Post-operative hospitalization in retinal detachment correlation to recurrences

Enzo M aria Vingolo, Marcella Nebbioso, Daniela Domanico, Stefano Valente, Paola Frati

Research output: Contribution to journalArticle

Abstract

PURPOSE: To evaluate relationships between the incidence of re-detachment and postoperative days of hospitalization in patients with diagnosis of retinal detachment (RD) who underwent surgery either through ab-externo approach (scleral buckling and encircling) or ab-interno approach (vitrectomy and oil-gas tamponade).

METHODS: This retrospective study included 268 patients (268 eyes) with diagnosis of primary RD: 127 males (47%) and 141 (53%) females, mean age of 64.1 ± 17.3 years. 46 patients (17%) underwent a surgical ab-externo approach (group A), while 222 patients (83%) underwent an ab-interno surgical approach. Each RD was graded according to the "Retinal detachment grading system of Royal College of Ophthalmologists" and treated within 5 days after diagnosis. The redetachment (RT) related to a surgical failure was considered within 30 days after first operation.

RESULTS: In the group 1 without night hospitalization (day surgery) global RT rate was 3.5% (4.17% for ab-interno technique and 0% for ab-externo techniques). In the group 2 with one day of hospitalization global RT rate was 1.33% (1.49% for ab-interno technique and 0% for ab-externo techniques). In the group 3 with 2 days of hospitalization global RT rate was 3.80% (4.62% for ab-interno techniques and 0% for ab-externo techniques). In the group 4 with 3 or more days of hospitalization global RT rate was 12.28% (14.29% for ab-interno techniques for 6.67% ab-externo techniques). The incidence of RT in group 1, day surgery, is comparable to the other groups and it is less compared to group 4 (3 or more days of hospitalization).

CONCLUSIONS: The incidence of retinal redetachment (RRD) is not increased in day surgery mode. These data support outpatient management of RD patients to reduce medical cost and problems related to the hospitalization. Further studies are needed for patients' security.

Original languageEnglish
Pages (from-to)336-339
Number of pages4
JournalAnnali dell'Istituto Superiore di Sanita
Volume49
Issue number4
DOIs
Publication statusPublished - 2013

Fingerprint

Retinal Detachment
Hospitalization
Recurrence
Ambulatory Surgical Procedures
Incidence
Scleral Buckling
Vitrectomy
Oils
Outpatients
Retrospective Studies
Gases
Costs and Cost Analysis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Post-operative hospitalization in retinal detachment correlation to recurrences. / Vingolo, Enzo M aria; Nebbioso, Marcella; Domanico, Daniela; Valente, Stefano; Frati, Paola.

In: Annali dell'Istituto Superiore di Sanita, Vol. 49, No. 4, 2013, p. 336-339.

Research output: Contribution to journalArticle

Vingolo, Enzo M aria ; Nebbioso, Marcella ; Domanico, Daniela ; Valente, Stefano ; Frati, Paola. / Post-operative hospitalization in retinal detachment correlation to recurrences. In: Annali dell'Istituto Superiore di Sanita. 2013 ; Vol. 49, No. 4. pp. 336-339.
@article{cc326e7d05604460920f0b8131f92a10,
title = "Post-operative hospitalization in retinal detachment correlation to recurrences",
abstract = "PURPOSE: To evaluate relationships between the incidence of re-detachment and postoperative days of hospitalization in patients with diagnosis of retinal detachment (RD) who underwent surgery either through ab-externo approach (scleral buckling and encircling) or ab-interno approach (vitrectomy and oil-gas tamponade).METHODS: This retrospective study included 268 patients (268 eyes) with diagnosis of primary RD: 127 males (47{\%}) and 141 (53{\%}) females, mean age of 64.1 ± 17.3 years. 46 patients (17{\%}) underwent a surgical ab-externo approach (group A), while 222 patients (83{\%}) underwent an ab-interno surgical approach. Each RD was graded according to the {"}Retinal detachment grading system of Royal College of Ophthalmologists{"} and treated within 5 days after diagnosis. The redetachment (RT) related to a surgical failure was considered within 30 days after first operation.RESULTS: In the group 1 without night hospitalization (day surgery) global RT rate was 3.5{\%} (4.17{\%} for ab-interno technique and 0{\%} for ab-externo techniques). In the group 2 with one day of hospitalization global RT rate was 1.33{\%} (1.49{\%} for ab-interno technique and 0{\%} for ab-externo techniques). In the group 3 with 2 days of hospitalization global RT rate was 3.80{\%} (4.62{\%} for ab-interno techniques and 0{\%} for ab-externo techniques). In the group 4 with 3 or more days of hospitalization global RT rate was 12.28{\%} (14.29{\%} for ab-interno techniques for 6.67{\%} ab-externo techniques). The incidence of RT in group 1, day surgery, is comparable to the other groups and it is less compared to group 4 (3 or more days of hospitalization).CONCLUSIONS: The incidence of retinal redetachment (RRD) is not increased in day surgery mode. These data support outpatient management of RD patients to reduce medical cost and problems related to the hospitalization. Further studies are needed for patients' security.",
author = "Vingolo, {Enzo M aria} and Marcella Nebbioso and Daniela Domanico and Stefano Valente and Paola Frati",
year = "2013",
doi = "10.4415/ANN_13_04_03",
language = "English",
volume = "49",
pages = "336--339",
journal = "Annali dell'Istituto Superiore di Sanita",
issn = "0021-2571",
publisher = "Istituto Superiore di Sanita",
number = "4",

