Incidence and risk factors of perioperative suprachoroidal hemorrhage: A systematic review and meta-analysis.

IF 5.1 2区 医学 Q1 OPHTHALMOLOGY
Tianyu Liu, Ayman G Elnahry, Zujaja Tauqeer, Yinxi Yu, Gui-Shuang Ying, Benjamin J Kim
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引用次数: 0

Abstract

Suprachoroidal hemorrhage (SCH) is a potentially visually devastating complication of intraocular surgery, but estimates of perioperative SCH incidence vary. We performed a systematic review and meta-analysis of perioperative SCH incidence among population-based studies published between 1990 and 2023. Thirty-five studies collectively reported 1657 cases of perioperative SCH from a population of 3,028,911 surgeries. The estimated incidence of SCH was 0.12 % (95 % CI, 0.10-0.14 %), or about 1 in every 800 surgeries. The estimated incidence of perioperative massive SCH was 0.06 % (95 % CI, 0.04-0.08 %). In multivariable meta-regression, greater SCH incidence was significantly associated with smaller study population size, comparative study design, multicenter study setting, and intraoperative or delayed SCH timing (vs intraoperative alone), while lower SCH incidence was significantly associated with vitreoretinal or mixed surgery type (vs. cataract) (all P < 0.05). Study year was not a significant predictor of SCH incidence, suggesting that the incidence of SCH has not decreased over the past 3 decades despite improvements in surgical technologies and techniques. Given the rarity of SCH, and the strong effect of study population size on reported SCH incidence rates, future studies of SCH incidence should include a minimum population size of at least 1000 surgeries to obtain an accurate estimate of SCH incidence.

围手术期脉络膜上腔出血的发生率和风险因素:系统回顾和荟萃分析。
脉络膜上腔出血(SCH)是眼内手术中一种潜在的视觉破坏性并发症,但对围术期SCH发生率的估计各不相同。我们对1990年至2023年间发表的基于人群的研究进行了系统回顾和荟萃分析。35项研究共报告了1,657例围手术期SCH病例,涉及3,028,911例手术。SCH的估计发病率为0.12%(95% CI,0.10-0.14%),即大约每800例手术中就有一例。围手术期大面积 SCH 的估计发生率为 0.06%(95% CI,0.04-0.08%)。在多变量元回归中,SCH发生率较高与研究人群规模较小、比较研究设计、多中心研究环境、术中或延迟SCH时机(与单纯术中)显著相关,而SCH发生率较低与玻璃体视网膜手术或混合手术类型(与白内障手术)显著相关(所有P均<0.05)。研究年份并不是SCH发病率的重要预测因素,这表明在过去的30年中,尽管手术技术和技巧有所改进,但SCH的发病率并没有降低。鉴于SCH的罕见性,以及研究人群规模对报告的SCH发病率的强烈影响,未来的SCH发病率研究应包括至少1000例手术的最低人群规模,以获得SCH发病率的准确估计。
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来源期刊
Survey of ophthalmology
Survey of ophthalmology 医学-眼科学
CiteScore
10.30
自引率
2.00%
发文量
138
审稿时长
14.8 weeks
期刊介绍: Survey of Ophthalmology is a clinically oriented review journal designed to keep ophthalmologists up to date. Comprehensive major review articles, written by experts and stringently refereed, integrate the literature on subjects selected for their clinical importance. Survey also includes feature articles, section reviews, book reviews, and abstracts.
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