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KMID : 1151620220070020082
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Journal of Retina
2022 Volume.7 No. 2 p.82 ~ p.88
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Comparison of Clinical Outcomes of Day and Night Time Surgery for Rhegmatogenous Retinal Detachment
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Lee Soo-Yeon
Choi Kyung-Seek
Lee Sung-Jin
Sun Hae-Jung
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Abstract
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Purpose: To compare the clinical outcomes of day time surgery (routine setting) and night time surgery (emergency setting) for rhegmatogenous retinal detachment (RRD).
Methods: Medical records of 308 eyes of 304 patients who underwent retinal reattachment surgery for primary RRD from November 2015 to August 2020 were reviewed retrospectively. Patients were divided into two groups; operation began before 6 pm in day time surgery group (152 eyes, group 1) and operations began after 6 pm in night time surgery group (156 eyes, group 2). Main outcome measures were retinal reattachment rate, visual recovery after surgery, operation duration, and incidence of postoperative complications.
Results: There was no significant difference in primary anatomical success rate; 94.1% in group 1 and 87.8% in group 2 (p = 0.074). Functional success of best corrected visual acuity greater than 0.5 at 6 months follow-up was achieved in 67.8% of group 1 and 69.9% of group 2, respectively (p = 0.713). The incidence of postoperative complications was not significantly different between the two groups. The operation time duration was significantly longer in group 2 (mean, 133.3 minutes) compared to group 1 (mean, 112.5 minutes) (p < 0.001).
Conclusions: There was no significant difference in functional or anatomical success rate between group 1 and group 2. Emergency operations performed after regular hours are time- and energy-consuming but can reduce patient anxiety and inconvenience after diagnosis of RRD.
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KEYWORD
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Day time surgery, Night time surgery, Rhegmatogenous retinal detachment
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