Original articleLate Increased Risk of Retinal Detachment After Cataract Extraction
Section snippets
Methods
We performed a prospective cohort study of insurance claims and medical charts of insurance beneficiaries who underwent ECCE (including phacoemulsification) and IOL implantation at the Sixth Branch of the Bureau of National Health Insurance of Taiwan between August 1, 1999 and December 1, 2001. Each patient was identified with a coded number in the Bureau of National Health Insurance databank (to which we did not have access) and no invasive procedures were involved. Data from these charts,
Results
A total of 9388 cases were collected, including 5235 females and 4153 males. One thousand and eighty-four cases were counted as lost to follow-up before the end of the study, including those who experienced other intraocular procedure unrelated to RD repair (n = 44) or those who died during follow-up (n = 1,040). The age of patients ranged from 18 to 99 years, with a mean of 65.96 ± 9.33 years. Mean follow-up time was 79.21 ± 15.56 months (range, 5.1 to 103.3 months). The mean age was 65.84 ±
Discussion
Myopia is a common ocular condition, especially in Asia.20, 21 In Taiwan, a national survey revealed that subjects aged 16 to 18 years have a rate of myopia of 84%.20 The prevalence of high myopia is 18% among young Taiwanese males and 24% among young Taiwanese females.20, 22 Myopia poses a significant public health problem because it is associated with an increased risk of such profound ocular diseases as glaucoma, cataract, RD, and macular degeneration.1, 2, 3, 4, 5, 6, 7 Both myopia and
Shwu-Jiuan Sheu, MD, is the Chair, Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, and associate professor, National Yang-Ming University, Taipei, Taiwan. She received residency training in Ophthalmology in Taipei Veterans General Hospital, Taipei, Taiwan from 1984 to 1988 and fellowship in Doheny Eye Institute, University of Southern California, Los Angeles, California from 1992 to 1993. Her research interests are ocular neovascularization, oxidative stress in
References (31)
- et al.
Pseudophakic retinal detachment in high axial myopia
J Cataract Refract Surg
(1997) - et al.
Cataract surgery as a risk factor for retinal detachment in very highly myopic eyes
Ophthalmology
(2003) - et al.
The relationship between glaucoma and myopia: the Blue Mountains Eye Study
Ophthalmology
(1999) - et al.
Risk of retinal detachment after cataract extraction, 1980–2004: a population-based study
Ophthalmology
(2006) - et al.
National outcomes of cataract extractionIncreased risk of retinal complications associated with Nd:YAG laser capsulotomy
Ophthalmology
(1992) - et al.
Epidemiology of retinal detachment following extracapsular cataract extraction: a follow-up study with an analysis of risk factors
J Cataract Refract Surg
(1993) - et al.
Risk Factors for retinal detachment after cataract surgeryA population-based case-control study
Ophthalmology
(1996) - et al.
Pseudophakic retinal detachment after phacoemulsification cataract surgery: ten-year retrospective review
J Cataract Refract Surg
(2006) - et al.
Risk factors for retinal detachment after cataract surgery: a case-control study
Ophthalmology
(2006) - et al.
Alterations in human vitreous humour following cataract extraction
Exp Eye Res
(2005)
Posterior vitreous detachment and retinal detachment after cataract surgery
Ophthalmology
Phacoemulsification with intraocular lens implantation in high myopia
J Cataract Refract Surg
Retinal detachment after phacoemulsification in high myopia: analysis of 2356 cases
J Cataract Refract Surg
The influence of refractive error and lattice degeneration on the incidence of retinal detachment
Trans Am Ophthalmol Soc
Risk factors for idiopathic rhegmatogenous retinal detachment
Am J Epidemiol
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Retinal detachment after refractive lens exchange with EDOF and multifocal intraocular lenses: A narrative review
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2022, Archivos de la Sociedad Espanola de OftalmologiaRisk Factors for Onset or Progression of Posterior Vitreous Detachment at the Vitreomacular Interface after Cataract Surgery
2021, Ophthalmology RetinaCitation Excerpt :It is well known that young age is a risk factor for RD development after phacoemulsification. According to Sheu et al,5 patients younger than 50 years showed a relative risk of 2.69 for RD after cataract surgery when compared with those older than 60 years. In the present cohort, retinal breaks that were not detected at preoperative screening developed only in eyes in which PVD developed during that time, suggesting a direct relationship between PVD and retinal breaks.
Delayed Retinal Breaks and Detachments after Acute Posterior Vitreous Detachment
2020, OphthalmologyCitation Excerpt :To detect asymptomatic pathologic features, examiners therefore may consider re-evaluating patients with acute PVD more frequently than is currently common practice. Multiple prior studies have shown male gender to be a risk factor for RD in pseudophakic eyes, although the mechanism is poorly understood.26–28 Men in our study showed an increased risk for delayed retinal breaks and RDs even after controlling for other risk factors, including pseudophakia.
Shwu-Jiuan Sheu, MD, is the Chair, Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, and associate professor, National Yang-Ming University, Taipei, Taiwan. She received residency training in Ophthalmology in Taipei Veterans General Hospital, Taipei, Taiwan from 1984 to 1988 and fellowship in Doheny Eye Institute, University of Southern California, Los Angeles, California from 1992 to 1993. Her research interests are ocular neovascularization, oxidative stress in retinal pigment epithelium and vitreoretinal surgery.