Clinical Ophthalmology (May 2022)
Return to the Operating Room After Repair of Rhegmatogenous Retinal Detachment
Abstract
Patrick C Staropoli,1 Karen Brown,2 Justin H Townsend1 1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Ophthalmology Department, University of Texas Southwestern, Dallas, TX, USACorrespondence: Justin H Townsend, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 th Street, Miami, FL, 33136, USA, Tel +1 352 2624220, Fax +1 305 326 6114, Email [email protected]: To report the rate of all-cause returns to the operating room (OR) after surgery for rhegmatogenous retinal detachment (RRD).Patients and Methods: 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.Results: 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 0.05). SB/PPV had the highest rate of return to OR (p < 0.001) but lowest rate of recurrent RRD (p = 0.007).Conclusion: 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.Keywords: reoperation, complication, recurrent RRD, glaucoma, cornea, oculoplastics
