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Return to the Operating Room after Macular Surgery: IRIS Registry Analysis.
1VitreoRetinal Surgery, Professional Association, Minneapolis, Minnesota.
Ophthalmology
|February 19, 2018
Summary
Approximately 6% of eyes undergoing vitrectomy for macular hole or epiretinal membrane require a second surgery within a year, excluding cataract procedures. Retinal detachment repair was a common reason for reoperation in both groups.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Ophthalmic Epidemiology
Background:
- Vitrectomy is a common surgical procedure for macular hole and epiretinal membrane.
- Understanding the rate of return to the operating room is crucial for patient counseling and resource allocation.
Purpose of the Study:
- To determine the incidence of repeat surgeries after vitrectomy for macular hole (MH) and epiretinal membrane (ERM).
- To identify the reasons for reoperation within one year post-vitrectomy.
Main Methods:
- A retrospective analysis of the Academy IRIS (Intelligent Research in Sight) Registry data.
- Identified patients who underwent vitrectomy for MH (ICD-9: 362.54, 362.56) or ERM between 2013 and 2017.
- Analyzed subsequent ophthalmic procedures within one year, excluding cataract surgeries.
Main Results:
- Over 41,000 eyes with MH and over 73,000 eyes with ERM were analyzed.
- Excluding cataract surgery, 6.8% of MH eyes and 5.5% of ERM eyes had a second surgery within one year.
- Common reasons for reoperation included repeat MH repair (4.6%), ERM stripping (1.4%), and retinal detachment repair (2.0% for MH, 2.5% for ERM).
Conclusions:
- Approximately 6% of eyes require a second ophthalmic procedure within a year after vitrectomy for MH or ERM, excluding cataract surgery.
- Retinal detachment repair is a significant indication for reoperation in both MH and ERM cases.
- Registry data provides valuable insights into real-world surgical outcomes but is subject to data limitations.
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