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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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ORIGINAL ARTICLE
Year : 2011  |  Volume : 18  |  Issue : 2  |  Page : 173-177

Transition to phacoemulsification at the farabi eye hospital, Iran


1 Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran;Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran
2 Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
3 Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran;Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
S-Farzad Mohammadi
Eye Research Center, Farabi Eye Hospital, Qazvin Square, Tehran 1336616351
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.80709

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Purpose : To provide objective evidence on the transition of cataract surgical care at Farabi Eye Hospital, Iran. Materials and Methods : Two separate years, 2003 and 2006, were selected for evaluation. One thousand nine hundred fifty-seven surgical records of age-related cataract cases were randomly selected and reviewed. Three hundred fifty-three patients (405 eyes) in 2006 and 125 patients (153 eyes) in 2003 were selected randomly for a follow-up examination. The two phases were compared in terms of surgical routines, patient characteristics and outcomes for statistical differences. P <0.05 was considered statistically significant. Results : The phacoemulsification rate increased from 25% to greater than 90% between 2003 and 2006, rates of corneal incisions and use of foldable intraocular lenses tripled, administration of general anesthesia dropped from 80% to 12%, the outpatient admission rate rose from 5.2% to 71%, 4% vs. 66% of the operations were performed by a senior phacoemulsification surgeon and the number of advanced surgeons changed from 6% to 38% (all P-values < 0.001). In 2006, more patients at the two extremes of age, more patients with poor systemic conditions and myopes underwent surgery (all P-values < 0.05); the cataract surgery volume increased by 49% and post-operative visual acuity improved (P = 0.03) while patient satisfaction was unchanged. Conclusion : We objectively documented the transition in cataract surgery technique to phacoemulsification at the Farabi Eye Hospital in the mid-2000s. This was accompanied by significant expansion of the spectrum of cataract surgery candidates and remarkable attainment of surgical skill.


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