Rates of Reoperation and Retinal Detachment after Macular Hole Surgery

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

To evaluate rates of reoperation and retinal detachment (RD) after macular hole surgery. Design Retrospective cross-sectional study. Participants Patients in the insurance claim-based MarketScan databases from 2007 through 2013 with a record of macular hole surgery. Methods Patients with macular hole surgery were identified. Cases of definite (the same eye was coded both times) and presumed (the eye laterality was not coded) macular hole reoperations within 2, 3, and 12 months were queried. In addition, cases of postoperative RD within 2, 3, and 12 months were captured. Main Outcome Measures Rates of macular hole reoperation and postoperative RD, including subgroup analysis based on presence or absence of internal limiting membrane (ILM) peeling. Results Records of 23465 macular hole surgeries among 20 764 patients were analyzed. Among presumed reoperations, the rates of reoperation were 4.3% (4.1% after ILM peeling and 5.0% after no ILM peeling; P = 0.01) within 2 months of surgery, 5.5% (5.3% after ILM peeling and 6.2% after no ILM peeling; P = 0.03) within 3 months of surgery, and 9.5% (9.0% after ILM peeling and 11.0% after no ILM peeling; P = 0.01) within 12 months of surgery. The rates for definite reoperations were 1.3% (1.2% after ILM peeling and 1.8% after no ILM peeling; P = 0.04) at 2 months, 1.7% (1.6% after ILM peeling and 2.5% after no ILM peeling; P = 0.004) at 3 months, and 4.1% (3.3% after ILM peeling and 7.5% after no ILM peeling; P <0.001) at 12 months. The cumulative rate of postoperative RD was 1.81±0.09% to 2.18±0.5% after 2 months, 2.27±0.10% to 3.18±0.67% after 3 months, and 3.92±0.16% to 5.70±1.1% after 12 months. Internal limiting membrane peeling was associated negatively with postoperative RD at 2 months (2.3% vs. 1.7%; P = 0.007), 3 months (2.8% vs. 2.1%; P = 0.004), and 12 months (4.7% vs. 3.3%; P <0.001). Conclusions In this sample, reoperations for macular hole were performed at low rates. Internal limiting membrane peeling was associated with lower rates of reoperation and RD.

Original languageEnglish (US)
Pages (from-to)26-31
Number of pages6
JournalOphthalmology
Volume123
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Retinal Perforations
Retinal Detachment
Reoperation
Membranes
Insurance

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Rates of Reoperation and Retinal Detachment after Macular Hole Surgery. / Vaziri, Kamyar; Schwartz, Stephen; Kishor, Krishna; Fortun, Jorge; Moshfeghi, Andrew A.; Smiddy, William E; Flynn, Harry W.

In: Ophthalmology, Vol. 123, No. 1, 01.01.2016, p. 26-31.

Research output: Contribution to journalArticle

@article{4e566735a09c43e898108b7b090d8fc2,
title = "Rates of Reoperation and Retinal Detachment after Macular Hole Surgery",
abstract = "To evaluate rates of reoperation and retinal detachment (RD) after macular hole surgery. Design Retrospective cross-sectional study. Participants Patients in the insurance claim-based MarketScan databases from 2007 through 2013 with a record of macular hole surgery. Methods Patients with macular hole surgery were identified. Cases of definite (the same eye was coded both times) and presumed (the eye laterality was not coded) macular hole reoperations within 2, 3, and 12 months were queried. In addition, cases of postoperative RD within 2, 3, and 12 months were captured. Main Outcome Measures Rates of macular hole reoperation and postoperative RD, including subgroup analysis based on presence or absence of internal limiting membrane (ILM) peeling. Results Records of 23465 macular hole surgeries among 20 764 patients were analyzed. Among presumed reoperations, the rates of reoperation were 4.3{\%} (4.1{\%} after ILM peeling and 5.0{\%} after no ILM peeling; P = 0.01) within 2 months of surgery, 5.5{\%} (5.3{\%} after ILM peeling and 6.2{\%} after no ILM peeling; P = 0.03) within 3 months of surgery, and 9.5{\%} (9.0{\%} after ILM peeling and 11.0{\%} after no ILM peeling; P = 0.01) within 12 months of surgery. The rates for definite reoperations were 1.3{\%} (1.2{\%} after ILM peeling and 1.8{\%} after no ILM peeling; P = 0.04) at 2 months, 1.7{\%} (1.6{\%} after ILM peeling and 2.5{\%} after no ILM peeling; P = 0.004) at 3 months, and 4.1{\%} (3.3{\%} after ILM peeling and 7.5{\%} after no ILM peeling; P <0.001) at 12 months. The cumulative rate of postoperative RD was 1.81±0.09{\%} to 2.18±0.5{\%} after 2 months, 2.27±0.10{\%} to 3.18±0.67{\%} after 3 months, and 3.92±0.16{\%} to 5.70±1.1{\%} after 12 months. Internal limiting membrane peeling was associated negatively with postoperative RD at 2 months (2.3{\%} vs. 1.7{\%}; P = 0.007), 3 months (2.8{\%} vs. 2.1{\%}; P = 0.004), and 12 months (4.7{\%} vs. 3.3{\%}; P <0.001). Conclusions In this sample, reoperations for macular hole were performed at low rates. Internal limiting membrane peeling was associated with lower rates of reoperation and RD.",
author = "Kamyar Vaziri and Stephen Schwartz and Krishna Kishor and Jorge Fortun and Moshfeghi, {Andrew A.} and Smiddy, {William E} and Flynn, {Harry W}",
year = "2016",
month = "1",
day = "1",
doi = "10.1016/j.ophtha.2015.09.015",
language = "English (US)",
volume = "123",
pages = "26--31",
journal = "Ophthalmology",
issn = "0161-6420",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Rates of Reoperation and Retinal Detachment after Macular Hole Surgery

AU - Vaziri, Kamyar

AU - Schwartz, Stephen

AU - Kishor, Krishna

AU - Fortun, Jorge

AU - Moshfeghi, Andrew A.

