Abstract
Purpose
To investigate the characteristics of retinal detachment (RD) and compare the outcomes of surgical interventions, such as scleral buckling (SB), pars plana vitrectomy (PPV), or PPV combined with SB, conducted on holidays and on workdays to determine the optimal surgical timing for primary RD treatment in clinical practice.
Study design
Retrospective cohort study.
Methods
The cohort included 3178 patients with primary RD registered in the Japan Retinal Detachment Registry between February 2016 and March 2017. Surgery data were divided into holiday and workday groups. A descriptive analysis of primary RD characteristics was performed, and the outcomes for each surgical intervention were assessed. The primary outcome was anatomical failure at 6 months post-surgery classified as follows: level 1, inoperable state; level 2, anatomical recovery with silicone-oil use; and level 3, additional surgery required for RD repair.
Results
The holiday group comprised 108 and the workday, 3070 cases of primary RD. Compared with those in the workday group, surgery in the holiday group took longer (PPV, P < 0.0001; SB, P = 0.047) and was performed by less experienced surgeons (P = 0.014). However, there were no statistically significant differences in surgical failure 6 months post-surgery between the workday and holiday groups.
Conclusion
Although surgery conducted on holidays and workdays was not significantly different in terms of outcome, some surgery should be postponed with proper preoperative interim measures to limit RD progress until it can be conducted on workdays by a well-prepared team.
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Acknowledgements
This study was supported by the Japan Retina Vitreous Society and by JSPS KAKENHI Grant Number JP21H03095. The sponsor or funding organization had no role in the design or conduct of this research. We would like to thank Editage (http://www.editage.com) for English language editing.
Group Information: The members of THE J-RD Registry project are as follows: Chiba University: Shuichi Yamamoto, Takayuki Baba, Eiju Sato, Masayasu Kitahashi, Tomoaki Tatsumi, Gen Miura, and Tomohiro Niizawa. Kagoshima University: Taiji Sakamoto, Keita Yamakiri, Toshifumi Yamashita, Hiroki Otsuka, Seiji Sameshima, Narimasa Yoshinaga, and Shozo Sonoda. Kyorin University: Akito Hirakata, Takashi Koto, Makoto Inoue, Kazunari Hirota, Yuji Itoh, Tadashi Orihara, Yoshinobu Emoto, Masahiko Sano, Hiroyuki Takahashi, and Ryo Tokizawa. Yamagata University: Hidetoshi Yamashita, Koichi Nishitsuka, Yutaka Kaneko, and Katsuhiro Nishi. Asahikawa Medical University Hospital: Akitoshi Yoshida, Shinji Ono, Hiroyuki Hirokawa, Kenji Sogawa, Tsuneaki Omae, and Akihiro Ishibazawa. Gunma University: Shoji Kishi, Hideo Akiyama, Hidetaka Matsumoto, Ryo Mukai, and Masahiro Morimoto. Hirosaki University: Mitsuru Nakazawa, Yukihiko Suzuki, Takashi Kudo, and Kobu Adachi. Hokkaido University: Susumu Ishida, Kousuke Noda, Satoru Kase, Syouhei Mori, Ryo Ando, Michiyuki Saito, and Tomohiro Suzuki. Kansai Medical University Hospital: Kanji Takahashi, Yoshimi Nagai, Tadashi Nakauchi, and Haruiko Yamada. Kindai University Sakai Hospital: Shuji Kusaka, and Daishi Tsujioka. Kyoto University: Akitaka Tsujikawa and Kiyoshi Suzuma. Kyushu University: Tatsuro Ishibashi, Koh-Hei Sonoda, Yasuhiro Ikeda, Riichiro Kohno, and Keijiro Ishikawa. Mie University: Mineo Kondo and Maki Kozawa. Nagasaki University: Takashi Kitaoka and Eiko Tsuiki. Nagoya City University: Yuichiro Ogura, Munenori Yoshida, Hiroshi Morita, Aki Kato, Yoshio Hirano, and Kazuhiko Sugitani. Nagoya University: Hiroko Terasaki, Takeshi Iwase, Yasuki Ito, Shinji Ueno, Hiroki Kaneko, Norie Nonobe, and Taro Kominami. National Center for Child Health and Development: Noriyuki Azuma and Tadashi Yokoi. Nihon University Hospital: Hiroyuki Shimada, Hiroyuki Nakashizuka, Takayuki Hattori, Ari Shinojima, and Yorihisa Kutagawa. Okayama University: Fumio Shiraga, Yuki Morizane, and Shuhei Kimura. Osaka Medical School: Tsunehiko Ikeda, Teruyo Kida, Takaki Sato, and Masanori Fukumoto. Osaka Rosai Hospital: Kazuyuki Emi and Hiroshi Nakashima. Shiga Medical University: Masahito Ohji, Masashi Kakinoki, and Osamu Sawada. Takeuchi Eye Clinic: Shinobu Takeuchi and Sumiyoshi Tanaka. Tokyo Women’s Medical College: Tomohiro Iida, Hideki Koizumi, Ichiro Maruko, Taiji Hasegawa, and Akiko Kogure. Yamanashi University: Hiroyuki Iijima, Tomohiro Oshiro, Yasushi Tateno, Wataru Kikushima, Atsushi Sugiyama, and Seigo Yoneyama. Yokohama City University Medical Center: Kazuaki Kadonosono, Shimpei Sato, and Shin Yamane.
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S. Kawano, Lecture fee (Novartis); T. Imai, None; T. Sakamoto, Grant, Consultant fee (Novartis, Bayer), Grant, Honoraria (Santen), Grant (Senju), Lecture fee (Alcon), Consultant fee (Bausch + Lomb).
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Corresponding Author: Taiji Sakamoto
The members of Japan-Retinal Detachment Registry Group are mentioned in “Acknowledgements”.
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Kawano, S., Imai, T., Sakamoto, T. et al. Differences in primary retinal detachment surgery conducted on holidays and workdays analyzed using the Japan Retinal Detachment Registry. Jpn J Ophthalmol 66, 271–277 (2022). https://doi.org/10.1007/s10384-022-00911-6
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DOI: https://doi.org/10.1007/s10384-022-00911-6