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Comment & Response
May 21, 2020

Questions on Rhegmatogenous Retinal Detachment and the Day of the Week of Repair or Diagnosis—Reply

Author Affiliations
  • 1Byers Eye Institute, Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California
JAMA Ophthalmol. Published online May 21, 2020. doi:10.1001/jamaophthalmol.2020.1867

In Reply Using commercial insurance claims data, we demonstrated1 that the methods used to repair rhegmatogenous retinal detachments (RRD) among a cohort of patients in the United States varied depending on the day of the week that patients presented for diagnosis or treatment. This variation was most apparent in the use of pneumatic retinopexy (PR), which was more likely to be used for repair during the weekend. We found that patients who received PR on a Sunday were more likely to receive a second operation within 30 days. The variation noted in our study is likely the confluence of various factors, including reduced operating room availability on the weekends. Some physicians may be using PR on the weekends as a temporizing procedure before definitive management is performed later in the week.1

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