}

TY - JOUR

T1 - Post-operative hospitalization in retinal detachment correlation to recurrences

AU - Vingolo, Enzo M aria

AU - Nebbioso, Marcella

AU - Domanico, Daniela

AU - Valente, Stefano

AU - Frati, Paola

PY - 2013

Y1 - 2013

N2 - PURPOSE: To evaluate relationships between the incidence of re-detachment and postoperative days of hospitalization in patients with diagnosis of retinal detachment (RD) who underwent surgery either through ab-externo approach (scleral buckling and encircling) or ab-interno approach (vitrectomy and oil-gas tamponade).METHODS: This retrospective study included 268 patients (268 eyes) with diagnosis of primary RD: 127 males (47%) and 141 (53%) females, mean age of 64.1 ± 17.3 years. 46 patients (17%) underwent a surgical ab-externo approach (group A), while 222 patients (83%) underwent an ab-interno surgical approach. Each RD was graded according to the "Retinal detachment grading system of Royal College of Ophthalmologists" and treated within 5 days after diagnosis. The redetachment (RT) related to a surgical failure was considered within 30 days after first operation.RESULTS: In the group 1 without night hospitalization (day surgery) global RT rate was 3.5% (4.17% for ab-interno technique and 0% for ab-externo techniques). In the group 2 with one day of hospitalization global RT rate was 1.33% (1.49% for ab-interno technique and 0% for ab-externo techniques). In the group 3 with 2 days of hospitalization global RT rate was 3.80% (4.62% for ab-interno techniques and 0% for ab-externo techniques). In the group 4 with 3 or more days of hospitalization global RT rate was 12.28% (14.29% for ab-interno techniques for 6.67% ab-externo techniques). The incidence of RT in group 1, day surgery, is comparable to the other groups and it is less compared to group 4 (3 or more days of hospitalization).CONCLUSIONS: The incidence of retinal redetachment (RRD) is not increased in day surgery mode. These data support outpatient management of RD patients to reduce medical cost and problems related to the hospitalization. Further studies are needed for patients' security.

AB - PURPOSE: To evaluate relationships between the incidence of re-detachment and postoperative days of hospitalization in patients with diagnosis of retinal detachment (RD) who underwent surgery either through ab-externo approach (scleral buckling and encircling) or ab-interno approach (vitrectomy and oil-gas tamponade).METHODS: This retrospective study included 268 patients (268 eyes) with diagnosis of primary RD: 127 males (47%) and 141 (53%) females, mean age of 64.1 ± 17.3 years. 46 patients (17%) underwent a surgical ab-externo approach (group A), while 222 patients (83%) underwent an ab-interno surgical approach. Each RD was graded according to the "Retinal detachment grading system of Royal College of Ophthalmologists" and treated within 5 days after diagnosis. The redetachment (RT) related to a surgical failure was considered within 30 days after first operation.RESULTS: In the group 1 without night hospitalization (day surgery) global RT rate was 3.5% (4.17% for ab-interno technique and 0% for ab-externo techniques). In the group 2 with one day of hospitalization global RT rate was 1.33% (1.49% for ab-interno technique and 0% for ab-externo techniques). In the group 3 with 2 days of hospitalization global RT rate was 3.80% (4.62% for ab-interno techniques and 0% for ab-externo techniques). In the group 4 with 3 or more days of hospitalization global RT rate was 12.28% (14.29% for ab-interno techniques for 6.67% ab-externo techniques). The incidence of RT in group 1, day surgery, is comparable to the other groups and it is less compared to group 4 (3 or more days of hospitalization).CONCLUSIONS: The incidence of retinal redetachment (RRD) is not increased in day surgery mode. These data support outpatient management of RD patients to reduce medical cost and problems related to the hospitalization. Further studies are needed for patients' security.

UR - http://www.scopus.com/inward/record.url?scp=84926111274&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84926111274&partnerID=8YFLogxK

U2 - 10.4415/ANN_13_04_03

DO - 10.4415/ANN_13_04_03

M3 - Article

C2 - 24334776

VL - 49

SP - 336

EP - 339

JO - Annali dell'Istituto Superiore di Sanita

JF - Annali dell'Istituto Superiore di Sanita

SN - 0021-2571

IS - 4

ER -