基于已核实和未核实财务索赔数据的青光眼引流装置的不良玻璃体视网膜结局

Adverse vitreoretinal outcomes of glaucoma drainage devices based on verified and unverified financial claims data.

作者信息

Banitt Michael R, Feuer William J, Schiffman Joyce C, Parrish Richard K

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2015 Apr;46(4):463-70. doi: 10.3928/23258160-20150422-10.

DOI:10.3928/23258160-20150422-10

PMID:25932724

Abstract

BACKGROUND AND OBJECTIVE

To determine adverse vitreoretinal outcome rates after glaucoma drainage device (GDD) surgery.

PATIENTS AND METHODS

Medical records from the Anne Bates Leach Eye Hospital with financial claims from 1991 to 2005 for GDD surgery coded for endophthalmitis, choroidal hemorrhage, or retinal detachment were reviewed. Cumulative incidences were calculated before and after verifying claims with chart review.

RESULTS

GDD surgery was performed in 2,661 eyes. Thirty-three cases of endophthalmitis were identified, with 10 attributable to GDD (1-, 5-, and 10-year cumulative incidences: 0.22%, 0.43%, and 0.83%, respectively). Forty cases of choroidal hemorrhage were identified, with 20 attributable to GDD (1-, 5-, and 10-year incidences: 0.81% for all time points). Rhegmatogenous retinal detachments developed in 148 eyes, with 42 attributable to GDD (1-, 5-, and 10-year incidences: 1.25%, 2.02%, and 2.67%, respectively).

CONCLUSION

This study's complication rates compare favorably with those previously reported. The use of claims data without chart review verification may result in overestimated event rates.

摘要

背景与目的

确定青光眼引流装置（GDD）手术后玻璃体视网膜不良结局的发生率。

患者与方法

回顾了安妮·贝茨·利奇眼科医院1991年至2005年期间因眼内炎、脉络膜出血或视网膜脱离而编码的GDD手术的医疗记录及财务索赔情况。在通过病历审查核实索赔前后计算累积发生率。

结果

共对2661只眼进行了GDD手术。确诊33例眼内炎，其中10例归因于GDD（1年、5年和10年累积发生率分别为0.22%、0.43%和0.83%）。确诊40例脉络膜出血，其中20例归因于GDD（所有时间点的1年、5年和10年发生率均为0.81%）。148只眼发生了孔源性视网膜脱离，其中42例归因于GDD（1年、5年和10年发生率分别为1.25%、2.02%和2.67%）。