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Journal of Ophthalmology
Volume 2015, Article ID 932043, 7 pages
Research Article

Training of Resident Ophthalmologists in Cataract Surgery: A Comparative Study of Two Approaches

2nd Department of Ophthalmology, Papageorgiou General Hospital, Faculty of Medicine, Aristotle University of Thessaloniki, 56403 Thessaloniki, Greece

Received 22 February 2015; Revised 15 April 2015; Accepted 28 April 2015

Academic Editor: Victoria W. Y. Wong

Copyright © 2015 Argyrios Tzamalis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate and compare the efficacy of two different training methods in resident-performed phacoemulsification surgery. Methods. 502 eyes of 467 patients who underwent resident-performed phacoemulsification were included in the study by reviewing their medical records. Residents were allocated into two groups according to the method applied during their training in cataract surgery; Group A included residents that were trained with the “step-by-step” method and Group B those trained with the “one-step” method. Primary outcome was the incidence of main complications, defined as posterior capsular ruptures and/or zonular dehiscence with vitreous loss. Results. Each resident performed a median of 63 phacoemulsification surgeries. A statistically significant difference () was noted in the main complications rate between the two groups, yielding a mean of 17.3% in Group A and 7.25% in Group B. Other intraoperative complications were not shown to differ statistically significantly between study groups (). Among the first 40 surgeries of each resident, main complications rate differed also statistically significantly () between Group A (21.67%) and Group B (8.5%), while a better surgical performance-yielding statistical significance in Group A () was indicated in both groups between the 20th and the 30th procedure. Conclusions. Training in cataract surgery using the “one-step” method may lead to an improvement in surgical competency, when measured by complications rates and, therefore, to significantly better quality of training for resident ophthalmologists.