Cotlier E, Rose M
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 Jan-Feb;81(1):OP163-82.
The results of 63 phacoemulsifications performed by 14 resident ophthalmologists (surgeons in training) were compared to their first 112 intracapsular cataract procedures. Although the number of complications was greater in the eyes undergoing intracapsular operations, the final visual acuities obtained by either procedurewere similar: visual acuities in the range of 20/20 to 20/30 were found in 80.7% of intracapsular cataract operations and in 83.3% of phacoemulsification procedures. Visual acuities of 20/50 or better were found in 90.3% of intracapsular cataract extractions andin 88.8% of phacoemulsification procedures. Cylindric correction of higher power was required to correct astigmatism associated with intracapsular cataract surgery as compared to phacoemulsification. The results of irrigation-aspiration of soft or traumatic cataracts performed in 20 eyes with needle and syringe were compared to results of 19 eyes operated on by use of the Cavitron-Kelman irrigation-aspiration handpiece. The incidence of postoperative secondary membrane requiring discussion was similar for both procedures. The basis for setting up a successful program for resident training in phacoemulsification is discussed.
将14位住院眼科医生（正在接受培训的外科医生）进行的63例超声乳化手术的结果与其最初的112例囊内白内障手术结果进行了比较。尽管囊内手术的眼睛并发症数量更多，但两种手术最终获得的视力相似：在80.7%的囊内白内障手术和83.3%的超声乳化手术中，视力在20/20至20/30范围内。在90.3%的囊内白内障摘除术和88.8%的超声乳化手术中，视力达到20/50或更好。与超声乳化相比，囊内白内障手术相关散光的矫正需要更高度数的柱镜矫正。将20只眼使用针头和注射器进行的软性或外伤性白内障冲洗吸出术的结果与19只眼使用Cavitron-Kelman冲洗吸入手柄进行手术的结果进行了比较。两种手术术后需要讨论的继发性膜发生率相似。讨论了建立成功的超声乳化住院医师培训项目的基础。
