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Research Letter
February 2014

Return to the Operating Room After Resident-Performed Cataract Surgery

Author Affiliations
  • 1Department of Ophthalmology, University of California, San Francisco
  • 2Department of Ophthalmology, San Francisco General Hospital, San Francisco, California
  • 3Department of Ophthalmology, San Francisco Veterans Affairs Medical Center, San Francisco, California
JAMA Ophthalmol. 2014;132(2):223-224. doi:10.1001/jamaophthalmol.2013.5675

Cataract surgery is one of the most commonly performed operations during ophthalmology residency training, and its complications have been well described.1-3 While returns to the operating room within 30 days after routine surgery serve as a benchmark for surgical quality in other specialties such as neurosurgery and general surgery, reoperation after cataract surgery has not been investigated.4,5 The aim of this study was to examine the rate and indications for reoperation after resident-performed cataract surgery at 30 and 90 days.

This was a retrospective study approved by the institutional review boards of the University of California, San Francisco/San Francisco General Hospital and the San Francisco Veterans Affairs Medical Center. The requirement for informed consent was waived by the institutional review boards. Billing codes were used to identify all patients at 2 teaching hospitals within a single residency program who underwent resident-performed cataract surgery from January 1, 2005, to December 31, 2010. Any return to the operating room within 90 days of the surgery was identified as a reoperation. Variables studied included age, type of cataract surgery, training level of the resident, time to reoperation, indication for reoperation, and type of reoperation. Univariate analyses were conducted with Microsoft Excel (Microsoft Corp) to gather descriptive data about the reoperation cases. A χ2 test was conducted to determine whether differences in reoperation rates among residency year quarters were statistically significant.