RECRUITINGINTERVENTIONAL

Chronological Versus Non-chronological Phacoemulsification Training

Chronological Versus Non-Chronological Method in Phacoemulsification Training for Ophthalmology Residents

About This Trial

The goal of this clinical trial is to compare between two methods used in training residents on phacoemulsification. The residents were classified into two groups; the first group were trained on surgical steps in a chronological order, while the second groups in non-chronological order. The outcomes included surgical competency, success rate and incidence of complications.

Who May Be Eligible (Plain English)

Who May Qualify: - Patients aged 45 years or more with age-related cataract, and prepared for phacoemulsification. Who Should NOT Join This Trial: - Dense nuclear cataract grade IV or dense. - Intumescent cataract - Complicated and traumatic cataract - Zonular dehiscence - Poor pupillary dilatation - Coexisting ocular disorder (glaucoma, PEX, uveitis,central corneal opacity….) - Endothelial cell count 2000 or less - Axial length 21 mm or less, 26 mm or more. - Previous intraocular surgery - Poor vision in the fellow eye due to irreversible condition (6/60 or less) - Previous complicated cataract surgery in fellow eye. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Patients aged 45 years or more with age-related cataract, and prepared for phacoemulsification. Exclusion Criteria: * Dense nuclear cataract grade IV or dense. * Intumescent cataract * Complicated and traumatic cataract * Zonular dehiscence * Poor pupillary dilatation * Coexisting ocular disorder (glaucoma, PEX, uveitis,central corneal opacity….) * Endothelial cell count 2000 or less * Axial length 21 mm or less, 26 mm or more. * Previous intraocular surgery * Poor vision in the fellow eye due to irreversible condition (6/60 or less) * Previous complicated cataract surgery in fellow eye.

Treatments Being Tested

PROCEDURE

Chronological phacoemulsification training

Residents trained step-by-step in the natural order of phacoemulsification (incision, capsulorhexis, hydrodissection, phacoemulsification, irrigation/aspiration, IOL implantation, wound closure).

PROCEDURE

Non-Chronological phacoemulsification training

Residents trained initially on selected steps (e.g., wound construction, IOL implantation, cortical cleanup) before progressing to more critical steps such as capsulorhexis and phacoemulsification

Locations (1)

Sohag Faculty of Medicine

Sohag, Sohag Governorate, Egypt