{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:01:36Z","timestamp":1755216096273,"version":"3.43.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n            <jats:title>Pr\u00e9cis:<\/jats:title>\n            <jats:p>Resident-performed trabeculectomies present higher intraocular pressure and lower complete success rate at 1 year.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>To compare the 1-year outcomes of ab externo trabeculectomy between residents in training and staff ophthalmologists.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients and Methods:<\/jats:title>\n            <jats:p>This retrospective study included all consecutive eyes submitted to ab externo trabeculectomy between January 2015 to June 2020. A 1-year complete success rate was considered using all the following criteria: intraocular pressure (IOP)\u226421 mm\u00a0Hg and \u22656mm\u00a0Hg without ocular hypotensive medications; IOP reduction\u226530%; without loss of light perception, phthisis bulbi, and further glaucoma surgery (excluding suture lysis and bleb needling).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>One hundred and ten eyes from 99 patients were included. Thirty percent (n=33) of the trabeculectomies were performed by residents. There were no significant preoperative differences between groups, apart from age at surgery, which was higher in the residents' group (72.39\u00b16.83 vs. 62.00\u00b115.07 years, <jats:italic toggle=\"yes\">P<\/jats:italic>&lt;0.001), and visual field index (Humphrey Field Analyzer), which was lower in the ophthalmologists\u2019 group (51.81\u00b134.74% vs. 32.04\u00b133.83%, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.013). IO<jats:italic toggle=\"yes\">P<\/jats:italic> at 1-, 3-, 6 months, and 1 year after surgery was significantly higher in the resident\u2019s group (<jats:italic toggle=\"yes\">P<\/jats:italic>&lt;0.05). Resident-performed trabeculectomies achieved a significantly lower complete success rate when compared with the ophthalmologists\u2019 group (39.39% vs. 64.94%, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.013). The overall rate of the postoperative complications and reintervention did not differ between groups, but the occurrence of a shallow anterior chamber was more frequent in the residents\u2019 group (15.15% vs. 4.05%, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.037).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Resident-performed trabeculectomies present significantly higher postoperative IOP levels and a lower complete success rate when compared with staff ophthalmologists. It is, therefore, fundamental to adopt strategies to change this gap, improve patient safety, and strengthen resident confidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/ijg.0000000000002168","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T18:00:51Z","timestamp":1680112851000},"page":"320-326","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Trabeculectomy Outcomes Performed by Residents in Training and Ophthalmologists"],"prefix":"10.1097","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9126-3505","authenticated-orcid":false,"given":"M\u00e1rio","family":"Lima-Fontes","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"}]},{"given":"Ana","family":"Faria-Pereira","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"}]},{"given":"Mariana","family":"Leuzinger-Dias","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"}]},{"given":"Marta In\u00eas","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"}]},{"given":"Jo\u00e3o","family":"Barbosa-Breda","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"},{"name":"Cardiovascular R&D Centre \u2013 UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto"},{"name":"KULeuven, Research Group Ophthalmology, Department of Neurosciences, Leuven, Belgium"}]},{"given":"Joana","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"},{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal"}]},{"given":"S\u00e9rgio","family":"Estrela-Silva","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"},{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal"}]},{"given":"Ant\u00f3nio","family":"Benevides-Melo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"},{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal"}]},{"given":"Fl\u00e1vio","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o"}]},{"given":"Jo\u00e3o","family":"Tavares-Ferreira","sequence":"additional","affiliation":[{"name":"Department of 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