Outcomes of Traumatic Eyelid Laceration Repairs by Ophthalmology Residents Performed in the Emergency Department.
Nearly half of eyelid laceration repair patients had no follow-up visit
Outcomes of Traumatic Eyelid Laceration Repairs by Ophthalmology Residents Performed in the Emergency Department.
Introductory statement Eyelid lacerations are a common problem in the emergency department (emergency department) that ophthalmology residents manage.
This study aims to evaluate the outcomes of eyelid lacerations repaired by ophthalmology residents.
A multicenter retrospective study was performed on 287 patients who presented to the emergency department with eyelid lacerations that were repaired by an ophthalmology resident at one of the four Southern California institutions (Loma Linda University (Loma Linda University), Riverside University Health System (Riverside University Health System), University of California Irvine (University of California Irvine), and Los Angeles General Medical Center (Los Angeles General Medical Center)).
Of the patients with follow-up, there was no statistically significant difference in re-operation rate for lacerations repaired by PGY-2 residents with supervision (7/21; 35%) and without supervision (6/32; 19%).
When a PGY-2 performed the procedure as the primary surgeon solo in the emergency room, the complication rate was 41% (13/32).
When the PGY-2 had the assistance of a senior resident, fellow, or attending, the complication rate dropped to 29% (6/21).
The complication rate for an upper-level resident (PGY-3 or PGY-4) performing the repair in the emergency department was 23% (5/22) and 17% (1/6) if supervised by a fellow or attending (p=1.00).
Approximately half of the patients who underwent eyelid laceration repair in the emergency department were lost to follow-up.
Of the patients who followed up and are included in this data set, the overall complication rate was similar to previously recorded complication rates recorded in the literature.
Re-operation rates were not significantly different when the PGY-2 resident operated alone compared to repair with supervision. Residents were appropriately calling for supervision when dealing with a complicated laceration.