Department of Ophthalmology and Visual Sciences, Vanderbilt Eye Institute, Vanderbilt University, School of Medicine, Nashville, Tennessee; Department of Ophthalmology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
Department of Ophthalmology, Abrahamson Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Ophthalmology. 2014 Oct;121(10):2066-9. doi: 10.1016/j.ophtha.2014.04.028. Epub 2014 Jun 7.
To compare success rates of strabismus surgery that involves trainees versus those performed solely by staff surgeons.
Retrospective, comparative case series.
Patients undergoing eye muscle surgery for primarily horizontal deviations.
Retrospective comparative case series of 543 patients (921 eyes) undergoing eye muscle surgery, with or without trainee participation, for horizontal deviations.
Success in surgery defined as residual horizontal deviations of 10 prism diopters or less.
Trainees were involved in surgeries on 396 patients (672 eyes), whereas only staff surgeons operated on 147 patients (249 eyes). After minimum follow-up of 8 weeks, there was no overall significant difference between the success rates of procedures that involved trainees as surgeons and those that did not (P = 0.59).
The involvement of trainees as operators in surgeries on horizontal eye muscles does not result in a worse outcome than surgeries exclusively performed by staff. With a shift toward competency-based education and more scrutiny of patient outcomes, these data further support the quality of surgical care provided by trainees.
比较涉及住院医师和仅由主治外科医生进行的斜视手术的成功率。
回顾性、比较病例系列。
接受眼外肌手术治疗主要水平偏斜的患者。
回顾性比较了 543 名（921 只眼）接受眼外肌手术的患者的病例系列，其中包括有或没有住院医师参与的手术，用于治疗水平偏差。
手术成功定义为残余水平偏差为 10 棱镜屈光度或更小。
住院医师参与了 396 名患者（672 只眼）的手术，而仅主治外科医生为 147 名患者（249 只眼）进行了手术。至少随访 8 周后，住院医师作为外科医生参与手术的成功率与未参与手术的成功率之间没有显著差异（P=0.59）。
住院医师作为手术操作者参与水平眼肌手术不会导致比仅由主治外科医生进行的手术结果更差。随着基于能力的教育的转变和对患者结果的更严格审查，这些数据进一步支持了住院医师提供的手术护理质量。
