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Outcomes of Rhegmatogenous Retinal Detachment Repair When Comparing Surgeon Continuity in a Team-Based Practice.

Joseph J Raevis, Zackery Oakey, Michael Altaweel

    Ophthalmic Surgery, Lasers & Imaging Retina
    |October 18, 2021
    PubMed
    Summary

    Rhegmatogenous retinal detachment (RRD) surgery performed by a different surgeon, compared to the diagnosing surgeon, achieves equivalent success rates. This team-based approach reduces time to surgery without impacting visual acuity or anatomic outcomes.

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    Area of Science:

    • Ophthalmology
    • Surgical Innovation
    • Retinal Surgery

    Background:

    • Team-based surgical approaches can optimize operating room efficiency.
    • Assigning patients to different surgeons for primary rhegmatogenous retinal detachment (RRD) surgery is a practice aimed at timely intervention.

    Purpose of the Study:

    • To compare the outcomes of primary RRD surgery performed by the diagnosing surgeon versus a surgical colleague.
    • To evaluate the impact of a team-based surgical approach on patient outcomes and surgical timing.

    Main Methods:

    • Retrospective cohort study of 331 eyes undergoing RRD surgery.
    • Patients were divided into two groups: surgery by the diagnosing surgeon or by a different surgeon.
    • Primary anatomic success (PAS) and visual acuity were compared between groups.

    Main Results:

    • Equivalent primary anatomic success rates (87.0% vs 87.8%) were observed between the diagnosing surgeon and different surgeon groups.
    • No significant difference in preoperative or final visual acuity was found.
    • Shorter time from diagnosis to RRD repair was noted in the different surgeon group (1.5 days vs 2.2 days).

    Conclusions:

    • Primary RRD repair by a surgical colleague yields equivalent visual and anatomic success compared to the diagnosing surgeon.
    • Reduced time to surgery is a key benefit of the team-based approach.
    • Surgical timing (day of week, time of day) did not influence RRD repair outcomes.