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KMID : 1151620220070010035
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Journal of Retina
2022 Volume.7 No. 1 p.35 ~ p.42
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Necessity of Inpatient Treatment for Patients Undergoing Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment
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Park Ji-Woong
Kim Yu-Cheol
Kang Kyung-Tae
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Abstract
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Purpose: The effectiveness of inpatient versus outpatient treatment with vitrectomy for rhegmatogenous retinal detachment (RRD) remains unclear. The present study aimed to compare RRD outcomes following 25-gauge minimally invasive vitrectomy surgery between patients treated at an ambulatory surgery center (ASC) and those treated at an inpatient facility.
Methods: We retrospectively analyzed the medical records of 86 patients (86 eyes) with RRD who underwent standard three-port 25-gauge pars plana vitrectomy between January 2017 and June 2019. The following outcomes were investigated: postoperative visual acuity (VA), postoperative intraocular pressure, postoperative vitreous hemorrhage, postoperative endophthalmitis, improvement in final vision relative to baseline, and final anatomical success rate.
Results: The ASC and inpatient groups included 45 and 41 patients, respectively. The two groups exhibited no significant differences in VA at 6 months postoperatively (p = 0.26) or final anatomical success rates (86.7% and 95.1% [p = 0.27], respectively). Nine patients were diagnosed with inferior RRD. There were no significant differences in postoperative VA (p = 0.80) or final anatomical success rates (p = 0.44) between the ASC and inpatient groups, including patients with inferior retinal breaks.
Conclusions: ASC treatment can achieve surgical outcomes comparable to those of hospitalization and may be more convenient for patients with RRD.
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