A comparison of the success rates of resident and attending strabismus surgery

H. J. Wisnicki, M. X. Repka, E. Raab, G. G. Hamad, D. Kirsch, A. Nath, D. N. Loupe

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Residency training involves surgery by resident surgeons at various levels of experience and proficiency, supervised by an experienced attending physician. We reviewed the results of strabismus surgery performed at four institutions with two residency training programs. Five hundred twenty-two cases with follow up greater than 6 weeks were evaluated. These cases included 315 attending procedures and 207 resident procedures under direct attending supervision. Success was defined as a strabismic deviation of 8 prism diopters or less. Average postoperative follow-up was 57 weeks and did not differ between groups. There was no statistical difference between the resident success rate of 58% (121/207) and the attending success rate of 69% (217/315) after adjusting for population differences. The average final deviation of the patients postoperatively was 7 Δ for the attending group and 10 Δ for the resident group. Amblyopia was significantly more frequent in the resident cases (P <.001). Adjustable sutures were used significantly more often in attending cases (P <.0001). This study supports the premise that resident strabismus surgery is as successful as attending surgery.

Original languageEnglish
Pages (from-to)118-121
Number of pages4
JournalJournal of Pediatric Ophthalmology and Strabismus
Issue number2
StatePublished - 1993
Externally publishedYes


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