Marc Levin1, Ayman Naseri, Jay M Stewart. 1. Department of Ophthalmology, University of California-San Francisco, San Francisco, California, USA.
Abstract
BACKGROUND AND OBJECTIVE: To examine the natural history of retinopexies performed by ophthalmology residents at university-affiliated clinics and to determine the rate of progression to rhegmatogenous retinal detachment. PATIENTS AND METHODS: Charts of patients receiving prophylactic thermal coagulation between 1997 and 2006 were reviewed retrospectively. Outcome measures included subsequent rhegmatogenous retinal detachment and additional prophylactic treatments. RESULTS: Review of the medical records identified 166 eyes with peripheral retinal lesions treated by residents, with an average follow-up of 2.4 +/- 0.2 years. At presentation, only 43.4% of patients were symptomatic. Two (1.2%) eyes developed rhegmatogenous retinal detachment during follow-up, with each arising in a previously healthy area of retina in a patient with a history of detachment of the fellow retina. Twenty-five eyes (15%) received at least one additional prophylactic procedure. CONCLUSION: The rate of rhegmatogenous retinal detachment following prophylactic retinopexy performed by residents at hospital-based clinics is low, supporting this standard practice.
BACKGROUND AND OBJECTIVE: To examine the natural history of retinopexies performed by ophthalmology residents at university-affiliated clinics and to determine the rate of progression to rhegmatogenous retinal detachment. PATIENTS AND METHODS: Charts of patients receiving prophylactic thermal coagulation between 1997 and 2006 were reviewed retrospectively. Outcome measures included subsequent rhegmatogenous retinal detachment and additional prophylactic treatments. RESULTS: Review of the medical records identified 166 eyes with peripheral retinal lesions treated by residents, with an average follow-up of 2.4 +/- 0.2 years. At presentation, only 43.4% of patients were symptomatic. Two (1.2%) eyes developed rhegmatogenous retinal detachment during follow-up, with each arising in a previously healthy area of retina in a patient with a history of detachment of the fellow retina. Twenty-five eyes (15%) received at least one additional prophylactic procedure. CONCLUSION: The rate of rhegmatogenous retinal detachment following prophylactic retinopexy performed by residents at hospital-based clinics is low, supporting this standard practice.
Authors: George Moussa; Emma Samia-Aly; Soon Wai Ch'ng; Kim Son Lett; Arijit Mitra; Ajai K Tyagi; Ash Sharma; Walter Andreatta Journal: Eye (Lond) Date: 2021-05-25 Impact factor: 4.456
Authors: George Moussa; Emma Samia-Aly; Soon Ch'ng; Kim Son Lett; Arijit Mitra; Ajai K Tyagi; Ash Sharma; Walter Andreatta Journal: BMJ Open Ophthalmol Date: 2022-02-04