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CC BY-NC-ND 4.0 · Journal of Academic Ophthalmology 2018; 10(01): e108-e113
DOI: 10.1055/s-0038-1667050
Research Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluating Resident Training in Oculoplastic Surgery: A Case Series of 104 Eviscerations

Brittany A. Simmons
1   Department of Ophthalmology, Flaum Eye Institute, University of Rochester, Rochester, New York
,
Anna Artymowicz
2   Department of Graduate Medical Education, University of Rochester School of Medicine and Dentistry, Rochester, New York
,
Mithra O. Gonzalez
1   Department of Ophthalmology, Flaum Eye Institute, University of Rochester, Rochester, New York
3   Department of Oral and Maxillofacial Surgery, Eastman Institute of Oral Health, University of Rochester, Rochester, New York
4   Department of Otolaryngology, University of Rochester, Rochester, New York
› Author Affiliations Funding None.
Further Information

Publication History

30 January 2018

05 June 2018

Publication Date:
27 July 2018 (online)

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Abstract

Purpose The aim of this study is to evaluate resident surgical performance based on complications after ocular evisceration.

Methods A retrospective chart review of eviscerations performed between October 2011 and May 2017 by ophthalmology residents as the primary or assistant surgeon under the guidance of a single oculofacial plastic surgeon (M.O.G.) was completed. Data collected included reason for evisceration, resident participation in the case and resident's month of oculoplastic training, surgical technique, subsequent complications, and duration of follow-up.

Results There were no significant differences in complication rates or surgical sequelae in resident-led versus attending-led surgeries. The complication rate for all cases in total was 5.77%. A slight negative correlation existed between the resident's month of training and the presence of postoperative complications. The number of adverse events was found to be significantly correlated with the duration of patient follow-up.

Discussion Ocular eviscerations performed by ophthalmology residents as primary surgeons achieve outcomes equivalent to published reports, suggesting ocular eviscerations are a safe, effective procedure wherein residents can refine surgical skills. Some surgical sequelae may be linked to particular surgeons, implying evisceration outcomes can be used to assess resident surgical performance. Fewer adverse events arose as the resident's length of oculoplastic training increased, but this finding did not reach significance. Larger studies are needed to explore these trends.

Keywords

anophthalmic surgery - ocular evisceration - ophthalmology resident performance - oculoplastic training - ophthalmology resident outcomes
 

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