Return to the Operating Room after Macular Surgery IRIS Registry Analysis
Return to the Operating Room after Macular Surgery IRIS Registry Analysis
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DOI：
10.1016/j.ophtha.2018.01.009
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发表时间：
2018-08-01
期刊：
影响因子：
13.7
通讯作者：
Lum, Flora
中科院分区：
文献类型：
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作者：
Parke, D. Wilkin, III;Lum, Flora
目的：调查玻璃体切除术治疗黄斑裂孔或视网膜前膜后返回手术室的比率。设计：回顾性登记研究队列。参与者：参加Academy IRIS（Intelligent Research in Sight）Registry.Methods：对因黄斑裂孔或视网膜前膜接受玻璃体切除术的患者进行IRIS登记研究。病例采用国际疾病分类第9版编码进行分类（362.54，362.56）和2013年1月1日至2017年6月30日期间玻璃体切除术的现行手术术语（CPT）代码。主要结局指标：确定在黄斑裂孔或视网膜前膜初次玻璃体切除术后1年内接受额外眼部手术的眼睛，结果：共41475眼因黄斑裂孔行玻璃体切除术，73219眼因视网膜前膜行玻璃体切除术。在黄斑裂孔组中，7573人在1年内接受了第二次手术，2827人（6.8%）接受了与白内障无关的第二次手术。在视网膜前膜组中，12433例在1年内进行了第二次手术，其中4022例（5.5%）与白内障无关。在黄斑裂孔组中，4.6%的眼睛返回手术室进行另一次黄斑裂孔修复手术，2.0%的眼睛返回进行视网膜脱离修复。在视网膜前膜组中，1.4%返回第二次玻璃体切除术与膜剥离，2.5%返回视网膜脱离repair.Conclusions：这个注册为基础的研究包括了大量的患者，但有限的一些信息和不准确的医疗记录或编码的可能性，因为它从多个电子健康记录实体获得的数据。排除白内障手术，约6%接受玻璃体切除术以解决黄斑裂孔或视网膜前膜的眼睛在一年内返回进行第二次眼科手术。在黄斑裂孔组中，大多数继发性非白内障手术是另一种黄斑裂孔修复手术。对于黄斑裂孔和视网膜前膜，大约2%的眼睛需要在1年内进行视网膜脱离修复手术。(C)2018年美国眼科学会
Purpose: To investigate the rate of return to the operating room after vitrectomy surgery to treat macular hole or epiretinal membrane.Design: A retrospective registry cohort.Participants: Individuals receiving care in ophthalmology practices participating in the Academy IRIS (Intelligent Research in Sight) Registry.Methods: Data from the IRIS Registry were analyzed for patients who underwent vitrectomy for macular holes or epiretinal membranes. Cases were identified by the combination of International Classification of Diseases, 9th revision code (362.54, 362.56) and a current procedural terminology (CPT) code for vitrectomy surgery between January 1, 2013 and June 30, 2017.Main Outcome Measures: The eyes that underwent additional eye surgery within 1 year after initial vitrectomy for macular hole or epiretinal membrane were identified, as was the nature of the additional procedures per CPT code.Results: A total of 41 475 eyes underwent vitrectomy for macular hole and 73 219 eyes underwent vitrectomy for epiretinal membrane during the study period. In the macular hole group, 7573 had a second surgery within 1 year, and 2827 (6.8%) had a second surgery that was not cataract related. In the epiretinal membrane group, 12 433 had a second surgery within 1 year, 4022 (5.5%) of which were not cataract related. In the macular hole group, 4.6% of eyes returned to the operating room for another macular hole repair surgery, and 2.0% returned for retinal detachment repair. In the epiretinal membrane group, 1.4% returned for a second vitrectomy with membrane stripping, and 2.5% returned for retinal detachment repair.Conclusions: This registry-based study encompassed a large number of patients but was limited by the inaccessibility of some information and the potential for inaccurate medical records or coding, as it obtained data from multiple electronic health records entities. Excluding cataract surgery, approximately 6% of eyes that underwent vitrectomy to address macular hole or epiretinal membrane returned for a second ophthalmic procedure within a year. In the macular hole group, most secondary non-cataract surgeries were for another macular hole repair procedure. For both macular holes and epiretinal membranes, approximately 2% of eyes required retinal detachment repair surgery within 1 year. (C) 2018 by the American Academy of Ophthalmology