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Article: Trends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996

TitleTrends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996
Authors
Issue Date1999
PublisherBMJ Publishing Group. The Journal's web site is located at http://bjo.bmjjournals.com/
Citation
British Journal Of Ophthalmology, 1999, v. 83 n. 4, p. 396-398 How to Cite?
AbstractAim - To identify trends in vitreoretinal surgery at a tertiary referral centre from 1987 to 1996. Methods - A retrospective study of patients who had undergone vitreoretinal surgery at St Paul's Eye Unit over two 6 month periods in 1987 and 1996. Preoperative ocular status, surgery details, and outcome were collected. χ 2 and Mann-Whitney U tests were used to analyse the data. Results - The two periods under study were July to December 1987 and January to June 1996. 110 operations performed during 1987 (96 patients) and 330 operations during 1996 (289 patients) were analysed. There was a fourfold rise in the number of tertiary referrals and a sevenfold rise in the number of operations performed for conditions other than rhegmatogenous retinal detachment (RRD). Increasing indications for surgery included diabetic eye disease, macular hole, dropped nucleus, endophthalmitis, and subretinal neovascular membrane. There was a rise in the proportion of patients with RRD following cataract surgery (from 19.5% to 29.5%). For both primary repair and reoperation, vitrectomy with internal tamponade was more commonly used in 1996. The anatomical success rate for primary repair changed from 76.6% to 84.7% after one operation and from 89.1% to 94.3% following additional surgery. Conclusions - This study points to a trend towards subspecialisation and tertiary referral in vitreoretinal surgery. Vitrectomy techniques are more commonly used for the primary repair of RRD and are applied to a wider spectrum of diseases.
Persistent Identifierhttp://hdl.handle.net/10722/146245
ISSN
2015 Impact Factor: 3.036
2015 SCImago Journal Rankings: 1.873
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorAhFat, FGen_HK
dc.contributor.authorSharma, MCen_HK
dc.contributor.authorMajid, MAen_HK
dc.contributor.authorMcGalliard, JNen_HK
dc.contributor.authorWong, Den_HK
dc.date.accessioned2012-04-10T01:49:39Z-
dc.date.available2012-04-10T01:49:39Z-
dc.date.issued1999en_HK
dc.identifier.citationBritish Journal Of Ophthalmology, 1999, v. 83 n. 4, p. 396-398en_HK
dc.identifier.issn0007-1161en_HK
dc.identifier.urihttp://hdl.handle.net/10722/146245-
dc.description.abstractAim - To identify trends in vitreoretinal surgery at a tertiary referral centre from 1987 to 1996. Methods - A retrospective study of patients who had undergone vitreoretinal surgery at St Paul's Eye Unit over two 6 month periods in 1987 and 1996. Preoperative ocular status, surgery details, and outcome were collected. χ 2 and Mann-Whitney U tests were used to analyse the data. Results - The two periods under study were July to December 1987 and January to June 1996. 110 operations performed during 1987 (96 patients) and 330 operations during 1996 (289 patients) were analysed. There was a fourfold rise in the number of tertiary referrals and a sevenfold rise in the number of operations performed for conditions other than rhegmatogenous retinal detachment (RRD). Increasing indications for surgery included diabetic eye disease, macular hole, dropped nucleus, endophthalmitis, and subretinal neovascular membrane. There was a rise in the proportion of patients with RRD following cataract surgery (from 19.5% to 29.5%). For both primary repair and reoperation, vitrectomy with internal tamponade was more commonly used in 1996. The anatomical success rate for primary repair changed from 76.6% to 84.7% after one operation and from 89.1% to 94.3% following additional surgery. Conclusions - This study points to a trend towards subspecialisation and tertiary referral in vitreoretinal surgery. Vitrectomy techniques are more commonly used for the primary repair of RRD and are applied to a wider spectrum of diseases.en_HK
dc.languageengen_US
dc.publisherBMJ Publishing Group. The Journal's web site is located at http://bjo.bmjjournals.com/en_HK
dc.relation.ispartofBritish Journal of Ophthalmologyen_HK
dc.subject.meshGreat Britainen_US
dc.subject.meshHumansen_US
dc.subject.meshOphthalmologic Surgical Procedures - Trendsen_US
dc.subject.meshReferral And Consultationen_US
dc.subject.meshRetinal Detachment - Surgeryen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshVitrectomy - Trendsen_US
dc.titleTrends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996en_HK
dc.typeArticleen_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.pmid10434858-
dc.identifier.pmcidPMC1722995-
dc.identifier.scopuseid_2-s2.0-0032928779en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032928779&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume83en_HK
dc.identifier.issue4en_HK
dc.identifier.spage396en_HK
dc.identifier.epage398en_HK
dc.identifier.isiWOS:000079644400013-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridAhFat, FG=6602171660en_HK
dc.identifier.scopusauthoridSharma, MC=7403269363en_HK
dc.identifier.scopusauthoridMajid, MA=7006013358en_HK
dc.identifier.scopusauthoridMcGalliard, JN=7003380072en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK

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