Abstract

STUDY DESIGN Retrospective Cohort Study
PURPOSE To compare the reduction in complications with experience in Manual Small Incision Cataract Surgery(MSICS) & Phacoemulsification.
METHODS 10 residents who underwent training in 2021, 2022 were studied.Their surgical outcome was monitored with post op UCVA, intraoperative complication, & resurgery.Complications per 100 surgeries were studies with multivariate logistic regression methods.
RESULTS A total of 17659 surgeries were done.Out of 17186 MSICS ,2052 eyes(11.62%) had complications,1644 eyes(9.31%) had resurgeries.Out of 473 phacoemulsification, 1367 eyes(7.74%) had complication,969 eyes(5.49%) had resurgeries.The rate of complications & resurgeries decreased by 16% & 9.2% respectively per 100 additional MSICS and by 8.6% & 5.02% respectively per 10 additional phacoemulsification.
CONCLUSION The rate of complications steadily decreased with experience. The MSICS trained residents had lesser complications in phacoemulsification.