![]() The search revealed 20,149 procedures performed between January 2012 and October 2023. Lastly, we reviewed the depth of coding of complex presentations, by reviewing the average number of codes entered per patient episode. Two months later, we reviewed these records, identifying those who had undergone surgical retinal repairs, and compared the spherical equivalent refraction of the affected eye on focimetry with coding for myopia. During two weeks at the beginning and end of March 2023, senior nursing staff carried out focimetry of the spectacles of consecutive patients presenting to our vitreoretinal emergency unit. To determine the accuracy of coding, we ran a prospective service evaluation (registration number 1117). history and correspondence, and not necessarily based on selection of myopia as diagnosis by a clinician. ![]() At our facility, coding for “myopia” is carried out by non-medical staff, based on words mentioned in the medical record, i.e. We then combined these with ICD-10 code “Myopia – H52.1”, and further stratified patients into 5-year age brackets. We summarised the number of hospital episodes from -, using procedure/OPCS4 codes C79.2, vitrectomy using pars plana approach AND C79.5, internal tamponade of retina using gas, AND (C85.1, retinopexy using cryotherapy OR C81.2, laser photocoagulation of retina for detachment). To explore whether there has been an increase in the proportion of patients with myopia within those undergoing RD repair over the past 10 years, we carried out a retrospective service evaluation in a large tertiary eye hospital in England. Axial elongation typically occurs and progresses during childhood and adolescence, whilst retinal breaks and detachments typically occur in adulthood. Whilst the national vitreoretinal audits discuss myopia as contributing to increasing RD repairs and note that the greatest increase has occurred in men age 50–69 and women age 40–59, they do not systematically collect refractive or biometry data, specifically axial length. With earlier onset and faster and longer progression, more people reach high myopia. Myopia now affects 25–30% of young adults across Europe. Epidemiological studies report that the prevalence of myopia in children and young people has doubled over the past 50 years. Recent national audits indicate that over the past 10–20 years, there has been a substantial increase in surgical retinal detachment (RD) repairs in England and Scotland.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |