August 01, 2025
1 min read
Key takeaways:
- Surgeon volume and practice volume were not linked with revision.
- Giant retinal tear and complex vitrectomy were associated with increased risk for revision.
LONG BEACH, Calif. — Surgical volume was not associated with retinal detachment revision, according to a study presented at the American Society of Retina Specialists annual meeting.
“The incidence of retinal detachment is about one in 10,000, and we’ve made great progress over the previous century or so, but it seems that we’ve reached a plateau over the most recent few decades,” Ahmed F. Shakarchi, MD, MPH. “Our purpose for this analysis was to use a large dataset to look at the outcomes of retinal detachment and predictors of surgical success. And specifically, we wanted to ask, ‘Do higher-volume surgeons have a lower rate of retinal detachment revision?’”
Giant retinal tear and complex vitrectomy were associated with increased risk for revision.
Shakarchi and colleagues used data from the CMS fee-for-service outpatient claims dataset to evaluate the incidence and predictors of retinal detachment revision. CPT codes identified buckle or vitrectomy surgical retinal detachment repair, with an outcome of subsequent retinal detachment surgery or pneumatic retinopexy within 2 years after initial repair.
The analysis included 25,456 surgeries; 3,649 surgeries needed revision (14.3%).
An adjusted analysis found that predictors of retinal detachment revision included retinal detachment associated with giant retinal tear, retinal detachment associated with dialysis and total retinal detachment. Complex vitrectomy with or without buckle was also associated with a higher risk for revision.
Patient age, surgeon graduation year and teaching hospital setting were also associated with higher risk for revision, according to Shakarchi.
However, no association was found between surgeon volume or practice volume and retinal detachment revision.
Sources/Disclosures
Collapse
Shakarchi AF. Predictors of primary rhegmatogenous retinal detachment surgical revision. Presented at: American Society of Retina Specialists annual meeting; July 30-Aug. 2, 2025; Long Beach, California.
Disclosures:
Shakarchi reports no relevant financial disclosures.
