SIGNIFICANCE:Teleophthalmology became widely used during the coronavirus 2019 pandemic; however, the quality of this care remains to be understood. PURPOSE:This study aimed to compare patient satisfaction levels from virtual and in-person visits based on postvisit surveys, as well as investigate demographic characteristics that may predict patient satisfaction with virtual visits.METHODS: Virtual (n = 2943) and in-person (n = 56,175) visits from March 19, 2020, to July 31, 2020, were identified using the electronic health record system. For in-person visits, a random subset of 3000 visits was acquired using a random number generator. Of these, 2266 virtual and 2590 in-person visits met the inclusion criteria. Patients who completed the Telemedicine for Medical Practice Survey and Medical Practice Survey were analyzed in this report. Nonparametric Mann-Whitney test was used to compare scores between groups.RESULTS: Two hundred eleven virtual patients (9.31%; 82 phone, 115 video, 14 hybrid) and 307 in-person patients (11.85%) completed the Telemedicine for Medical Practice Survey and Medical Practice Survey, respectively. Satisfaction scores were similar and high in both groups-virtual visit satisfaction scores averaged 4.82, whereas inperson visit satisfaction averaged 4.85 ( P = .80, θ = 0.501 [0.493 to 0.509]). Only one question yielded significantly different satisfaction scores, and no demographic variables were significant predictors of satisfaction scores.CONCLUSIONS: Patient satisfaction is comparable between virtual and in-person visits, validating the continued usage of telemedicine for eye care visits.

BACKGROUND AND OBJECTIVES: This study aimed to evaluate the necessity of the postoperative day-1 (POD1) review after pars plana vitrectomy. PATIENTS AND METHODS: The analysis included available literature that documented medical and surgical interventions performed on POD1 review after pars plana vitrectomy. A meta-analysis of proportions was conducted using a binomial-normal model to analyze three data sets consisting of all interventions, medical interventions, and surgical interventions. Heterogeneity and publication bias analyses were performed. RESULTS: POD1 reviews of 2,262 patients across 14 studies were examined to yield a total POD1 intervention rate estimate of 4.7% (95% confidence interval [CI], 3.0–13.9). When stratified by medical or surgical intervention, the intervention rate estimates were 4.1% (95% CI, 1.4–11.6) and 0.7% (95% CI, 0.3–1.3), respectively. The most common complication requiring postoperative intervention was elevated intraocular pressure. CONCLUSION: Given the wide confidence intervals of the estimated intervention rates, variability in postoperative practices, and range of interventions performed, the POD1 review cannot be discarded in its entirety. [ Ophthalmic Surg Lasers Imaging Retina . 2021;52:513–518.]

Critical incident stress debriefings (CISDs) were established at this institution in response to critical events. In this cross-sectional qualitative study, we aim to understand the impact of CISDs on provider well-being after an adverse outcome. The study population included 25 physicians, resident physicians, and nurse-midwives who participated in debriefings since their introduction in 2019 within the Department of Obstetrics and Gynecology at a single tertiary care hospital. An anonymous survey was sent to the study population with a response rate of 72% (n = 18). The majority of survey questions were positive statements regarding the beneficial effect of the CISD on provider well-being, and these statements were agreed with or strongly agreed with between 61.1% to 88.9% of the time. Of note, all of the responses that disagreed or strongly disagreed with these statements were from faculty participants. The one faculty member that disagreed with all positive statements responded that he/she sought additional support following this debriefing. None of the participants responded that the debriefing was a burden. Overall, the CISD was found to have a positive effect on provider well-being after adverse outcomes, especially in the resident physician group.

Background and Objective: Macular thickness fluctuations (MTF) over time may be more predictive of visual outcomes than absolute macular thickness in patients with diabetic macular edema (DME) treated with anti-vascular endothelial growth factor (anti-VEGF). It is unclear whether this association exists in DME patients treated with intravitreal steroids or whether steroids confer reduced MTF versus anti-VEGF treatments. Patients and Methods: MTF was compared before and after initiation of steroids in DME patients treated with intravitreal steroids. A mixed-effects linear regression model was used to determine the association between MTF and best-corrected visual acuity (BCVA). Results: Mean 12-month MTF significantly decreased after steroid initiation (61.1 μm versus 53.5 μm, P = 0.04, n = 105 eyes). Mean BCVA after 12 months was not significantly different from baseline. No significant association between post-steroid MTF and 12-month BCVA was found. Conclusion: Steroid treatment decreases MTF while BCVA remains stable in DME patients previously treated with anti-VEGF. [ Ophthalmic Surg Lasers Imaging Retina 2023;54:xx–xx.]