The Value of Preoperative Medical Testing for Vitreoretinal Surgery

Shalwala, Ajay; Hwang, Richard Y.; Tabing, Ariana; Sternberg, Paul; Kim, Stephen J.

doi:10.1097/iae.0000000000000306

Cited by 15 publications

(18 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a recent paper, the most common systemic comorbidities of VR surgical patients were hypertension (53%), diabetes mellitus (37%) and coronary artery disease (18%) (Shalwala et al 2015). In our study, however, these systemic diseases were less common among the patients.…”

Section: Discussioncontrasting

confidence: 66%

“…In our study, however, these systemic diseases were less common among the patients. Shalwala et al (2015) also reported significantly increased incidence of postoperative systemic adverse events after VR surgery in patients with coronary artery disease, asthma, chronic renal disease or in patients operated under general anaesthesia. Unfortunately, in our study, the documented register data did not allow us to analyse systemic adverse events among the cohort.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Statin use and vitreoretinal surgery: Findings from a Finnish population‐based cohort study

Loukovaara

Sahanne

Takala

et al. 2018

Acta Ophthalmologica

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 94%

Statin use and vitreoretinal surgery: Findings from a Finnish population‐based cohort study

Loukovaara

Sahanne

Takala

et al. 2018

Acta Ophthalmologica

View full text Add to dashboard Cite

show abstract

“…[ 7 , 8 ] In addition, patients undergoing vitreoretinal surgery may have greater comorbidities such as renal disease and coronary artery disease, which was associated with a significant increase of postoperative systemic adverse events after vitrectomy. [ 21 ] Thus, an optimal anesthesia method for rapid and adequate recovery with minimal complications should be selected to perform vitrectomy with general anesthesia successfully, especially if performed under ambulatory setting.…”

Section: Discussionmentioning

confidence: 99%

Patient quality of recovery on the day of surgery after propofol total intravenous anesthesia for vitrectomy

Jeong

Eum

et al. 2018

Medicine

View full text Add to dashboard Cite

Background:Vitrectomy under general anesthesia is considered as a candidate for ambulatory surgery. An anesthetic method with high quality of postoperative recovery should be selected for successful ambulatory surgery. We thus compared quality of postoperative recovery on the day of vitrectomy using the Quality of Recovery (QoR)-40 questionnaire between propofol total intravenous anesthesia (propofol group) and desflurane inhalation anesthesia (desflurane group) as the 2 representative anesthetic methods.Methods:Eighty-four patients (20–80 years old) undergoing elective vitrectomy under general anesthesia were randomized into 2 groups. The propofol group received propofol and remifentanil using effect-site target-controlled infusion (TCI), and the desflurane group received desflurane inhalation and remifentanil using effect-site TCI. We assessed quality of recovery at 6 hours after surgery through interviews using the QoR-40 questionnaire. We also collected data related to recovery and complications during emergence and recovery period.Results:The median of QoR-40 score on the day of surgery was significantly higher in the propofol group than that in the desflurane group (181.0 vs 169.5, respectively; P = .033). In particular, propofol group had significantly higher scores for physical comfort and physical independence dimensions. The amount of remifentanil administered was significantly higher, and the emergence time was significantly longer in propofol group. However, there were no significant differences in other complications between the 2 groups.Conclusions:Propofol total intravenous anesthesia provided significantly better quality of recovery on the day of surgery than desflurane inhalation anesthesia.

show abstract

“…The study of preoperative medical testing in vitreoretinal surgery has been much more limited. To date, a single retrospective study has evaluated the role of preoperative testing in postoperative systemic complications in all cases of vitreoretinal surgery performed at a single center 5. Shalwala et al showed postoperative adverse systemic events in 4% of the cases, with an increased risk among patients receiving general anesthesia and in patients with comorbidities including coronary artery disease, asthma, and chronic renal disease.…”

Section: Introductionmentioning

confidence: 99%

<p>Assessing the value of preoperative medical clearance in patients with primary rhegmatogenous retinal detachment</p>

Alabi¹,

Turnbull²,

Coombs³

et al. 2019

OPTH

View full text Add to dashboard Cite

Purpose To determine rates of intraoperative and postoperative systemic and ocular adverse events and establish the value of preoperative medical assessment in patients undergoing surgery for primary rhegmatogenous retinal detachment repair at a single academic center. Patients and methods Retrospective cohort study of 185 patients undergoing surgery for repair of primary rhegmatogenous retinal detachment (RRD) at a single academic center. Medical records were reviewed for medical comorbidities, completion of preoperative medical examination, anesthesia used during surgery, intraoperative adverse medical events, intraoperative ocular complications, and systemic and ocular postoperative complications. The main outcome of interest was the association of comorbidities and preoperative medical evaluation with intraoperative and postoperative complications. Results Approximately 48% of the patients presented with no medical comorbidities of interest. Formal preoperative evaluation by an independent medical provider was completed in 36% of the patients. Overall, intraoperative and postoperative systemic complications (5.7% and 1%, respectively) and intraoperative and postoperative ocular complications (0.5% for both) were uncommon. Patients with a history of chronic heart failure (OR 24.5, P =0.02) or who received general anesthesia (OR 9.56, P <0.001) had increased risk of having experienced any intraoperative or postoperative complication. No relationship between preoperative medical evaluation and intraoperative and postoperative complications was observed. Conclusion Patients undergoing surgery for RRD repair presented with fewer medical comorbidities than previously reported in patients undergoing all vitreoretinal surgeries. Intraoperative and postoperative complications were uncommon and were increased in patients with chronic heart failure or who received general anesthesia. Complications were not significantly associated with preoperative evaluation by an independent medical provider.

show abstract

The Value of Preoperative Medical Testing for Vitreoretinal Surgery

Cited by 15 publications

References 9 publications

Statin use and vitreoretinal surgery: Findings from a Finnish population‐based cohort study

Statin use and vitreoretinal surgery: Findings from a Finnish population‐based cohort study

Patient quality of recovery on the day of surgery after propofol total intravenous anesthesia for vitrectomy

<p>Assessing the value of preoperative medical clearance in patients with primary rhegmatogenous retinal detachment</p>

Contact Info

Product

Resources

About