A Population-Based Study of Anterior Ischemic Optic Neuropathy Following Cataract Surgery.
Journal
American journal of ophthalmology
ISSN: 1879-1891
Titre abrégé: Am J Ophthalmol
Pays: United States
ID NLM: 0370500
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
17
06
2020
revised:
08
08
2020
accepted:
08
08
2020
pubmed:
21
8
2020
medline:
17
3
2021
entrez:
21
8
2020
Statut:
ppublish
Résumé
To determine if there is an increased incidence rate of post-cataract surgery (pcs) anterior ischemic optic neuropathy (AION) compared to spontaneous AION (sAION). Retrospective, population-based cohort. Patients diagnosed with AION from January 1, 1990, through December 31, 2016, while residing in Olmsted County, Minnesota. Patients with cataract surgery preceding AION were included in the pcsAION cohort defined in 2 ways: AION within 2 months and AION within 1 year of cataract surgery. The incidence rates of pcsAION and sAION were compared using Poisson regression models. During the study period, 102 residents developed AION. The median age was 65 years (range, 40-90 years), 44 (43.1%) were female. Twenty of 102 (19.6%) patients had previous cataract surgery, of which 2 and 9 developed AION within 2 months and 1 year of surgery, respectively. The annual incidence rate of pcsAION within 2 months of surgery (8.6 per 100,000) was not significantly greater than the annual incidence rate of sAION (6.9 per 100,000; P = .78). However, the annual incidence rate of pcsAION within 1 year of surgery (38.9 per 100,000) was significantly higher than the incidence rate of sAION (6.5 per 100,000; P < .001). The incidence of AION is increased in the first year after cataract surgery, but not in the early (i.e., 2 months) postoperative period.
Identifiants
pubmed: 32818451
pii: S0002-9394(20)30446-3
doi: 10.1016/j.ajo.2020.08.020
pmc: PMC7889757
mid: NIHMS1622812
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
157-165Subventions
Organisme : NIA NIH HHS
ID : R01 AG034676
Pays : United States
Organisme : NIA NIH HHS
ID : R33 AG058738
Pays : United States
Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
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