International Classification of Diseases (ICD)-based diagnosis of retinal detachment and surgical modalities of vitrectomy

Objective To diagnose retinal detachment with International Classification of Diseases-10 (ICD-10) and to analyze the surgical modalities of vitrectomy for the disease. Methods The clinical data of 1 648 hospitalized patients with retinal detachment undergoing vitrectomy in our hospital in 2013 were retrospectively analyzed. Results The ICD etiological classification showed that primary retinal detachment accounted for 50.18% (827/1 648), tractional retinal detachment accounted for 32.52% (536/1 648), exudative retinal detachment accounted for 0.61%(10/1 648)and other types accounted for 16.69% (275/1 648). The top 5 common etiological diagnoses were simple rhegmatogenous retinal detachment (25.73%, 424/1 648), diabetic tractional retinal detachment (12.62%, 208/1 648), traumatic retinal detachment (12.08%, 199/1 648), other primary retinal detachment (11.23%, 185/1 648) and retinal detachment after intraocular surgery (10.62%, 175/1 648). The top 4 modalities of vitrectomy were combined silicone oil implanting surgery (54.73%, 902/1 648), basic vitrectomy (21.97%, 362/1 648), combined silicone oil and lenticular surgery (14.38%, 237/1 648) and combined lenticular surgery (5.58%, 92/1 648). Conclusions Modern vitrectomy is used mainly for the treatment of primary retinal detachment and the treatment of retinal detachment related to diabetes, ocular trauma and intraocular surgeries.The complexity of various retinal detachment diseases requires different surgical modalities of vitrectomy for treatment. Key words: Vitrectomy; Retinal detachment; International Classification of Diseases