United Kingdom National Ophthalmology Database Study of Vitreoretinal Surgery

The Royal College of Ophthalmologists’ National Ophthalmology Database Study of cataract surgery: report 2, relationships of axial length with ocular copathology, preoperative visual acuity, and posterior capsule rupture

“…[1][2][3][4][5] The RCOphth NOD covers a range of conditions and operations. [6][7][8][9] RCOphth NOD data on cataract surgery complication rates, visual outcomes, and proportions with ocular copathology have already been reported. 10 This found visual outcomes, and the rate of posterior capsule rupture or vitreous loss or both appeared stable when compared with the previous Cataract National Data set analysis that used data from 2001 to 2006.…”

Pars Plana Vitrectomy for Diabetic Macular Edema

“…A database study of 8,257 PPVs also found that retinal breaks were the most common intraoperative complication. 83 In the subset of eyes undergoing epiretinal membrane surgery, a PPV of similar complexity, iatrogenic retinal breaks occurred in 3.0% of cases, whereas the present series incorporated studies that used somewhat varying terminology, with those describing 'peripheral retinal breaks' averaging a 7.1% rate, and those reporting 'iatrogenic tears' averaging 0.7%. Retinal detachment occurred in 1.5% of the epiretinal membrane cases, compared with 1.2% in the present analysis.…”

Royal College of Ophthalmologists' National Database Study of Vitreoretinal Surgery

“…1,3 , David Yorston FRCOphth 3,4 , David HW Steel FRCOphth 3,5,6 , Tom H Williamson MD FRCOphth 3,7 , Timothy L Jackson PhD, FRCOphth 8 , John M Sparrow DPhil FRCOphth 3,9 The RD re-operation rate at 6 months after primary surgery was 13.9% (725/5,202), and did not differ significantly between consultants and trainees (p = 0.382). For surgeons contributing ≥50 cases, the mean (range) reoperation rates were 13.1% (6.7% -26.8%), 15.1% (11.3% -18.2%) and 15.3% (9.4% -22.1%) for consultant, independent non-consultant and trainee surgeons, respectively.…”

“…1 Pars plana vitrectomy (PPV) and scleral buckle (SB) are the most frequently used techniques, [1][2][3][4][5] with the proportion of patients undergoing PPV in the United States increasing to approximately three-quarters over the last decade. 4 Whilst the functional outcome of RD is probably of the greatest importance to patients, the primary anatomical re-attachment rate is the most commonly reported surgical outcome, and is regularly used to benchmark surgical skill and the quality of care.…”

“…Widespread adoption of electronic medical record systems (EMR) and surgical subspecialty registries allow prospective collection of detailed datasets. 5,21 The purpose of this study was to describe variations in primary anatomical failure rates between and within each grade of surgeon, and the influence of surgical technique, using a large set of data from the UK.…”