{"title":"术前视网膜脱离引起黄斑脱离的变量。","authors":"Shunsuke Nishimura, Tetsuhiko Okuda, Tomomi Higashide, Kazuhisa Sugiyama","doi":"10.2147/OPTH.S499960","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The factors that contribute to the progression of macular involvement in RRD have not been extensively investigated. The purpose of this study is to evaluate the association between the preoperative characteristics and macular status of the eyes with rhegmatogenous retinal detachment (RRD).</p><p><strong>Methods: </strong>This is a retrospective cohort study. All patients with RRDs who underwent initial pars plana vitrectomy or scleral buckling were included. Patients with RRD and macular hole retinal detachment, traumatic RD, proliferative diabetic retinopathy, proliferative vitreoretinopathy grade C or higher, diabetic retinopathy, or retinal vein occlusion were excluded. High myopia was defined as an axial length > of 26.5 mm.</p><p><strong>Results: </strong>A total of 1026 eyes of 1026 patients (mean, 55.4±15.5 years) were included. There was a significant difference in the male (68.4%) to female (31.6%) ratio (the chi-squared test: <i>P</i> < 0.001). A total of 351 patients (34.2%) had high myopia. The 50-59 years age group had the highest number of eyes with high myopia. The proportion of highly myopic eyes in the 40-49 years group was the highest. Multiple logistic regression analysis indicated that prior cataract extraction and shorter axial length (≤24.5 mm) were significantly associated with macula-off RRD (<i>P</i> = 0.018, <i>P</i> = 0.043, respectively). Superior and temporal retinal breaks significantly increased and superior nasal retinal breaks significantly decreased the odds ratio of macular detachment (<i>P</i> = 0.018, <i>P</i> < 0.001, and <i>P</i> < 0.001, respectively).</p><p><strong>Conclusion: </strong>Previous cataract extraction, shorter axial length, and superior and temporal retinal breaks are important risk factors for macular detachment.</p>","PeriodicalId":93945,"journal":{"name":"Clinical ophthalmology (Auckland, N.Z.)","volume":"19 ","pages":"11-18"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706010/pdf/","citationCount":"0","resultStr":"{\"title\":\"Preoperative Retinal Detachment Variables Causing Macular Detachment.\",\"authors\":\"Shunsuke Nishimura, Tetsuhiko Okuda, Tomomi Higashide, Kazuhisa Sugiyama\",\"doi\":\"10.2147/OPTH.S499960\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The factors that contribute to the progression of macular involvement in RRD have not been extensively investigated. The purpose of this study is to evaluate the association between the preoperative characteristics and macular status of the eyes with rhegmatogenous retinal detachment (RRD).</p><p><strong>Methods: </strong>This is a retrospective cohort study. All patients with RRDs who underwent initial pars plana vitrectomy or scleral buckling were included. Patients with RRD and macular hole retinal detachment, traumatic RD, proliferative diabetic retinopathy, proliferative vitreoretinopathy grade C or higher, diabetic retinopathy, or retinal vein occlusion were excluded. High myopia was defined as an axial length > of 26.5 mm.</p><p><strong>Results: </strong>A total of 1026 eyes of 1026 patients (mean, 55.4±15.5 years) were included. There was a significant difference in the male (68.4%) to female (31.6%) ratio (the chi-squared test: <i>P</i> < 0.001). A total of 351 patients (34.2%) had high myopia. The 50-59 years age group had the highest number of eyes with high myopia. The proportion of highly myopic eyes in the 40-49 years group was the highest. Multiple logistic regression analysis indicated that prior cataract extraction and shorter axial length (≤24.5 mm) were significantly associated with macula-off RRD (<i>P</i> = 0.018, <i>P</i> = 0.043, respectively). Superior and temporal retinal breaks significantly increased and superior nasal retinal breaks significantly decreased the odds ratio of macular detachment (<i>P</i> = 0.018, <i>P</i> < 0.001, and <i>P</i> < 0.001, respectively).</p><p><strong>Conclusion: </strong>Previous cataract extraction, shorter axial length, and superior and temporal retinal breaks are important risk factors for macular detachment.</p>\",\"PeriodicalId\":93945,\"journal\":{\"name\":\"Clinical ophthalmology (Auckland, N.Z.)\",\"volume\":\"19 \",\"pages\":\"11-18\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706010/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical ophthalmology (Auckland, N.Z.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/OPTH.S499960\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical ophthalmology (Auckland, N.Z.)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/OPTH.S499960","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:导致RRD黄斑受累进展的因素尚未得到广泛的研究。本研究的目的是评估术前特征与孔源性视网膜脱离(RRD)眼睛黄斑状态之间的关系。方法:回顾性队列研究。所有的rrd患者都接受了最初的玻璃体切割或巩膜扣合。排除RRD合并黄斑孔视网膜脱离、外伤性RD、增殖性糖尿病视网膜病变、增殖性玻璃体视网膜病变C级及以上、糖尿病视网膜病变、视网膜静脉闭塞的患者。高度近视定义为眼轴长度为26.5 mm。结果:共纳入1026例患者1026只眼(平均55.4±15.5岁)。男性(68.4%)与女性(31.6%)的比例差异有统计学意义(卡方检验:P < 0.001)。高度近视351例(34.2%)。50-59岁年龄组高度近视发生率最高。高度近视的比例以40 ~ 49岁年龄组最高。多元logistic回归分析显示,既往白内障摘除和较短的眼轴长度(≤24.5 mm)与黄斑离体RRD显著相关(P = 0.018, P = 0.043)。上、颞视网膜断裂显著增加,鼻上视网膜断裂显著降低黄斑脱离的优势比(P = 0.018, P < 0.001, P < 0.001)。结论:既往白内障摘除、眼轴短、上颞视网膜断裂是黄斑脱离的重要危险因素。
Purpose: The factors that contribute to the progression of macular involvement in RRD have not been extensively investigated. The purpose of this study is to evaluate the association between the preoperative characteristics and macular status of the eyes with rhegmatogenous retinal detachment (RRD).
Methods: This is a retrospective cohort study. All patients with RRDs who underwent initial pars plana vitrectomy or scleral buckling were included. Patients with RRD and macular hole retinal detachment, traumatic RD, proliferative diabetic retinopathy, proliferative vitreoretinopathy grade C or higher, diabetic retinopathy, or retinal vein occlusion were excluded. High myopia was defined as an axial length > of 26.5 mm.
Results: A total of 1026 eyes of 1026 patients (mean, 55.4±15.5 years) were included. There was a significant difference in the male (68.4%) to female (31.6%) ratio (the chi-squared test: P < 0.001). A total of 351 patients (34.2%) had high myopia. The 50-59 years age group had the highest number of eyes with high myopia. The proportion of highly myopic eyes in the 40-49 years group was the highest. Multiple logistic regression analysis indicated that prior cataract extraction and shorter axial length (≤24.5 mm) were significantly associated with macula-off RRD (P = 0.018, P = 0.043, respectively). Superior and temporal retinal breaks significantly increased and superior nasal retinal breaks significantly decreased the odds ratio of macular detachment (P = 0.018, P < 0.001, and P < 0.001, respectively).
Conclusion: Previous cataract extraction, shorter axial length, and superior and temporal retinal breaks are important risk factors for macular detachment.