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玻璃体切除术后因玻璃体混浊返回手术室:智能研究在眼前瞻性登记分析。

Return to the Operating Room after Vitrectomy for Vitreous Opacities: Intelligent Research in Sight Registry Analysis.

机构信息

VitreoRetinal Surgery PA, Minneapolis, Minnesota.

VitreoRetinal Surgery PA, Minneapolis, Minnesota.

出版信息

Ophthalmol Retina. 2021 Jan;5(1):4-8. doi: 10.1016/j.oret.2020.07.015. Epub 2020 Jul 17.

DOI:10.1016/j.oret.2020.07.015
PMID:32688085
Abstract

PURPOSE

To investigate the rate of return to the operating room after vitrectomy surgery for vitreous opacities.

DESIGN

Retrospective registry cohort.

PARTICIPANTS

Individuals receiving care in ophthalmology practices participating in the Intelligent Research in Sight (IRIS®) Registry.

METHODS

Data from the IRIS Registry were analyzed for patients who underwent vitrectomy for vitreous opacities. Cases were identified by the combination of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), codes (379.21, 379.22, 379.24, and 379.25), and a Current Procedural Terminology (CPT) code for vitrectomy surgery.

MAIN OUTCOME MEASURES

The number and percentage of eyes that underwent additional eye surgery within 1 year after vitrectomy for vitreous opacities were identified, as was the nature of the additional procedures per CPT code.

RESULTS

Fifty thousand eight hundred thirty-six eyes that underwent vitrectomy surgery linked to one of the ICD-9-CM or ICD-10-CM codes for vitreous opacities were identified. In 17 615 eyes, the surgery was linked to the vitreous opacities code exclusively, and not to epiretinal membrane or macular hole codes. Of these, 2187 eyes (12.4%) returned to the operating room for cataract surgery, and 643 eyes (3.7%) returned to the operating room for a noncataract procedure. Four hundred fifty-seven eyes (2.6%) returned to the operating room for retinal detachment repair.

CONCLUSIONS

In the IRIS Registry, eyes undergoing vitrectomy for vitreous opacities returned to the operating room for an ophthalmic surgery other than cataract extraction 3.7% of the time, and retinal detachment repair was performed 2.6% of the time.

摘要

目的

调查玻璃体混浊行玻璃体切除术患者术后重返手术室的比率。

设计

回顾性登记队列研究。

参与者

在参与 Intelligent Research in Sight(IRIS®)登记研究的眼科实践中接受治疗的个体。

方法

对接受玻璃体切除术治疗玻璃体混浊的患者的 IRIS 登记数据库进行了数据分析。通过国际疾病分类第 9 版临床修订版(ICD-9-CM)和国际疾病分类第 10 版临床修订版(ICD-10-CM)与手术编码(379.21、379.22、379.24 和 379.25)的组合,以及玻璃体切除术的当前操作术语(CPT)代码来确定病例。

主要观察指标

确定玻璃体混浊行玻璃体切除术 1 年内接受其他眼部手术的眼数和百分比,以及根据 CPT 代码进行的附加手术的性质。

结果

共确定了 5836 只接受玻璃体切除术的眼,这些眼与玻璃体混浊的一个 ICD-9-CM 或 ICD-10-CM 代码相关联。在 17615 只眼中,手术仅与玻璃体混浊代码相关联,而与视网膜前膜或黄斑裂孔代码无关。其中,2187 只眼(12.4%)因白内障手术重返手术室,643 只眼(3.7%)因非白内障手术重返手术室。457 只眼(2.6%)因视网膜脱离修复而重返手术室。

结论

在 IRIS 登记研究中,因玻璃体混浊而行玻璃体切除术的眼有 3.7%的时间因眼科手术(非白内障摘除术)而重返手术室,有 2.6%的时间因视网膜脱离修复术而重返手术室。

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