before progressing to more critical steps such as capsulorhexis and phacoemulsification
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 45 years or more with age-related cataract, and prepared for phacoemulsification.
Exclusion criteria
* Dense nuclear cataract grade IV or dense. * Intumescent cataract * Complicated and traumatic cataract * Zonular dehiscence * Poor pupillary dilatation * Coexisting ocular disorder (glaucoma, PEX, uveitis,central corneal opacity….) * Endothelial cell count 2000 or less * Axial length 21 mm or less, 26 mm or more. * Previous intraocular surgery * Poor vision in the fellow eye due to irreversible condition (6/60 or less) * Previous complicated cataract surgery in fellow eye.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate | From enrollment till three months after the last surgery |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of complications | From enrollment till 3 months after the last surgery |
Countries
Egypt