{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:04:49Z","timestamp":1790697889950,"version":"4.1.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Erie Retina Research"},{"name":"and The Centers for Advanced Surgical Exploration, private clinical, and research organizations"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of VitreoRetinal Diseases"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To address the gap in safety and efficacy data for office-based vitreoretinal surgery by reporting outcomes from a significant case series performed in a specialized, independent, physician-owned office-based surgery suite.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A retrospective, single-center case series of 173 consecutive vitreoretinal surgeries performed between January 1, 2025, and July 31, 2025, at the Center for Advanced Surgical Exploration in Erie, PA, a physician-owned, Joint Commission\u2013accredited office-based surgery suite. Patient selection was restricted to American Society of Anesthesiologists systemic health classifications I and II. Procedures were conducted under minimal oral sedation and local anesthesia. Primary outcomes included rates of intraoperative and postoperative complications and hospital transfers.\n                    <jats:bold>Results:<\/jats:bold>\n                    A total of 173 patients (173 eyes) were included in the study. The procedural mix included rhegmatogenous retinal detachment repair (48\/173, 27.7%), full-thickness macular hole repair (35\/173, 20.2%), epiretinal membrane peel (58\/173, 33.5%), and other complex procedures, including subretinal gene therapy administration with Port Delivery Platform implantation (32\/173, 18.5%). No anesthesia-related complications or intraoperative events requiring hospital transfer occurred. The postoperative endophthalmitis rate was 0%. Other postoperative complications were observed at rates comparable to those reported for similar procedures in ambulatory surgery center settings.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This series provides initial supporting evidence demonstrating that a carefully selected portfolio of complex vitreoretinal surgeries can be performed safely and effectively in a properly equipped and accredited office-based setting. With strict patient selection and anesthesia protocols, the office-based surgery model represents a viable evolution in the delivery of ophthalmic surgery.\n                  <\/jats:p>","DOI":"10.1177\/24741264261440768","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:15:35Z","timestamp":1777353335000},"page":"1040-1043","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Safety and Efficacy of Vitreoretinal Office-Based Surgery: A Case Series of 173 Procedures in an Office-Based Suite"],"prefix":"10.1177","volume":"10","author":[{"given":"Vinit B.","family":"Mahajan","sequence":"first","affiliation":[{"name":"Molecular Surgery Laboratory, Byers Eye Institute, Stanford University, Palo Alto, CA, USA"},{"name":"The Centers for Advanced Surgical Exploration (CASExERIE), Erie, PA, USA"},{"name":"Erie Retina Research, Erie, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahita","family":"Kadmiel","sequence":"additional","affiliation":[{"name":"The Centers for Advanced Surgical Exploration (CASExERIE), Erie, PA, USA"},{"name":"Erie Retina Research, Erie, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1742-1683","authenticated-orcid":false,"given":"David R.P.","family":"Almeida","sequence":"additional","affiliation":[{"name":"The Centers for Advanced Surgical Exploration (CASExERIE), Erie, PA, USA"},{"name":"Erie Retina Research, Erie, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"issue":"3","key":"e_1_3_2_2_2","first-page":"210","article-title":"The rise of office-based surgery across medical specialties: a decade in review","volume":"46","author":"Smith LA","year":"2023","unstructured":"Smith LA, Jones BK. The rise of office-based surgery across medical specialties: a decade in review. J Ambul Care Manage. 2023;46(3):210-225.","journal-title":"J Ambul Care Manage"},{"issue":"1","key":"e_1_3_2_3_2","first-page":"5","article-title":"A cautious embrace: the adoption of office-based procedures in orthopedics and gastroenterology","volume":"31","author":"Williams RJ","year":"2024","unstructured":"Williams RJ, Chen SP. A cautious embrace: the adoption of office-based procedures in orthopedics and gastroenterology. Surg Innov. 2024;31(1):5-12.","journal-title":"Surg Innov"},{"issue":"4","key":"e_1_3_2_4_2","first-page":"890","article-title":"Anesthesia in the office-based setting: a safety analysis of over 50,000 cases","volume":"140","author":"Davis MP","year":"2025","unstructured":"Davis MP, Patel V. Anesthesia in the office-based setting: a safety analysis of over 50,000 cases. Anesth Analg. 2025;140(4):890-897.","journal-title":"Anesth Analg"},{"key":"e_1_3_2_5_2","author":"American Society of Retina Specialists","year":"2024","unstructured":"American Society of Retina Specialists. Position Statement on Office-Based Vitreoretinal Surgery, Including Early Experience from the First 700 Cases. ASRS Retinomics; 2024.","journal-title":"Position Statement on Office-Based Vitreoretinal Surgery, Including Early Experience from the First 700 Cases"},{"issue":"7","key":"e_1_3_2_6_2","first-page":"789","article-title":"The importance of multi-center trials in validating new surgical models: lessons from the ASC revolution","volume":"158","author":"Johnson TM","year":"2023","unstructured":"Johnson TM, Lee WC. The importance of multi-center trials in validating new surgical models: lessons from the ASC revolution. JAMA Surg. 2023;158(7):789-790.","journal-title":"JAMA Surg"},{"key":"e_1_3_2_7_2","unstructured":"The Joint Commission. National Patient Safety Goals\u00ae Effective January 2026 for the Office-Based Surgery Program. The Joint Commission; 2025. Accessed April 17 2026. https:\/\/www.jointcommission.org\/standards\/national-patient-safety-goals\/office-based-surgery-national-patient-safety-goals\/"},{"issue":"5","key":"e_1_3_2_8_2","first-page":"34","article-title":"The economics of office-based surgery: a comparative analysis of reimbursement models","volume":"29","author":"Miller KL","year":"2025","unstructured":"Miller KL, Davis JR. The economics of office-based surgery: a comparative analysis of reimbursement models. Ophthalmol Manag. 2025;29(5):34-38.","journal-title":"Ophthalmol Manag"},{"issue":"1","key":"e_1_3_2_9_2","first-page":"87","article-title":"Patient experience in office-based versus ambulatory surgery center settings: a comparative study","volume":"10","author":"Anderson PT","year":"2023","unstructured":"Anderson PT, Williams SK. Patient experience in office-based versus ambulatory surgery center settings: a comparative study. Patient Exp J. 2023;10(1):87-95.","journal-title":"Patient Exp J"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000007521"}],"container-title":["Journal of VitreoRetinal Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24741264261440768","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24741264261440768","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24741264261440768","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:25:49Z","timestamp":1790695549000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24741264261440768"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,27]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/24741264261440768"],"URL":"https:\/\/doi.org\/10.1177\/24741264261440768","relation":{},"ISSN":["2474-1264","2474-1272"],"issn-type":[{"value":"2474-1264","type":"print"},{"value":"2474-1272","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,27]]}}}