Nd:YAG capsulotomy is not a risk factor for retinal detachment after phacoemulsification cataract surgery.
Aged
Aged, 80 and over
Female
Finland
/ epidemiology
Follow-Up Studies
Humans
Incidence
Laser Therapy
/ adverse effects
Lasers, Solid-State
/ therapeutic use
Male
Phacoemulsification
/ adverse effects
Postoperative Complications
/ epidemiology
Registries
Retinal Detachment
/ epidemiology
Retrospective Studies
Risk Factors
Time Factors
Visual Acuity
YAG capsulotomy
cataract surgery
laser capsulotomy
retinal detachment
risk factors
Journal
Acta ophthalmologica
ISSN: 1755-3768
Titre abrégé: Acta Ophthalmol
Pays: England
ID NLM: 101468102
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
revised:
15
12
2020
received:
08
10
2020
accepted:
16
12
2020
pubmed:
11
1
2021
medline:
1
2
2022
entrez:
10
1
2021
Statut:
ppublish
Résumé
To evaluate the cumulative incidence and risk factors of pseudophakic retinal detachment (PRD) following phacoemulsification cataract surgery. Cataract surgeries performed between the years 2007 and 2016 at the Ophthalmology Unit of Kymenlaakso Central Hospital, Kotka, Finland, were included. The cumulative incidence of PRD was estimated through Kaplan-Meier analysis. Patient mortality was incorporated as one of the censoring events. Cox regression analyses were used to evaluate potential risk factors, including age, gender, intraocular lens (IOL) power and previous neodymium-doped yttrium aluminium garnet (Nd:YAG) laser capsulotomy. A total of 17 688 eyes of 12 003 patients were included. The mean patient age at surgery was 75.2 ± 9.1 years with 63.5% females (n = 11 228). During the mean follow-up time of 4.3 ± 2.7 years, 83 laterality-matched PRDs were registered (incidence 0.11% per year). Univariate analyses showed that age (HR 0.93; 95% CI 0.92-0.95), male gender (HR 3.99; 95% CI 2.52-6.33) and IOL power (HR 0.86; 95% CI 0.83-0.90) were significantly associated with PRD (p < 0.001 for all) and remained significant in a multivariate analysis. Neither univariate (HR 1.45; 95% CI 0.82-2.54, p = 0.201) nor multivariate (HR 1.03; 95%CI 0.57-1.88, p = 0.919) analyses showed any association between Nd:YAG capsulotomy and PRD. Male gender, low IOL power and younger age were confirmed as risk factors for PRD after phacoemulsification surgery. Real-world evidence suggests that Nd:YAG capsulotomy does not increase the risk for PRD.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1018-e1026Subventions
Organisme : the Paulo Foundation
Organisme : the Waldemar von Frenckell Foundation
Organisme : Orion Research Foundation
Organisme : Finnish Eye Foundation
Organisme : the HUS Specific Catchment Area (ERVA) Clinical Research Grants
Organisme : the Mary and Georg C. Ehrnrooth foundation
Organisme : Finnish Ophthalmological Society
Organisme : Sokeain Ystävät ry
Organisme : the Nissi Foundation
Informations de copyright
© 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
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