Effect of surgeon-related factors on outcome of retinal detachment surgery: analyses of data in Japan-retinal detachment registry

Keita Yamakiri ,Aki Kato ,Takashi Kitaoka ,Kenji Sogawa ,Akitaka Tsujikawa ,Akiko Kogure ,Tetsuya Tatsumi ,Satoru Kase ,Munenori Yoshida ,Hideo Akiyama ,Tadashi Nakauchi ,Yoshinobu Emoto ,Makoto Inoue ,Koh-Hei Sonoda ,Tomohiro Niizawa ,Toshifumi Yamashita ,Yasuhiro Ikeda ,Fumio Shiraga ,Kousuke Noda ,Kobu Adachi ,Kazunari Hirota ,Eiju Sato ,Shunji Kusaka ,Shuichi Yamamoto ,Yasushi Tateno ,Yorihisa Kitagawa ,Ichiro Maruko ,Gen Miura ,Hiroyuki Takahashi ,Tatsuro Ishibashi ,Yasuki Ito ,Shozo Sonoda ,Hiroyuki Nakashizuka ,Hiroshi Morita ,Takashi Kudo ,Ryo Tokizawa ,Kazuaki Kadonosono ,Taiji Sakamoto ,Shoji Kishi ,Yutaka Kaneko ,Hiroyuki Hirokawa ,Hideki Koizumi ,Shinji Ono ,Ari Shinojima ,Tadashi Orihara ,Yuichiro Ogura ,Masahiko Sano ,Tsuneaki Omae ,Hidetaka Matsumoto ,Hidetoshi Yamashita ,Atsushi Sugiyama ,Noriyuki Azuma ,Shinji Ueno ,Keijiro Ishikawa ,Daishi Tsujioka ,Wataru Kikushima ,Hiroko Terasaki ,Mineo Kondo ,Yoshimi Nagai ,Yoshio Hirano ,Akitoshi Yoshida ,Masashi Kakinoki ,Manabu Fukumoto ,Hiroshi Nakashima ,Hiroyuki Iijima ,Masahiro Morimoto ,Michiyuki Saito ,Hiroyuki Shimada ,Ryo Ando ,Shuhei Kimura ,Tomohiro Iida ,Hiroki Kaneko ,Teruyo Kida ,Tsunehiko Ikeda ,Kazuhiko Sugitani ,Yuki Morizane ,Takashi Koto ,Chihaya Koriyama ,Masayasu Kitahashi ,Taiji Hasegawa ,Takayuki Hattori ,Sumiyoshi Tanaka ,Seigo Yoneyama ,Takaki Sato ,Yukihiko Suzuki ,Akito Hirakata ,Osamu Sawada ,Takeshi Iwase ,Kanji Takahashi ,Narimasa Yoshinaga ,Tadashi Yokoi ,Akihiro Ishibazawa ,Tomohiro Suzuki ,Katsuhiro Nishi ,Koichi Nishitsuka ,Kazuyuki Emi ,Seiji Sameshima ,Yuji Itoh ,Hiroki Otsuka ,Susumu Ishida ,Riichiro Kohno ,Takayuki Baba ,Makoto Nakazawa ,Masahito Ohji ,Hiroto Terasaki ,Shimpei Sato ,Maki Kozawa ,Kiyoshi Suzuma ,Taro Kominami ,Ryo Mukai ,H Yamada ,Shinobu Takeuchi ,Ryo Kawasaki ,Norie Nonobe ,Tomohiro Oshiro ,Eiko Tsuiki ,Syouhei Mori ,Shin Yamane

doi:10.1038/s41598-022-07838-5

Abstract

The purpose of this study was to investigate the effects of surgeon-related factors on the surgical outcome of pars plana vitrectomy (PPV) and scleral buckling (SB) surgery on eyes with a rhegmatogenous retinal detachment (RRD). This was a nationwide, multicenter, observational study of the data in the Japan-RD Registry. Registered cases that had undergone surgery for a RRD by 128 accredited surgeons in 26 institutions were studied. The surgeon-related factors that significantly affected surgical success and visual outcomes of simple RRD treated by PPV or SB at 6 months postoperatively were analyzed and compared. Among 3446 registered cases, 2533 cases met the inclusion criteria with 1896 in the PPV group and 637 cases in the SB group. The median total number of lifetime cases was 150 and the rate of surgeries/year was 22. Multivariate regression analyses showed that the number and rate of surgeries/year were not significantly associated with the surgical outcome in the PPV group. However, surgeons with a higher average annual number of surgeries had significantly better surgical outcomes in the SB group (P = 0.038). Analyses of a nationwide registry showed that SB but not PPV surgeries require sufficient experience and case numbers to acquire and maintain skills to treat RRDs successfully.

Highlights

The purpose of this study was to investigate the effects of surgeon-related factors on the surgical outcome of pars plana vitrectomy (PPV) and scleral buckling (SB) surgery on eyes with a rhegmatogenous retinal detachment (RRD)
Of the 3446 eyes examined, 496 eyes were excluded because the RRD was caused by trauma, 172 eyes with a grade C proliferative vitreoretinopathy (PVR), 137 eyes with a choroidal detachment, 51 with a giant tear, 178 with a retinal break at the vitreous base, 95 with simple MH, and 36 with a retinal break of unknown cause
The purpose of this study was to determine the surgeon-related factors associated with the surgical outcomes of RRD surgery