Retinal detachment in England: database studies of trends over time and geographical variation

Shah, Vishal; Hall, Nick; Goldacre, Michael J

doi:10.1136/bjophthalmol-2014-305774

Cited by 21 publications

(29 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Shah et al. () observed an increase in RD associated with diabetes. In our study, the overall incidence rate for RD increased during the study period, but the incidence of primary operation for TRD decreased (Table ).…”

Section: Discussionmentioning

confidence: 96%

“…Broe et al (2015) found that diabetic retinopathy was an independent predictor for vitrectomy in young people with Type 1 diabetes. Shah et al (2015) observed an increase in RD associated with diabetes. In our study, the overall incidence rate for RD increased during the study period, but the incidence of primary operation for TRD decreased (Table 2).…”

Section: Incidences For Rd In the Region Of Southern Denmarkmentioning

confidence: 89%

See 1 more Smart Citation

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

Poulsen

Pető

Grauslund

et al. 2016

Acta Ophthalmologica

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Incidences For Rd In the Region Of Southern Denmarkmentioning

confidence: 89%

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

Poulsen

Pető

Grauslund

et al. 2016

Acta Ophthalmologica

View full text Add to dashboard Cite

show abstract

“…Macula-on rhegmatogenous retinal detachment (RD) is a common cause of ophthalmic emergency that requires surgical treatment in a short period of time to prevent visual loss [ 1 ]. The annual incidence of RD varies according to the recent references between 15.4 [ 2 ] and 18.2 per 100 000, with a peak incidence of 52.5 per 100 000 people between 55 and 59 years of age [ 3 ]. Myopia is a major risk factor, with a 4-fold higher risk of RD, compared with a nonmyopic eye, in eyes with mild myopia and a 10-fold higher risk in eyes with moderate and high myopia (greater than −3 diopters) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study

Lauro

Castrejon

Fernández

et al. 2015

Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was defined as at least a reduction in one line in best corrected visual acuity (VA) with Snellen chart. The series were divided into 4 subgroups: (1) all macula-on eyes (n = 357); (2) macula-on patients with visual loss at the third month of follow-up (n = 53) which were further subdivided in (3) phakic eyes (n = 39); and (4) pseudophakic eyes (n = 14). Results. Fifty-three eyes (14.9%) had visual loss three months after surgery (n = 39 phakic eyes; n = 14 pseudophakic eyes). There were no statistically significant differences between them regarding their clinical characteristics. Pars plana vitrectomy (PPV) was used in 67.2% of cases, scleral buckle in 57.7%, and scleral explant in 11.9% (36.1% were combined procedures). Conclusions. Around 15% of macula-on RD eyes lose VA after successful surgery. Development of cataracts may be one cause in phakic eyes, but vision loss in pseudophakic eyes could have other explanations such as the effect of released factors produced by retinal ischemia on the macula area. Further investigations are necessary to elucidate this hypothesis.

show abstract

“…Despite excellent surgical success rates, with an anatomical reattachment reaching up to 94% [1, 2], visual recovery varies after rhegmatogenous retinal detachment (RD). The postoperative quality of vision may be disappointing for both the patient and the surgeon [3].…”

Section: Introductionmentioning

confidence: 99%

Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery

Saleh¹,

Gauthier²,

Delbosc³

et al. 2018

Ophthalmologica

View full text Add to dashboard Cite

Purpose: To determine the impact of metamorphopsia on quality of life after successful retinal detachment (RD) surgery and to determine which retinal changes are related to the most severe distortions. Design: This was a prospective, observational, consecutive study. Methods: The study included 58 eyes of 58 consecutive patients who underwent successful RD surgery. At 6 months postoperatively, the incidence and severity of metamorphopsia were assessed by a quality-of-life questionnaire. Microstructure retinal changes were studied with spectral domain optical coherence tomography (OCT). The questionnaire score was compared with pre- and postoperative OCT findings. Results: Overall, 20 patients (34.5%) had metamorphopsia. Outer retinal folds (ORFs) and the macular status before surgery, together with postoperative ORFs and decrease in ellipsoid and/or interdigitation photoreceptor zone reflectivity, were identified as risk factors of developing metamorphopsia (relative risk, 1.7–4.8). The most severe visual distortions were associated with ORFs. Conclusion: Metamorphopsia is a frequent occurrence after RD surgery and its impact on patients’ quality of life appears to be limited. While it may be difficult to prevent photoreceptor loss occurring after surgery, limiting postoperative ORFs may be helpful in reducing their incidence.

show abstract

Retinal detachment in England: database studies of trends over time and geographical variation

Cited by 21 publications

References 23 publications

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

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

Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study

Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery

Contact Info

Product

Resources

About