Effect of surgeon-related factors on outcome of retinal detachment surgery: analyses of data in Japan-retinal detachment registry.

Abstract	The purpose of this study was to investigate the effects of surgeon-related factors on the surgical outcome of pars plana vitrectomy (PPV) and scleral buckling (SB) surgery on eyes with a rhegmatogenous retinal detachment (RRD). This was a nationwide, multicenter, observational study of the data in the Japan-RD Registry. Registered cases that had undergone surgery for a RRD by 128 accredited surgeons in 26 institutions were studied. The surgeon-related factors that significantly affected surgical success and visual outcomes of simple RRD treated by PPV or SB at 6 months postoperatively were analyzed and compared. Among 3446 registered cases, 2533 cases met the inclusion criteria with 1896 in the PPV group and 637 cases in the SB group. The median total number of lifetime cases was 150 and the rate of surgeries/year was 22. Multivariate regression analyses showed that the number and rate of surgeries/year were not significantly associated with the surgical outcome in the PPV group. However, surgeons with a higher average annual number of surgeries had significantly better surgical outcomes in the SB group (P = 0.038). Analyses of a nationwide registry showed that SB but not PPV surgeries require sufficient experience and case numbers to acquire and maintain skills to treat RRDs successfully.
Authors	Keita Yamakiri, Taiji Sakamoto, Chihaya Koriyama, Ryo Kawasaki, Takayuki Baba, Koichi Nishitsuka, Takashi Koto, Hiroto Terasaki, Japan Retinal Detachment Registry
Journal	Scientific reports (Sci Rep) Vol. 12 Issue 1 Pg. 4213 (03 10 2022) ISSN: 2045-2322 [Electronic] England
PMID	35273253 (Publication Type: Journal Article, Multicenter Study, Observational Study, Research Support, Non-U.S. Gov't)
Copyright	© 2022. The Author(s).
Topics	Follow-Up Studies Humans Japan (epidemiology) Registries Retinal Detachment (surgery) Retrospective Studies Scleral Buckling Surgeons Treatment Outcome Visual Acuity Vitrectomy

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