Abstract
This prospective, observational cohort study of 116 patients found that residents could participate in ∼40% of vitreoretinal surgery cases with good visual and anatomical outcomes. Ophthalmology residents can participate in vitreoretinal surgery with appropriate supervision. Surgical training is a key component of ophthalmology residency. For a variety of extraocular and anterior segment procedures, studies evaluating outcomes and complications in resident-performed surgeries have found equivalent outcomes to attending-performed surgeries,1-3 except resident cases have longer operative times.4 In vitreoretinal surgery (VRS), however, only survey results exist. One report showed that, by the end of their residency, over 30% of residents reported performing a pars plana vitrectomy (PPV) as the primary surgeon.5 A second study reported that 60% of surveyed residents had performed at least 1 primary PPV.6 Thus, a significant gap exists in the VRS education literature regarding resident involvement, surgical outcomes, operative time, and safety.
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