Staropoli Patrick C, Brown Karen, Townsend Justin H
Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Ophthalmology Department, University of Texas Southwestern, Dallas, TX, USA.
Clin Ophthalmol. 2022 May 3;16:1391-1399. doi: 10.2147/OPTH.S360313. eCollection 2022.
To report the rate of all-cause returns to the operating room (OR) after surgery for rhegmatogenous retinal detachment (RRD).
This was a retrospective consecutive case series; 1278 eyes underwent RRD repair from 1/1/2014 to 12/31/2016 at a tertiary care center. A total of 507 eyes returned to the OR. Surgical indication, procedure, number of reoperations, and final vision were recorded.
At least one secondary procedure was performed in 24.9% at 6 months, 34.7% at 1 year, and 39.7% as of last follow-up. The most common indications for reoperation were cataract (43.9%) and recurrent RRD (12.8%). Cornea, glaucoma, and oculoplastic issues were rare (each <1.1%). There was no association between final visual outcome and number of reoperations (p > 0.05). SB/PPV had the highest rate of return to OR (p < 0.001) but lowest rate of recurrent RRD (p = 0.007).
To our knowledge, there are no other large studies that examine all-cause returns to the OR after primary RRD repair. This study provides important risk-benefit and prognostic information to patients undergoing RRD repair.
报告孔源性视网膜脱离（RRD）手术后因各种原因返回手术室（OR）的比率。
这是一项回顾性连续病例系列研究；2014年1月1日至2016年12月31日期间，一家三级医疗中心有1278只眼睛接受了RRD修复手术。共有507只眼睛返回了手术室。记录手术指征、手术方式、再次手术次数和最终视力。
6个月时，24.9%的患者至少接受了一次二次手术；1年时为34.7%；截至最后一次随访时为39.7%。再次手术最常见的指征是白内障（43.9%）和复发性RRD（12.8%）。角膜、青光眼和眼部整形问题很少见（每种情况均<1.1%）。最终视力结果与再次手术次数之间无关联（p>0.05）。巩膜扣带术/玻璃体视网膜手术返回手术室的比率最高（p<0.001），但复发性RRD的比率最低（p=0.007）。
据我们所知，尚无其他大型研究探讨原发性RRD修复术后因各种原因返回手术室的情况。本研究为接受RRD修复手术的患者提供了重要的风险效益和预后信息。
