Yıl 2024,
Cilt: 7 Sayı: 4, 220 - 222, 31.12.2024
Pınar Eröz
,
Ömer Özer
,
Erdem Dinç
,
Emre Can Yılmaz
,
Pınar İş Kılıçdoğan
Kaynakça
- 1.Bartz-Schmidt KU, Kirchhof B, Heimann K. Primary vitrectomy for pseudo¬phakic retinal detachment. Br J Ophthalmol. 1996;80(4):346-9.
https://doi.org/10.1136/bjo.80.4.346
- 2.Dugas B, Lafontaine PO, Guillaubey A, et al. The learning curve for primary vitrectomy without scleral buckling for pseudophakic retinal detachment. Graefes Arch Clin Exp Ophthalmol. 2009;247(3):319-24.
https://doi.org/10.1007/s00417-008-0997-y
- 3.Soomro NA, Hashimoto DA, Porteous AJ, et al. Systematic review of learn¬ing curves in robot-assisted surgery. BJS Open. 2020;4(1):27-44. https://doi.org/10.1002/bjs5.50235
4.Hopper AN, Jamison MH, Lewis WG. Learning curves in surgical practice. Postgrad Med J. 2007;83(986):777-9.
https://doi.org/10.1136/pgmj.2007.057190
- 5.Rogers DA, Elstein AS, Bordage G. Improving continuing medical education for surgical techniques: applying the lessons learned in the first decade of minimal access surgery. Ann Surg. 2001;233(2):159-66.
https://doi.org/10.1097/00000658-200102000-00003
- 6.Stalmans P. 23-gauge vitrectomy. Dev Ophthalmol. 2014;54:38-44. https://doi.org/10.1159/000360447
- 7.Dotan A, Johnson D, Kherani A, Jahangir K, Tennant MTS. Success Rates for Retinal Detachment Repair in Alberta: A Physician Learning Program Initia¬tive. Ophthalmologica. 2019;241(3):170-2.
https://doi.org/10.1159/000492538
- 8.Mazinani BA, Rajendram A, Walter P, Roessler GF. Does surgical experience have an effect on the success of retinal detachment surgery?. Retina. 2012;32(1):32-7.
https://doi.org/10.1097/IAE.0B013E3182411CD2
- 9.Radeck V, Helbig H, Barth T, Gamulescu MA, Maerker D, Prahs P. The learn¬ing curve of retinal detachment surgery. Graefes Arch Clin Exp Ophthalmol. 2021;259(8):2167-73.
https://doi.org/10.1007/s00417-021-05096-1
- 10.Martín-Avià J, Romero-Aroca P. Analysis of the vitreoretinal surgery learning curve. Análisis de la curva de aprendizaje en cirugía vitreorretini-ana. Arch Soc Esp Oftalmol. 2017;92(6):251-6.
https://doi.org/10.1016/j.oftal.2016.07.004
11.Xu YX, Liu LP, Li JB, et al. Vitreoretinal surgeons' experience and time in-terval from pars-plana vitrectomy to cataract extraction. Int J Ophthalmol. 2021;14(1):120-126.
https://doi.org/10.18240/ijo.2021.01.17
12.Danielescu C, Moraru AD, Anton N, et al. The Learning Curve of Surgery of Diabetic Tractional Retinal Detachment-A Retrospective, Comparative Study. Medicina (Kaunas). 2022;59(1):73.
https://doi.org/10.3390/medicina59010073
Learning Pars Plana Vitrectomy Procedure for Retinal Detachment
Yıl 2024,
Cilt: 7 Sayı: 4, 220 - 222, 31.12.2024
Pınar Eröz
,
Ömer Özer
,
Erdem Dinç
,
Emre Can Yılmaz
,
Pınar İş Kılıçdoğan
Öz
Aim: This study aimed to observe the development of surgical technique and anatomical success during the first 7 years of a new surgeon's performing retinal surgery.
