Epidemiologic characteristics of retinal detachment surgery at a specialized unit in Denmark

Abstract

ABSTRACT.Purpose: To examine the incidence of retinal detachments and to evaluate patient profiles and surgical characteristics. Methods: Retrospective review of patients operated for primary retinal detachment (RD) and redetachment between 2010 and 2012 at the Department of Ophthalmology, Odense University Hospital, Denmark. We included all RD such as rhegmatogenous retinal detachment (RRD), tractional retinal detachment (TRD) and exudative retinal detachment (ERD). Results: In total, 779 RD surgeries were performed: 83.7% (n = 652) primary operations and 16.3% (n = 127) reoperation. For primary operation, pars plana vitrectomy (PPV), scleral buckling and combined operations were performed in 95.1% (n = 620), 4.6% (n = 30) and 0.3% (n = 2) respectively. Over time there was less use of silicone oil and greater use of gas tamponade (p = <0.001), less simultaneous cataract operations (p = <0.001), less use of cryotherapy (p = 0.045) and more use of peeling procedures (p = <0.001) in primary operations. The annual incidence of surgery for primary RD was 22.0 [95% confidence interval (CI) 20.4-23.8] per 100 000 inhabitants aged >15 years. Retinal detachment (RD) was more common in males than females (1.8:1), and mean age at presentation was 61.8 years (standard deviations AE 12.3). The annual incidence for ) and 1.25 (95% CI 0.9-1.7) per 100 000 inhabitants >15 years. Conclusion: This study presents the first overall incidence for RD in Denmark. The highest incidence of RRD was among males aged 60 to 79 years, whereas TRD was among females at same age. Pars plana vitrectomy (PPV) was the preferred surgical technique, and during 2012 all RD patients were treated with PPV, independent of lens status and age.

Statin use and vitreoretinal surgery: Findings from a Finnish population‐based cohort study

“…Rates of RRD patients undergoing vitrectomy have shown a more than 10-fold increase from 1985 to 2004 in UK (El-Amir et al 2009), and in our centre, vitrectomy has become the preferred surgical technique for primary RRD (Sahanne et al 2017), being in line with other latest studies (Poulsen et al 2016;Haugstad et al 2017). In our study, the RRD eyes operated with conventional SB surgery without vitrectomy were not included or analysed.…”

Primary rhegmatogenous retinal detachment – surgical methods and anatomical outcome

“…; Poulsen et al. ) have been reported. Hajari, in his longitudinal study over 10.5 years, found rising incidences over time with the highest incidence of approximately 17.0/100 000 in 2011.…”

“…An incidence of 18.2/100 000 was found in the Netherlands (Van de Put et al 2013). In studies from other Nordic countries, incidence rates of 6.9/100 000 in Finland (Laatikainen et al 1985), 10.6/ 100 000 in Sweden (Algvere et al 1999) and 13.7/100 000 and 20.0/ 100 000, respectively, in Denmark (Hajari et al 2014;Poulsen et al 2016) have been reported. Hajari, in his longitudinal study over 10.5 years, found rising incidences over time with the highest incidence of approximately 17.0/100 000 in 2011.…”

Endo-Illumination-Aided Scleral Buckling Combined with Intravitreal Injection of Hyaluronate for Treatment of Rhegmatogenous Retinal Detachment

“…Primary rhegmatogenous retinal detachment (RRD) is the most common type of retinal detachment and is an acute vision-threatening disease in ophthalmology [1]. Scleral buckling (SB) had been the leading approach since introduced by Schepens et al [2] in the 1950s until the 1980s with the advancement of pars plana vitrectomy [3].…”