Examining the Necessity of Postoperative Day-1 Review After Pars Plana Vitrectomy: A Meta-Analysis.
Ophthalmic Surg Lasers Imaging Retina
; 52(9): 513-518, 2021 09.
Article
in English
| MEDLINE | ID: covidwho-1403928
ABSTRACT
BACKGROUND AND OBJECTIVES:
This study aimed to evaluate the necessity of the postoperative day-1 (POD1) review after pars plana vitrectomy. PATIENTS ANDMETHODS:
The analysis included available literature that documented medical and surgical interventions performed on POD1 review after pars plana vitrectomy. A meta-analysis of proportions was conducted using a binomial-normal model to analyze three data sets consisting of all interventions, medical interventions, and surgical interventions. Heterogeneity and publication bias analyses were performed.RESULTS:
POD1 reviews of 2,262 patients across 14 studies were examined to yield a total POD1 intervention rate estimate of 4.7% (95% confidence interval [CI], 3.0-13.9). When stratified by medical or surgical intervention, the intervention rate estimates were 4.1% (95% CI, 1.4-11.6) and 0.7% (95% CI, 0.3-1.3), respectively. The most common complication requiring postoperative intervention was elevated intraocular pressure.CONCLUSION:
Given the wide confidence intervals of the estimated intervention rates, variability in postoperative practices, and range of interventions performed, the POD1 review cannot be discarded in its entirety. [Ophthalmic Surg Lasers Imaging Retina. 2021;52513-518.].
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Vitrectomy
/
Eye Diseases
Type of study:
Experimental Studies
/
Observational study
/
Reviews
Limits:
Humans
Language:
English
Journal:
Ophthalmic Surg Lasers Imaging Retina
Year:
2021
Document Type:
Article
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