The role of phacoemulsification surgery in the incidence rate of rhegmatogenous retinal detachment

IF 3 3区 医学 Q1 OPHTHALMOLOGY
Birgitte Romme Nielsen, Mark Alberti, Morten Lyng Høgild, Toke Bek, Benjamin Sommer Thinggaard, Jakob Grauslund, Ulrik Christensen, Morten la Cour
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Abstract

Purpose

To investigate changes in the incidence rate of primary rhegmatogenous retinal detachment (RRD) surgery over time and to determine to what extent these changes can be attributed to pseudophakia.

Methods

This nationwide cohort study was based on national patient registries. The study population comprised individuals at risk of RRD aged 40 years and above from 2006 to 2021 in Denmark. The primary outcome was RRD incidence, and the exposure was phacoemulsification surgery. A chart review was conducted to validate and examine the lens status of the outcome.

Results

The crude and age-adjusted incidence rate of RRD in the Danish population increased significantly during the study period. The largest increase in RRD was seen in phakic RRD (phRRD) (65%), whereas pseudophakic RRD (pRRD) accounted for 35% of the total increase. A chart review revealed that 17% of phRRDs were misclassified as pseudophakic, resulting in pRRD accounting for a total of 45% of the increase in RRD. The prevalence of pseudophakia in Denmark grew significantly for all age groups and for both sexes (p = 10−6) from 2006 to 2021, but the 1-year incidence of pRRD in the pseudophakic population was constant throughout the entire period.

Conclusion

The incidence rate of RRD is continuing to increase in Denmark. The increase in phRRD remains undetermined, and while the risk of pRRD seemed to be constant during the study period, 45% of the overall increase in RRD could be attributed to the rise of a growing pseudophakic population.

Abstract Image

超声乳化手术在流变性视网膜脱离发病率中的作用。
目的:调查原发性流变性视网膜脱离(RRD)手术发病率随时间推移而发生的变化,并确定这些变化在多大程度上可归因于假性角膜:这项全国性的队列研究以全国患者登记为基础。研究对象包括2006年至2021年期间丹麦40岁及以上的RRD高危人群。研究的主要结果是RRD发病率,暴露因素是超声乳化手术。为了验证和检查结果的镜片状态,还进行了病历审查:结果:在研究期间,丹麦人口的RRD粗发病率和年龄调整后发病率显著增加。RRD增幅最大的是隐形RRD(phRRD)(65%),而假性隐形RRD(pRRD)占总增幅的35%。病历审查显示,17% 的 phRRD 被误诊为假性视网膜病变,导致假性视网膜病变占 RRD 增长总数的 45%。从2006年到2021年,丹麦所有年龄组和男女假性视网膜的发病率都有显著增长(p = 10-6),但假性视网膜人群中pRRD的1年发病率在整个期间保持不变:结论:在丹麦,RRD 的发病率持续上升。phRRD的增加仍未确定,虽然pRRD的风险在研究期间似乎保持不变,但RRD总体增加的45%可归因于假性视网膜病变人群的增加。
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来源期刊
Acta Ophthalmologica
Acta Ophthalmologica 医学-眼科学
CiteScore
7.60
自引率
5.90%
发文量
433
审稿时长
6 months
期刊介绍: Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.
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