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