AU - Smiddy, William E

AU - Flynn, Harry W

PY - 2016/1/1

Y1 - 2016/1/1

N2 - To evaluate rates of reoperation and retinal detachment (RD) after macular hole surgery. Design Retrospective cross-sectional study. Participants Patients in the insurance claim-based MarketScan databases from 2007 through 2013 with a record of macular hole surgery. Methods Patients with macular hole surgery were identified. Cases of definite (the same eye was coded both times) and presumed (the eye laterality was not coded) macular hole reoperations within 2, 3, and 12 months were queried. In addition, cases of postoperative RD within 2, 3, and 12 months were captured. Main Outcome Measures Rates of macular hole reoperation and postoperative RD, including subgroup analysis based on presence or absence of internal limiting membrane (ILM) peeling. Results Records of 23465 macular hole surgeries among 20 764 patients were analyzed. Among presumed reoperations, the rates of reoperation were 4.3% (4.1% after ILM peeling and 5.0% after no ILM peeling; P = 0.01) within 2 months of surgery, 5.5% (5.3% after ILM peeling and 6.2% after no ILM peeling; P = 0.03) within 3 months of surgery, and 9.5% (9.0% after ILM peeling and 11.0% after no ILM peeling; P = 0.01) within 12 months of surgery. The rates for definite reoperations were 1.3% (1.2% after ILM peeling and 1.8% after no ILM peeling; P = 0.04) at 2 months, 1.7% (1.6% after ILM peeling and 2.5% after no ILM peeling; P = 0.004) at 3 months, and 4.1% (3.3% after ILM peeling and 7.5% after no ILM peeling; P <0.001) at 12 months. The cumulative rate of postoperative RD was 1.81±0.09% to 2.18±0.5% after 2 months, 2.27±0.10% to 3.18±0.67% after 3 months, and 3.92±0.16% to 5.70±1.1% after 12 months. Internal limiting membrane peeling was associated negatively with postoperative RD at 2 months (2.3% vs. 1.7%; P = 0.007), 3 months (2.8% vs. 2.1%; P = 0.004), and 12 months (4.7% vs. 3.3%; P <0.001). Conclusions In this sample, reoperations for macular hole were performed at low rates. Internal limiting membrane peeling was associated with lower rates of reoperation and RD.

AB - To evaluate rates of reoperation and retinal detachment (RD) after macular hole surgery. Design Retrospective cross-sectional study. Participants Patients in the insurance claim-based MarketScan databases from 2007 through 2013 with a record of macular hole surgery. Methods Patients with macular hole surgery were identified. Cases of definite (the same eye was coded both times) and presumed (the eye laterality was not coded) macular hole reoperations within 2, 3, and 12 months were queried. In addition, cases of postoperative RD within 2, 3, and 12 months were captured. Main Outcome Measures Rates of macular hole reoperation and postoperative RD, including subgroup analysis based on presence or absence of internal limiting membrane (ILM) peeling. Results Records of 23465 macular hole surgeries among 20 764 patients were analyzed. Among presumed reoperations, the rates of reoperation were 4.3% (4.1% after ILM peeling and 5.0% after no ILM peeling; P = 0.01) within 2 months of surgery, 5.5% (5.3% after ILM peeling and 6.2% after no ILM peeling; P = 0.03) within 3 months of surgery, and 9.5% (9.0% after ILM peeling and 11.0% after no ILM peeling; P = 0.01) within 12 months of surgery. The rates for definite reoperations were 1.3% (1.2% after ILM peeling and 1.8% after no ILM peeling; P = 0.04) at 2 months, 1.7% (1.6% after ILM peeling and 2.5% after no ILM peeling; P = 0.004) at 3 months, and 4.1% (3.3% after ILM peeling and 7.5% after no ILM peeling; P <0.001) at 12 months. The cumulative rate of postoperative RD was 1.81±0.09% to 2.18±0.5% after 2 months, 2.27±0.10% to 3.18±0.67% after 3 months, and 3.92±0.16% to 5.70±1.1% after 12 months. Internal limiting membrane peeling was associated negatively with postoperative RD at 2 months (2.3% vs. 1.7%; P = 0.007), 3 months (2.8% vs. 2.1%; P = 0.004), and 12 months (4.7% vs. 3.3%; P <0.001). Conclusions In this sample, reoperations for macular hole were performed at low rates. Internal limiting membrane peeling was associated with lower rates of reoperation and RD.

UR - http://www.scopus.com/inward/record.url?scp=84952992692&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952992692&partnerID=8YFLogxK

U2 - 10.1016/j.ophtha.2015.09.015

DO - 10.1016/j.ophtha.2015.09.015

M3 - Article

C2 - 26505804

AN - SCOPUS:84952992692

VL - 123

SP - 26

EP - 31

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

IS - 1

ER -