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Outcomes following Laser Retinopexy for Retinal Tears: A Comparative Study between Trainees and Specialists

Authors
  • Lankry, Polina
  • Loewenstein, Anat
  • Moisseiev, Elad
Type
Published Article
Journal
Ophthalmologica
Publisher
S. Karger AG
Publication Date
Mar 26, 2020
Volume
243
Issue
5
Pages
355–359
Identifiers
DOI: 10.1159/000507483
PMID: 32209786
Source
Karger
Keywords
License
Green
External links

Abstract

Objective: To compare the outcomes of laser retinopexy for the treatment of retinal tears between residents and specialists, and to identify tear characteristics associated with the risk of progression to retinal detachment (RD). Methods: A retrospective review of 307 eyes treated by laser retinopexy, categorized by the performing physician, either a resident (217 cases) or a specialist (90 cases). Recorded parameters included the number, size, and location of the retinal tears, the presence of bridging vessels, vitreous hemorrhage (VH), or subretinal fluid (SRF), the need for additional laser, progression to RD, and surgery. Results: Additional laser was performed in 42.3% of cases in the resident group and 35.5% in the specialist group (p = 0.26). Progression to RD occurred in 6.9% of cases in the resident group and 5.5% in the specialist group (p = 0.66). The presence of VH and SRF were associated with an increased risk of progression to RD (p < 0.0001 and 0.003, respectively). A higher proportion of cases with SRF were treated by specialists (p = 0.006). Conclusions: Laser retinopexy is safely and effectively performed by residents, with no worse outcomes than procedures performed by specialists. A high rate of additional laser may be needed to achieve RD prophylaxis, and higher-risk cases can be identified at presentation and then referred to specialists.

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