Purpose

To investigate the rate of return to the operating room after vitrectomy surgery to treat macular hole or epiretinal membrane.

Design

A retrospective registry cohort.

Participants

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

Methods

Data from the IRIS Registry were analyzed for patients who underwent vitrectomy for macular holes or epiretinal membranes. Cases were identified by the combination of International Classification of Diseases, 9th revision code (362.54, 362.56) and a current procedural terminology (CPT) code for vitrectomy surgery between January 1, 2013 and June 30, 2017.

Main Outcome Measures

The eyes that underwent additional eye surgery within 1 year after initial vitrectomy for macular hole or epiretinal membrane were identified, as was the nature of the additional procedures per CPT code.

Results

A total of 41 475 eyes underwent vitrectomy for macular hole and 73 219 eyes underwent vitrectomy for epiretinal membrane during the study period. In the macular hole group, 7573 had a second surgery within 1 year, and 2827 (6.8%) had a second surgery that was not cataract related. In the epiretinal membrane group, 12 433 had a second surgery within 1 year, 4022 (5.5%) of which were not cataract related. In the macular hole group, 4.6% of eyes returned to the operating room for another macular hole repair surgery, and 2.0% returned for retinal detachment repair. In the epiretinal membrane group, 1.4% returned for a second vitrectomy with membrane stripping, and 2.5% returned for retinal detachment repair.

Conclusions

This registry-based study encompassed a large number of patients but was limited by the inaccessibility of some information and the potential for inaccurate medical records or coding, as it obtained data from multiple electronic health records entities. Excluding cataract surgery, approximately 6% of eyes that underwent vitrectomy to address macular hole or epiretinal membrane returned for a second ophthalmic procedure within a year. In the macular hole group, most secondary non-cataract surgeries were for another macular hole repair procedure. For both macular holes and epiretinal membranes, approximately 2% of eyes required retinal detachment repair surgery within 1 year.

中文翻译：

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黄斑手术后返回手术室

目的

调查玻璃体切除手术后治疗黄斑裂孔或视网膜前膜后返回手术室的比率。

设计

回顾性注册组。

参加者

参加IRIS学院（视力智能研究）注册表的接受眼科护理的个人。

方法

对来自IRIS注册中心的数据进行了黄斑裂孔或视网膜前膜玻璃体切除术的患者的分析。在2013年1月1日至2017年6月30日期间，通过国际疾病分类，第9修订版代码（362.54、362.56）和用于玻璃体切割手术的当前程序术语（CPT）编码的组合来识别病例。

主要观察指标

确定在首次玻璃体切除术后一年内对黄斑裂孔或视网膜前膜进行了额外的眼科手术的眼睛，以及根据CPT规范进行的其他手术的性质。

结果

在研究期间，共进行了41 475眼黄斑裂孔玻璃体切除术和73 219眼进行了视网膜前膜玻璃体切除术。在黄斑裂孔组中，7573例在1年内进行了第二次手术，而2827例（6.8％）进行了与白内障无关的第二次手术。在视网膜前膜组中，有12 433人在1年内进行了第二次手术，其中4022例（5.5％）与白内障无关。在黄斑裂孔组中，有4.6％的眼睛返回手术室进行另一次黄斑裂孔修复手术，而2.0％的眼睛返回进行了视网膜脱离修复。在视网膜前膜组中，有1.4％的患者再次进行了带膜剥离的玻璃体切除术，有2.5％的患者进行了视网膜脱离修复。

结论

这项基于注册表的研究涵盖了大量患者，但由于无法从某些电子病历实体获取数据而无法获取某些信息以及病历或编码不正确的可能性而受到限制。除白内障手术外，约有6％接受玻璃体切除以解决黄斑裂孔或视网膜前膜的眼睛在一年内再次接受了第二次眼科手术。在黄斑裂孔组中，大多数继发性非白内障手术均用于另一种黄斑裂孔修复手术。对于黄斑裂孔和视网膜前膜，大约2％的眼睛需要在1年内进行视网膜脱离修复手术。