Operation Time for Pterygium Surgery by Ophthalmology Trainees

Authors

  • Kosol Kampitak Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
  • Ranipha Siriburana Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
  • Nattadet Rattana-aram Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
  • Tayakorn Kupakanjana Department of Ophthalmology, St. Peter Eye Hospital, Mueang Chiang Mai District, Chiang Mai, Thailand
  • Wichai Leelawongtawun Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
  • Supinda Leeamornsiri Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
  • Suntaree Thitiwichienlert Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand

DOI:

https://doi.org/10.14456/2022020106

Keywords:

Pterygium surgery, Ophthalmology resident, Operation time, Surgical skill, Skill development

Abstract

Objective: To evaluate the duration time of pterygium surgery performed by the ophthalmology residents in the first and second year of training with different surgical methods.
Methods: Data was collected retrospectively from medical records when the surgeons were first-year residents in 2016 and second-year in 2017. Operation time was compared according to each resident surgeon, year level of training, and surgical techniques.
Results: A total of 131 pterygium surgeries were performed by 5 ophthalmology residents, 93 and 38 pterygium excision procedures were performed by one group of residents in their first and second year of training, respectively. All pterygia were primary type with a single head. The mean pterygium size was 2.8 ± 1.4 mm. The range of operating duration was 52 - 83 minutes for individual surgeons. The mean duration of surgery performed by the first- and second-year residents was 64.1 ± 16.8 and 67.0 ± 22.2 minutes, respectively. The mean duration of surgery operated with amniotic membrane and conjunctival graft techniques were 64.7 ± 7.3 and 65.3 ± 20.4 minutes, respectively. The duration times of pterygium surgery were significantly different (P < .001) between surgeons but there were no statistically significant differences with regards to the level of training and method of surgery
(P > .05).
Conclusions: The duration of pterygium surgery varied between each resident surgeon, but did not differ in the level of training and surgical techniques.

Downloads

Download data is not yet available.

References

Singh SK. Pterygium: epidemiology prevention and treatment. Community Eye Health. 2017;30(99):S5-S6.

Nangia V, Jonas JB, Nair D, Saini N, Nangia P, Panda-Jonas S. Prevalence and associated factors for pterygium in rural agrarian central India. The central India eye and medical study. PLoS One. 2013;8(12):e82439.

Malozhen SA, Trufanov SV, Krakhmaleva DA. Pterygium: etiology, pathogenesis, treatment. Vestn Oftalmol. 2017;133(5):76-83.

Wanzeler ACV, Barbosa IAF, Duarte B, et al. Mechanisms and biomarker candidates in pterygium development. Arq Bras Oftalmol. 2019;82(6):528-536.

Akrapipatkul K, Kupakanjana T, Charoenphol P.Efficiency in skill development of pterygium excision with amniotic membrane transplantation among the 1st year ophthalmology residents at Thammasat Eye Center. EyeSEA. 2019;14(2):70-81.

Kositphipat K, Tananuvat N, Choovuthayakorn J. Results of pterygium excision adjunct with conjunctival autograft transplantation for primary pterygium by ophthalmology trainees. Int Ophthalmol. 2016;36(5):615-621.

Phrueksaudomchai P, Patarajierapan P, Leelawongtawun W, et al. Surgical time aspect of learning curve in primary pterygium excision by ophthalmology trainees. EyeSEA. 2021;16(1):94-103.

Koranyi G, Artzén D, Wijk T. Learning curve in the Cut and Paste method for surgery of primary pterygium. Acta Ophthalmol.

;91(5):463-468.

Karalezli A, Kucukerdonmez C, Akova YA, Altan-Yaycioglu R, Borazan M. Fibrin glue versus sutures for conjunctival autografting in

pterygium surgery: a prospective comparative study. Br J Ophthalmol. 2008;92(9):1206-1210.

Downloads

Published

2022-08-29

How to Cite

[1]
Kampitak, K., Siriburana, R., Rattana-aram, N., Kupakanjana, T., Leelawongtawun, W., Leeamornsiri, S. and Thitiwichienlert, S. 2022. Operation Time for Pterygium Surgery by Ophthalmology Trainees . Asian Medical Journal and Alternative Medicine. 22, 2 (Aug. 2022), 138–143. DOI:https://doi.org/10.14456/2022020106.

Issue

Section

Original Articles