Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations

Oliver Francis Riley, Sunil Mamtora, Emma Carroll, Jon Luck Ophthalmology Department, Royal United Hospital, Bath BA1 3NG, UKCorrespondence: Oliver Francis RileyOphthalmology Department, Royal United Hospital, Bath BA1 3NG, UKTel +44 1225 428-331Email Riley-92@hotmail.co.ukBackground/Aims: Periphera...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Riley OF, Mamtora S, Carroll E, Luck J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	iris glaucoma education laser treatment Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/4072bc7a7f0d403998dcc2307938ac93
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4072bc7a7f0d403998dcc2307938ac93
record_format	dspace
spelling	oai:doaj.org-article:4072bc7a7f0d403998dcc2307938ac932021-12-02T12:34:07ZSurgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations1177-5483https://doaj.org/article/4072bc7a7f0d403998dcc2307938ac932020-12-01T00:00:00Zhttps://www.dovepress.com/surgical-grade-and-repeat-laser-peripheral-iridotomy-procedures-with-r-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Oliver Francis Riley, Sunil Mamtora, Emma Carroll, Jon Luck Ophthalmology Department, Royal United Hospital, Bath BA1 3NG, UKCorrespondence: Oliver Francis RileyOphthalmology Department, Royal United Hospital, Bath BA1 3NG, UKTel +44 1225 428-331Email Riley-92@hotmail.co.ukBackground/Aims: Peripheral laser iridotomy (PLI) is a commonly performed procedure. While effective, repeat procedures (RPs) may be required for a variety of causes. We report the causes and rate of RP PLI and whether surgical grade is a risk factor.Methods: Two years of retrospective data from 282 patients who had undergone PLI at a single UK ophthalmology department were retrieved using an electronic medical record system (Medisoft, Leeds, UK).Results: A total of 253 patients underwent analysis with 20 requiring RPs. Our data identified a correlation between experience of the operating surgeon and an increase in RP rate, with statistical significance (p=0.036) observed between consultants and registrars. No other statistically significant risk factors were identified from our study. Prescriber preference for iopidine was observed. From our findings and the current literature, prognostic factors that appear to influence RP rate include surgical grade, patient compliance, Asian ethnicity, and anticoagulation.Conclusion: RP rate increases in PLI when a junior surgeon is performing the procedure, and thus cases with established prognostic factors for RPs should have senior input. Formal and standardized YAG-laser training should be implemented alongside risk stratification of patients to improve both trainee education and patient care.Keywords: iris, glaucoma, education, laser treatmentRiley OFMamtora SCarroll ELuck JDove Medical Pressarticleirisglaucomaeducationlaser treatmentOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 4319-4323 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	iris glaucoma education laser treatment Ophthalmology RE1-994
spellingShingle	iris glaucoma education laser treatment Ophthalmology RE1-994 Riley OF Mamtora S Carroll E Luck J Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations
description	Oliver Francis Riley, Sunil Mamtora, Emma Carroll, Jon Luck Ophthalmology Department, Royal United Hospital, Bath BA1 3NG, UKCorrespondence: Oliver Francis RileyOphthalmology Department, Royal United Hospital, Bath BA1 3NG, UKTel +44 1225 428-331Email Riley-92@hotmail.co.ukBackground/Aims: Peripheral laser iridotomy (PLI) is a commonly performed procedure. While effective, repeat procedures (RPs) may be required for a variety of causes. We report the causes and rate of RP PLI and whether surgical grade is a risk factor.Methods: Two years of retrospective data from 282 patients who had undergone PLI at a single UK ophthalmology department were retrieved using an electronic medical record system (Medisoft, Leeds, UK).Results: A total of 253 patients underwent analysis with 20 requiring RPs. Our data identified a correlation between experience of the operating surgeon and an increase in RP rate, with statistical significance (p=0.036) observed between consultants and registrars. No other statistically significant risk factors were identified from our study. Prescriber preference for iopidine was observed. From our findings and the current literature, prognostic factors that appear to influence RP rate include surgical grade, patient compliance, Asian ethnicity, and anticoagulation.Conclusion: RP rate increases in PLI when a junior surgeon is performing the procedure, and thus cases with established prognostic factors for RPs should have senior input. Formal and standardized YAG-laser training should be implemented alongside risk stratification of patients to improve both trainee education and patient care.Keywords: iris, glaucoma, education, laser treatment
format	article
author	Riley OF Mamtora S Carroll E Luck J
author_facet	Riley OF Mamtora S Carroll E Luck J
author_sort	Riley OF
title	Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations
title_short	Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations
title_full	Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations
title_fullStr	Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations
title_full_unstemmed	Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations
title_sort	surgical grade and repeat laser peripheral iridotomy procedures with risk stratification and educational considerations
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/4072bc7a7f0d403998dcc2307938ac93
work_keys_str_mv	AT rileyof surgicalgradeandrepeatlaserperipheraliridotomyprocedureswithriskstratificationandeducationalconsiderations AT mamtoras surgicalgradeandrepeatlaserperipheraliridotomyprocedureswithriskstratificationandeducationalconsiderations AT carrolle surgicalgradeandrepeatlaserperipheraliridotomyprocedureswithriskstratificationandeducationalconsiderations AT luckj surgicalgradeandrepeatlaserperipheraliridotomyprocedureswithriskstratificationandeducationalconsiderations
_version_	1718393854734893056

Surgical Grade and Repeat Laser Peripheral Iridotomy Procedures with Risk Stratification and Educational Considerations

Ejemplares similares