Pterygium excision with conjunctival autograft: consultant versus trainee

Chalioulias, Konstantinos; Dwarika, Dorian; Thakur, Shakti

doi:10.1111/j.1442-9071.2007.01502.x

Cited by 4 publications

(5 citation statements)

References 1 publication

(1 reference statement)

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“…They found the rate to be significantly higher in those cases performed by trainees as opposed to consultants (19.4% and 6.7%, respectively). On the other hand, Chalioulias et al 20 from the United Kingdom showed a nonsignificant difference between trainees and consultants even though they had higher rates than usually expected for CAU (24.3% vs. 26.3%, respectively). Although it is not clear whether the trainees were supervised, the authors attributed the similar surgical outcome to the fact that their trainees had at least 5 years of experience with microsurgical phacoemulsification before performing these surgeries.…”

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

“…Although it is not clear whether the trainees were supervised, the authors attributed the similar surgical outcome to the fact that their trainees had at least 5 years of experience with microsurgical phacoemulsification before performing these surgeries. 20 However, it remains a question whether the skills required in phacoemulsification carry over to pterygium removal because they had a high recurrence rate in both groups. 21 More recently, a prospective case series by Kositphipat et al 22 in Thailand examined pterygium recurrence among 8 ophthalmology residents, each having a minimum experience of 5 cases of pterygium excision with CAU before participating in the study.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Pterygium Recurrence Rates Between Attending Physicians and Supervised Trainee Residents

Thompson

Harbin

Das

et al. 2021

Cornea

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Purpose:To compare the recurrence rates after pterygium surgery performed by supervised trainee residents and attending physicians.Methods:This retrospective study included pterygium surgeries performed by trainee residents and attending physicians in an academic institution in South Texas in the years 2008 to 2019. All residents performed surgeries under direct supervision of an attending physician. Only primary pterygium cases with a minimum postoperative follow-up of 6 months were included. Patients' demographics, primary surgeon, use of conjunctival autograft (CAU) or amniotic membrane graft (AMG), recurrence of pterygium, follow-up length, and complications were recorded.Results:This study included 240 eyes of 229 patients with a mean age of 55.6 ± 12.3 years (range, 28–91 years). Of these eyes, 100 surgeries were performed by attending physicians (including 87 with CAU and 13 with AMG) and 140 surgeries by trainee residents (including 119 with CAU and 21 with AMG). There were no significant differences between the 2 groups of patients regarding age, sex, and surgical technique (CAU vs. AMG). Patients were followed up for an average of 19.8 ± 15.2 months. No statistically significant differences were found in comparing the rate of pterygium recurrence between attending physicians and residents when using CAU (6.8% vs. 10.0%, respectively; P = 0.42) and AMG (69.2% vs. 47.6%, respectively; P = 0.22). Moreover, there were no significant differences in other postoperative complications between the groups.Conclusions:Pterygium recurrence rates were similar between attending physicians and supervised trainee residents. Thus, acceptable outcomes can be expected when pterygium surgery is performed by a supervised ophthalmology resident.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Pterygium Recurrence Rates Between Attending Physicians and Supervised Trainee Residents

Thompson

Harbin

Das

et al. 2021

Cornea

View full text Add to dashboard Cite

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“…We thank Chalioulias et al. for sharing their experience and for highlighting the correlation between surgical experience and pterygium recurrence rates 1 . However, compared with the figures in our original article, 2 the relatively smaller number of cases per year in their study reflects the geographically lower ultraviolet light exposure in the UK compared with an Australian population.…”

mentioning

confidence: 74%

Pterygium excision with conjunctival autograft: consultant versus trainee – response

Lee

Farrah²

2007

Clinical Exper Ophthalmology

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“…for primary pterygium removal with CAG of those performed by the consultants and trainees (26.3 and 24.3 %, respectively). 30 In our study the participating residents are considered as inexperienced surgeons with a recurrence rate of pterygium excision with amniotic membrane transplantation approximately 11.94%. All of which occur within the first 6 months after pterygium surgery.…”

Section: Chalioulias Et Al Found No Different Resultsmentioning

confidence: 99%

Efficiency in skill development of pterygium excision with amniotic membrane transplantation among the 1st year ophthalmology residents at Thammasat Eye Center

Akrapipatkul¹

2019

EyeSEA

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To evaluate the learning curve of pterygium excision with amniotic membrane transplantation among the 1 st year ophthalmology residents. Methods: Prospective comparative study. Four first year ophthalmology residents were monitored for operating time and recurrence rate on all their cases of pterygium excision with amniotic membrane transplantation throughout one year. Data for baseline characteristic of patients with continuous data were analyzed for differences among residents using one-way ANOVA. Proportional data such as age, gender, laterality and recurrence rate were analyzed for differences among residents using Fisher's exact test. Average predicted operating time with consecutive cases were analyzed using linear regression. Operating time stabilization with consecutive cases was visualized by a Locally Weighted Scatterplot Smoothing (LOWESS) and Quadratic best fit lines. Results: A total of 159 eyes (159 patients) with primary pterygium excision were performed with sutured amniotic membrane transplantation. All cases were attributed to four ophthalmology residents composed of 40, 41, 42 and 36 patients. The average operating time was 50.38 ± 13.92 minutes, with a range of 28 to 100 minutes. The operating time declined in proportion to the number of patients and stabilized after 38 cases (average time 43.33 ± 18.93 minutes). The recurrence rate of pterygium found in this study was 11.94% Conclusions: Pterygium excision with sutured amniotic membrane transplantation is considered as appropriate training procedure for ophthalmology residency training due to less duration needed to reach the learning curve. Additionally, the rate of recurrence among residents is comparable to that of other similar studies.

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Pterygium excision with conjunctival autograft: consultant versus trainee

Cited by 4 publications

References 1 publication

Comparison of Pterygium Recurrence Rates Between Attending Physicians and Supervised Trainee Residents

Comparison of Pterygium Recurrence Rates Between Attending Physicians and Supervised Trainee Residents

Pterygium excision with conjunctival autograft: consultant versus trainee – response

Efficiency in skill development of pterygium excision with amniotic membrane transplantation among the 1st year ophthalmology residents at Thammasat Eye Center

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