August 01, 2025
1 min learn
Key takeaways:
- Surgeon quantity and apply quantity weren’t linked with revision.
- Large retinal tear and complicated vitrectomy have been related to elevated threat for revision.
LONG BEACH, Calif. — Surgical quantity was not related to retinal detachment revision, in keeping with a examine offered on the American Society of Retina Specialists annual assembly.
“The incidence of retinal detachment is about one in 10,000, and we’ve made nice progress over the earlier century or so, however plainly we’ve reached a plateau over the newest few a long time,” Ahmed F. Shakarchi, MD, MPH. “Our goal for this evaluation was to make use of a big dataset to have a look at the outcomes of retinal detachment and predictors of surgical success. And particularly, we needed to ask, ‘Do higher-volume surgeons have a decrease price of retinal detachment revision?’”
Large retinal tear and complicated vitrectomy have been related to elevated threat for revision.
Shakarchi and colleagues used knowledge from the CMS fee-for-service outpatient claims dataset to guage the incidence and predictors of retinal detachment revision. CPT codes recognized buckle or vitrectomy surgical retinal detachment restore, with an consequence of subsequent retinal detachment surgical procedure or pneumatic retinopexy inside 2 years after preliminary restore.
The evaluation included 25,456 surgical procedures; 3,649 surgical procedures wanted revision (14.3%).
An adjusted evaluation discovered that predictors of retinal detachment revision included retinal detachment related to large retinal tear, retinal detachment related to dialysis and complete retinal detachment. Complicated vitrectomy with or with out buckle was additionally related to a better threat for revision.
Affected person age, surgeon commencement 12 months and educating hospital setting have been additionally related to larger threat for revision, in keeping with Shakarchi.
Nonetheless, no affiliation was discovered between surgeon quantity or apply quantity and retinal detachment revision.
Sources/Disclosures
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Shakarchi AF. Predictors of main rhegmatogenous retinal detachment surgical revision. Offered at: American Society of Retina Specialists annual assembly; July 30-Aug. 2, 2025; Lengthy Seaside, California.
Disclosures:
Shakarchi stories no related monetary disclosures.
