The Scottish RD survey 10 years on: the increasing incidence of retinal detachments

El-Abiary, Mariam; Shams, Fatemah; Goudie, Colin; Yorston, David

doi:10.1038/s41433-022-02123-1

Cited by 11 publications

(2 citation statements)

References 25 publications

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“…formed on data from 2007-2009 using the same methodology. There was an increase in the incidence of retinal detachment from 12 to 16 (or even 17 after correction for the pandemic lockdown) per 100,000 person years [11].…”

Section: United Kingdommentioning

confidence: 99%

Werden Netzhautablösungen häufiger? Daten von 2 Universitätsaugenkliniken und Literaturübersicht

Radeck

Helbig

Barth

et al. 2023

Klin Monbl Augenheilkd

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Ausgehend vom subjektiven Eindruck vieler vitreoretinaler Chirurgen und der Beobachtung stark steigender Zahlen von Patienten mit Netzhautablösungen an einzelnen Zentren in den letzten Jahren, wurde die jüngere Literatur zu Veränderungen der Inzidenz der Netzhautablösungen weltweit gesichtet. Dabei zeigten sich ganz erhebliche methodische Unterschiede der Studien, die einen Vergleich und klare Schlussfolgerungen zur Entwicklung der Häufigkeit von Netzhautablösungen erschweren. Trotz dieser Einschränkungen sprechen alle Daten aus aktuellen Untersuchungen für eine Zunahme der Zahl der Netzhautablösungen. Die Ablatio-Inzidenz in der westlichen Welt scheint derzeit bei über 20 Fällen pro 100.000 Personenjahren zu liegen, somit deutlich höher als in früheren Jahrzehnten beschrieben. Ursächlich kann vermutet werden, dass ein Anstieg der Prävalenz der Myopie, eine demographische Zunahme der Patienten im typischen Ablatio-Alter und eine steigende Zahl an Katarakt-Operationen, insbesondere bei jüngeren Patienten, für die steigende Inzidenz der Ablatio verantwortlich sind. Based on the subjective impression of many vitreoretinal surgeons and the observation of strongly increasing numbers of patients with retinal detachments at individual centres in recent years, the literature on changes in the incidence of retinal detachments worldwide was reviewed. This revealed quite significant methodological differences among the studies, making comparison and clear conclusions on the development of the incidence of retinal detachments difficult. Despite these limitations, all data from recent studies suggest an increase in the number of retinal detachments. The incidence of retinal detachment in the western world currently seems to be above 20 cases per 100,000 person-years, which is significantly higher than described in earlier decades. It can be assumed that an increase in the number of individuals with myopia, a demographic increase in patients of typical retinal detachment age and an increasing number of cataract surgeries, especially in younger patients, are responsible for the rising incidence of retinal detachment.

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Section: United Kingdommentioning

confidence: 99%

Werden Netzhautablösungen häufiger? Daten von 2 Universitätsaugenkliniken und Literaturübersicht

Radeck

Helbig

Barth

et al. 2023

Klin Monbl Augenheilkd

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“…The population prevalence of LD is in high contrast with the annual rate of RRD which does not exceed 0.01-0.02%. [3][4][5] This raises the discussion as to the need for laser prophylaxis for asymptomatic LD. However, the cumulation of other risk factors, including axial myopia, age-related vitreous changes, and intraocular surgery may substantially increase the risk of RRD in eyes with LD.…”

Section: Introductionmentioning

confidence: 99%

Spotlight on Lattice Degeneration Imaging Techniques

Maltsev¹,

Kulikov²,

Shaimova³

et al. 2023

OPTH

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Lattice degeneration (LD), routinely diagnosed with indirect ophthalmoscopy, is one of the most common and clinically significant peripheral retinal findings. In this review, we have summarized the data on currently available imaging techniques which help to improve diagnosis and our understanding of LD pathogenesis. Ultra-wide field imaging provides reliable color fundus capturing for the primary diagnosis of LD and may also be used as a screening tool. Wide-field imaging can be used for targeted documentation of LD lesions using true colors and with minimal optical distortions. Information on the status of the vitreoretinal interface, including detection of retinal holes, detachments, and vitreous tractions, can be obtained with peripheral structural optical coherence tomography (OCT) or scanning laser ophthalmoscopy in retro-mode. These techniques clarify the associated risks of rhegmatogenous retinal detachment. Fundus autofluorescence can provide details on atrophic changes. However, the risk of retinal detachment by means of this technique requires further investigation. OCT angiography may be successfully performed for some lesions. Taken together, OCT and OCT angiography demonstrate thinning of the choroid, alteration of local choroidal microcirculation, and, in severe lesions, involvement of the sclera. OCT angiography confirms loss of retinal microcirculation within LD lesion, which was previously shown with fluorescein angiography. In conclusion, despite relatively simple primary diagnosis, imaging of LD lesions remains challenging due to their peripheral localization. However, several new strategies, including ultra-wide field imaging, peripheral OCT, and scanning laser ophthalmoscopy, make LD imaging possible on a routine basis, improving diagnosis and understanding of LD pathogenesis.

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Ultrasound of the eye – Part 2: Fundamentals of posterior wall detachment

Napier

2024

Sonography

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Detachment of the posterior membranes of the eye may occur following trauma or surgery, can result from certain disease processes or just be attributed to the aging process. Irrespective of the cause, all can contribute to visual disturbance. Failure to diagnose and treat such conditions can have permanent effects on a patient's vision if not addressed in a timely manner. Ultrasound proves to be a useful tool to aid in the diagnosis of posterior wall detachments when the operator has a thorough knowledge of ocular structure and function, anatomical landmarks and the common sonographic appearances that differentiate the type of membrane involved in the disease process. Although ocular ultrasound has historically been performed in the emergency or ophthalmology settings, the incidence of ocular ultrasound being undertaken in radiology departments is increasing. Multiple recent studies have observed an increase in the incidence of retinal detachment, the main causative factors being linked to a higher prevalence of myopia and cataract surgeries. The purpose of this article therefore is to provide a comprehensive guide to the anatomical structure of the posterior orbital segment, including surface anatomy and attachment points, and how this can facilitate the correct identification of the different types of posterior membranous detachment based on common sonographic appearances. As such, operators skilled in performing ultrasound of the eye can play a pivotal role in ensuring an appropriate management pathway is achieved by way of accurate interpretation of pathological ultrasound images.

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The Scottish RD survey 10 years on: the increasing incidence of retinal detachments

Cited by 11 publications

References 25 publications

Werden Netzhautablösungen häufiger? Daten von 2 Universitätsaugenkliniken und Literaturübersicht

Werden Netzhautablösungen häufiger? Daten von 2 Universitätsaugenkliniken und Literaturübersicht

Spotlight on Lattice Degeneration Imaging Techniques

Ultrasound of the eye – Part 2: Fundamentals of posterior wall detachment

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