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Ian Gorovoy, Travis Porco, Jay Stewart; Same day versus next day repair of fovea threatening primary rhegmatogenous retinal detachments. Invest. Ophthalmol. Vis. Sci. 2013;54(15):2877. doi: https://doi.org/.
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To evaluate the outcomes of same day versus next day repair of fovea-threatening rhegmatogenous retinal detachments (FT RRD).
Operative reports and medical records were reviewed to evaluate a number of visual and anatomic outcomes including presenting features, intraoperative complications, and postoperative results in the repair of primary FT RRD undergoing same day versus next day repair. A total of 88 consecutive patients (43 same day, 45 next day) were compared.
There was no statistically significant difference in visual outcomes between same day and next day repair at postoperative months 3 and 6 and at last follow-up. Preoperative vision was strongly correlated with postoperative acuity. Effect of differences in length or type of visual symptoms, location of RRD, gender, or lens status on postoperative month 3 best corrected visual acuity (BCVA) was not statistically significant. Overall, 83% of patients had a BCVA of 20/40 or better at postoperative month 3. Reoperation rate and intraoperative complications were not statistically different between same day verse next day repair. Door to door time for same day surgery was longer 2.98±0.46 hours compared to next day surgery 2.54±0.38 hours (P<0.05). However, one case did progress to a macula off detachment.
Next day surgery provided equivalent visual outcomes. Emergent, same day surgery has logistical and resource implications as it may be more expensive, may necessitate rescheduling of previously booked cases, and may limit preoperative examination by the surgeon and perioperative team.
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