{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:46:07Z","timestamp":1792032367030,"version":"4.4.0"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of VitreoRetinal Diseases"],"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To evaluate vitreoretinal surgeons\u2019 access to operating rooms and potential barriers to care.\n                    <jats:bold>Methods:<\/jats:bold>\n                    An electronic survey of the American Society of Retina Specialists was performed in 2025.\n                    <jats:bold>Results:<\/jats:bold>\n                    Of the 276 respondents, most (90% [248]) were concerned about obtaining sufficient operating room time, with more than half (54% [150]) reporting increased difficulty accessing hospital operating rooms even during the weekdays and 45% (124) reporting increased difficulty accessing hospital operating rooms at nights and weekends. The most common reasons for limited access to operating rooms included block time\/scheduling conflicts (61% [169]), anesthesia limitations (59% [162]), staffing limitations (51% [142]), and lower relative reimbursements for vitreoretinal surgeries (45% [125]). Most surgeons (94% [259]) believed that restricting operating room access adversely impacted patient care, leading to delays for urgent retinal detachment repairs (77% [212]), increased travel burden for patients (62% [170]), and worse patient outcomes (41% [113]). Patients treated in lower socioeconomic areas had to travel farther for surgery (median of 19 vs 9 miles for ambulatory surgery centers,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001, and 17 vs 9 miles for hospitals,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). Practices have compensated by relying more on in-office procedures (46% [128]) and referrals to academic centers (39% [108]).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Vitreoretinal surgeons were concerned about access restrictions to operating rooms and the potential impact on patients. Potential reasons for limited operating room access were likely multifactorial but included limited block time, restrictions in anesthesia and staff availability, and lower relative surgical reimbursements.\n                  <\/jats:p>","DOI":"10.1177\/24741264261453055","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:59:36Z","timestamp":1781175576000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Operating Room Access: Survey of the American Society of Retina Specialists"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4874-2471","authenticated-orcid":false,"given":"Ella H.","family":"Leung","sequence":"first","affiliation":[{"name":"Georgia Retina, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Blim","sequence":"additional","affiliation":[{"name":"American Society of Retina Specialists, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6640-6869","authenticated-orcid":false,"given":"Ghassan","family":"Ghorayeb","sequence":"additional","affiliation":[{"name":"West Virginia University Eye Institute, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9522-8486","authenticated-orcid":false,"given":"Miguel","family":"Busquets","sequence":"additional","affiliation":[{"name":"Retina Associates of Kentucky, EyeCare Partners, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3648-3772","authenticated-orcid":false,"given":"Kevin J.","family":"Blinder","sequence":"additional","affiliation":[{"name":"The Retina Institute, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2689-7111","authenticated-orcid":false,"given":"Murtaza","family":"Adam","sequence":"additional","affiliation":[{"name":"Colorado Retina Associates, Lakewood, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avni P.","family":"Finn","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Vanderbilt University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6681-6104","authenticated-orcid":false,"given":"Nimesh","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6114-0996","authenticated-orcid":false,"given":"Hasenin","family":"Al-khersan","sequence":"additional","affiliation":[{"name":"Retina Consultants of Texas, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey G.","family":"Emerson","sequence":"additional","affiliation":[{"name":"Retina Consultants of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Minaker","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Rush University, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Feistmann","sequence":"additional","affiliation":[{"name":"NYC Retina, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Niles","sequence":"additional","affiliation":[{"name":"Buffalo 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