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This abstract is assigned to session OB Free papers 2 - Surgical retina

Title

Ambulatory Locoregional Vitreoretinal Surgery : Pilot Study of first 40 cases

Purpose	To evaluate the post-operative surgical results and patient satisfaction after vitreoretinal surgery performed on ambulatory basis with locoregional anesthesia in an extramural setting.
Methods	Retrospective, interventional , non-comparative non-randomized consecutive cohort study Participants : All vitreoretinal surgeries performed in our department between 01/12/2009 and 31/07/2010 Methods : The medical records were reviewed of 40 patients after pars plana vitrectomy, recording the operation technique and the postoperative complication rate. A questionnaire was submitted to patients with regard to procedure related comfort and inconveniences
Results	Fourty cases were recorded. The range of procedures was wide. One patient developped a postoperative retinal detachment, caused by a pre-existing retinal weakness. The patients described being pain-free in a significantely high precentage of cases and ’comfortable during surgery’ in nearly all of the procedures. The outpatient setting was described as being threshold-lowering in all of the patients.
Conclusion	Vitreoretinal surgery is suitable to be performed in an ambulatory setting with locoregional setting in most of the clinical presentations. The complication rate was not higher than the average standards. The patient comfort was high and avoiding hospital admission lowers the surgical threshold and the overall costs of these procedures.

Author 1

Last name	HAVERBEKE
Initials	G
Department	Vitreoretinal Policlinic
City	Kortrijk

Author 2

Last name	RIEMS
Initials	J
Department	Université Catholique de Louvain
City	Brussel

Author 3

Last name	CLAEYS
Initials	C
Department	Vitreoretinal Polilinic
City	Kortrijk