Contemporary Trends in Vitreoretinal Surgery

Abstract

Objectives: To present the hospital based data on the evolving trends in most important vitreoretinal disorders requiring surgical intervention.

Design: prospective observationalconsecutive case study.

Patients and Methods: Data for all patients admitted for vitreoretinal surgery between 2014 and 2019 in a single tertiary healthcare centre were analysed.

Results: This study included 1520 vitreoretinal surgeries in 1056 patients (1.44 per patient). The mean age of all patients was 61.27±11.87 (range 6 to 88). A total of 44.34% surgeries were performed on female patients and a total of 50.72% right eyes were operated. The most important indications for vitreoretinal procedures were: retinal detachment 33.09%, advanced diabetic retinopathy 32.17%, complications of previous eye surgery 11.05%, diseases requiring macular surgery 9.61% and eye injuries 8.02%.

The number of all vitreoretinal surgeries doubled during the study period (p=0.000). There is a trend of a slight age increase in patients requiring vitreoretinal surgeries (p=0.355). Patients tend to present earlier (p=0.000), and with better preoperative visual acuities (p=0.028).

Conclusion: The number of vitreoretinal surgeries in Bosnia and Herzegovina is increasing and the indications follow world trends. The late presentation of vitreoretinal patients remains a significant problem that needs to be addressed in the future.