Material and Method: Patients undergoing PPV surgery between January 2017 and January 2024 by an inexperienced surgeon in vitreoretinal surgery were studied. Surgical technique, tamponade type and anatomical success were recorded.
Results: Anatomical success was achieved in 88.1% of patients at the first surgery. There was no significant difference between groups in the number of surgeries required to achieve anatomical integrity and retinal stabilisation. (p=0.64). There was a statistically significant difference between groups in the type of tamponade used (p<0.001).
Conclusions: In this study, primary anatomical success was not related to number of vitreoretinal procedures. To achieve acceptable success rates, the learning curve for less experienced surgeons requires sufficient time. Although surgical experience is not the only factor influencing the outcome of retinal detachment surgery, it is a powerful factor in the success of the operation.
Kaynakça
- 1.Bartz-Schmidt KU, Kirchhof B, Heimann K. Primary vitrectomy for pseudo¬phakic retinal detachment. Br J Ophthalmol. 1996;80(4):346-9.
https://doi.org/10.1136/bjo.80.4.346
- 2.Dugas B, Lafontaine PO, Guillaubey A, et al. The learning curve for primary vitrectomy without scleral buckling for pseudophakic retinal detachment. Graefes Arch Clin Exp Ophthalmol. 2009;247(3):319-24.
https://doi.org/10.1007/s00417-008-0997-y
- 3.Soomro NA, Hashimoto DA, Porteous AJ, et al. Systematic review of learn¬ing curves in robot-assisted surgery. BJS Open. 2020;4(1):27-44. https://doi.org/10.1002/bjs5.50235
4.Hopper AN, Jamison MH, Lewis WG. Learning curves in surgical practice. Postgrad Med J. 2007;83(986):777-9.
https://doi.org/10.1136/pgmj.2007.057190
- 5.Rogers DA, Elstein AS, Bordage G. Improving continuing medical education for surgical techniques: applying the lessons learned in the first decade of minimal access surgery. Ann Surg. 2001;233(2):159-66.
https://doi.org/10.1097/00000658-200102000-00003
- 6.Stalmans P. 23-gauge vitrectomy. Dev Ophthalmol. 2014;54:38-44. https://doi.org/10.1159/000360447
- 7.Dotan A, Johnson D, Kherani A, Jahangir K, Tennant MTS. Success Rates for Retinal Detachment Repair in Alberta: A Physician Learning Program Initia¬tive. Ophthalmologica. 2019;241(3):170-2.
https://doi.org/10.1159/000492538
- 8.Mazinani BA, Rajendram A, Walter P, Roessler GF. Does surgical experience have an effect on the success of retinal detachment surgery?. Retina. 2012;32(1):32-7.
https://doi.org/10.1097/IAE.0B013E3182411CD2
- 9.Radeck V, Helbig H, Barth T, Gamulescu MA, Maerker D, Prahs P. The learn¬ing curve of retinal detachment surgery. Graefes Arch Clin Exp Ophthalmol. 2021;259(8):2167-73.
https://doi.org/10.1007/s00417-021-05096-1
- 10.Martín-Avià J, Romero-Aroca P. Analysis of the vitreoretinal surgery learning curve. Análisis de la curva de aprendizaje en cirugía vitreorretini-ana. Arch Soc Esp Oftalmol. 2017;92(6):251-6.
https://doi.org/10.1016/j.oftal.2016.07.004
11.Xu YX, Liu LP, Li JB, et al. Vitreoretinal surgeons' experience and time in-terval from pars-plana vitrectomy to cataract extraction. Int J Ophthalmol. 2021;14(1):120-126.
https://doi.org/10.18240/ijo.2021.01.17
12.Danielescu C, Moraru AD, Anton N, et al. The Learning Curve of Surgery of Diabetic Tractional Retinal Detachment-A Retrospective, Comparative Study. Medicina (Kaunas). 2022;59(1):73.
https://doi.org/10.3390/medicina59010073