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Supervised trainees obtain similar outcomes to primary surgeons in blepharoptosis repair
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With guidance from an experienced surgeon, surgical trainees have comparable results when performing conjunctival Müllerectomy with or without tarsectomy and external levator advancement blepharoptosis repair, according to a study.
The retrospective, non-randomized, interventional, consecutive case series comprised 170 patients. Ninety-four eyelids of 67 patients underwent levator advancement, and 154 eyelids of 103 patients underwent Müllerectomies with or without tarsectomy.
Trainees performed 88 of these surgeries in 60 patients, with no significant variance in the percentage of associated surgeries being performed by experienced surgeons.
Mean postoperative marginal reflex distance difference was 0.53 for trainees compared to 0.59 for experienced surgeons, which was not statistically significant.
Postoperative complications, including increased dry eye, symptoms of irritants and additional operations, occurred in 13% of patients who underwent surgery by a trainee compared to 20% of patients who underwent surgery by an experienced surgeon.
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