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  • Title: Bacterial endophthalmitis after resident-performed cataract surgery.
    Author: Hollander DA, Vagefi MR, Seiff SR, Stewart JM.
    Journal: Am J Ophthalmol; 2006 May; 141(5):949-51. PubMed ID: 16678515.
    Abstract:
    PURPOSE: To determine if there is an increased rate of postoperative bacterial endophthalmitis after resident-performed cataract extraction relative to the reported rates of experienced surgeons. DESIGN: Retrospective, observational case series. METHODS: The operative reports of the resident-performed cataract surgeries at San Francisco General Hospital between 1983 and 2002 were reviewed. Cases of culture-positive bacterial endophthalmitis and vitreous loss were identified. RESULTS: Between 1983 and 2002, three cases (0.11%) of culture-positive bacterial endophthalmitis occurred after 2718 resident-performed cataract extractions. The overall vitreous loss rate was 6.7%. Two endophthalmitis cases were acute (Staphylococcus epidermidis, Streptococcus viridans), presenting within five days of surgeries complicated by vitreous loss, and one case was delayed-onset (Corynebacterium species) after Nd:YAG posterior capsulotomy after uncomplicated cataract extraction. CONCLUSIONS: Despite higher rates of vitreous loss, the rate of endophthalmitis following resident-performed cataract surgery remains comparable with the rates of more experienced surgeons.
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