The Influence of Myopia Progression in Children on the Risk of Retinal Detachment: A Comprehensive Outcomes Analysis.

IF 1 4区医学 Q4 OPHTHALMOLOGY

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-06-27 DOI:10.3928/01913913-20250515-02

Shon Shmushkevich, Shannan Berzack, Sandi Bajrami, Patrick Higgins, Rudolph S Wagner

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引用次数: 0

Abstract

Purpose: To investigate the long-term association between childhood myopia and the risk of retinal detachment over a 10-year follow-up period.

Methods: A retrospective cohort study was conducted using the TriNetX platform, which included 66 United States health care organizations' electronic medical records. Children diagnosed as having myopia (n = 151,499) were compared to a control group of children without myopia who received routine health examinations (n = 5,073,124). Propensity score matching was applied to control for age, gender, and race, resulting in 145,814 patients in each cohort for analysis.

Results: Within the study period from October 16, 2004 to October 16, 2024, 657 children (0.5%) in the myopic cohort and 63 children (0.04%) in the control cohort developed retinal detachment. The risk difference was 0.004 (95% CI: 0.004 to 0.004, P < .001), with a risk ratio of 10.43. The odds ratio was 10.47 (95% CI: 8.09 to 13.56). The average number of retinal detachments per child between the cohorts was not statistically significant.

Conclusions: Children with myopia are at an increased risk of retinal detachment over a 10-year period. This highlights an urgent need for early detection and monitoring of these children to prevent myopia progression and retinal detachment. The findings reinforce the growing need for public health measures and clinical approaches aimed at slowing myopia progression in pediatric populations. [J Pediatr Ophthalmol Strabismus. 20XX;X(X):XXXXXX.].

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儿童近视进展对视网膜脱离风险的影响：一项综合结果分析。

目的：通过10年的随访研究儿童近视与视网膜脱离风险之间的长期关系。方法：使用TriNetX平台进行回顾性队列研究，其中包括66个美国卫生保健组织的电子病历。被诊断为近视的儿童（n = 151,499）与接受常规健康检查的非近视儿童（n = 5,073,124）的对照组进行比较。倾向评分匹配应用于年龄、性别和种族的对照，每个队列中有145,814例患者进行分析。结果：2004年10月16日至2024年10月16日，近视组657例（0.5%），对照组63例（0.04%）发生视网膜脱离。风险差异为0.004 (95% CI: 0.004 ~ 0.004, P < 0.001)，风险比为10.43。优势比为10.47 （95% CI: 8.09 ~ 13.56）。每名儿童视网膜脱离的平均数量在队列之间没有统计学意义。结论：近视儿童在10年内视网膜脱离的风险增加。这突出了早期发现和监测这些儿童以防止近视进展和视网膜脱离的迫切需要。研究结果强调了对公共卫生措施和临床方法的日益增长的需求，旨在减缓儿科人群的近视进展。[J].小儿眼斜视。2010；X(X):XXXXXX。

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来源期刊

Journal of Pediatric Ophthalmology & Strabismus 医学-小儿科

CiteScore

1.80

自引率

8.30%

发文量

115

审稿时长

>12 weeks

期刊介绍： The Journal of Pediatric Ophthalmology & Strabismus is a bimonthly peer-reviewed publication for pediatric ophthalmologists. The Journal has published original articles on the diagnosis, treatment, and prevention of eye disorders in the pediatric age group and the treatment of strabismus in all age groups for over 50 years.