Is day-1 postoperative review necessary after pars plana vitrectomy?

Eye
P AlexanderR Newsom

Abstract

This study aimed to determine the proportion of patients requiring alteration in management based on the findings of the day-1 postoperative visit after pars plana vitrectomy, and to identify clinical characteristics that predict the need for unexpected intervention. A retrospective case note review was conducted of all patients who underwent pars plana vitrectomy and who then attended for review on the first postoperative day. All patients received routine prophylactic anti-glaucoma medication. Two hundred and seventy-three patients examined on day 1 following vitrectomy were studied. Indications for surgery included retinal detachment, epiretinal membrane, macular hole, vitreous haemorrhage, diabetic eye disease, and floaters. Twenty-gauge (20G) vitrectomy was performed in 124 eyes (45%); 23-gauge (23G) vitrectomy was performed in 149 eyes (55%). Phacoemulsification was performed concurrently in 51/273 (19%) eyes. Ten patients (3.7%) required unexpected intervention on day 1 owing to intraocular pressure (IOP) >30 (2/273), IOP <6 (5/273), or unexpected return to theatre for anterior chamber washout (3/273). There was no difference in intervention rate or day-1 IOP between 20G and 23G cases. Hypotony was less common if gas tam...Continue Reading

References

Jun 1, 1988·Archives of Ophthalmology·R D IsernhagenC Enger
May 1, 1985·Ophthalmology·S ChangM E Farber
Aug 1, 1982·American Journal of Ophthalmology·G W AbramsA I Goldman
Feb 1, 1996·The British Journal of Ophthalmology·L WhitefieldB C Little
Jul 1, 1997·The British Journal of Ophthalmology·B D AllanJ K Dart
Jul 15, 1999·Journal of Cataract and Refractive Surgery·E N HerbertD W Flanagan
Feb 13, 2001·The British Journal of Ophthalmology·A Sciscio, A G Casswell
Feb 13, 2001·The British Journal of Ophthalmology·R S NewsomC R Canning
Sep 3, 2004·Journal of Cataract and Refractive Surgery·Kaveri MandalDavid H W Steel
Sep 25, 2004·Eye·M T J CostenC R Canning
Sep 5, 2006·European Journal of Ophthalmology·A AlwitryI Gardner
Aug 13, 2009·The British Journal of Ophthalmology·A N El-AmirM J Goldacre
Oct 29, 2009·Acta Ophthalmologica·Roger WongD Alistair H Laidlaw

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Citations

Sep 18, 2018·Ophthalmic Surgery, Lasers & Imaging Retina·Alexander L Ringeisen, David Wilkin Parke
Oct 2, 2020·American Journal of Ophthalmology·Dillan PatelUNKNOWN Wills Eye Retinal Detachment Study Group
Sep 11, 2021·Ophthalmic Surgery, Lasers & Imaging Retina·Abhinav R BheemidiRishi P Singh

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