Rhegmatogenous retinal detachment repair-does age, sex, and lens status make a difference?


Journal

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
ISSN: 1435-702X
Titre abrégé: Graefes Arch Clin Exp Ophthalmol
Pays: Germany
ID NLM: 8205248

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 21 10 2021
accepted: 15 04 2022
revised: 28 01 2022
pubmed: 3 5 2022
medline: 20 9 2022
entrez: 2 5 2022
Statut: ppublish

Résumé

To analyze the correlation between lens status, age, and sex in the epidemiology and success rates of rhegmatogenous retinal detachment (RRD) surgery. The files of all consecutive patients undergoing vitreoretinal surgery for uncomplicated RRD between Jan 2005 und Dec 2020 were retrospectively reviewed. Successful outcome was defined as no retinal redetachment occurring within 3 months after surgery. 5502 eyes with uncomplicated primary RRD were included. Mean age of the patients was 61.1 years (± 13.6 SD). In the age group over 40 years, a male predominance was found. The percentage of pseudophakic RRD increased from 25 to 40% during the 15 years observation period. In the age group 50 to 69 years, patients with pseudophakic detachments were male in 786 out of 1079 cases (72.9%). In the same age group, 1285 of 2110 (60.9%) patients with phakic RRD were male. Overall, primary success rate after one procedure was 91.2% (5018 of 5502). In the phakic eyes, the primary success rate was higher in those eyes that underwent combined phacovitrectomy (93.0%), compared to those without simultaneous cataract surgery (88.7%; p = 0.002). The ratio of male and female patients with RRD varies between age groups. The proportion of pseudophakic RRD has increased within 15 years. The male predominance in RRD is stronger in pseudophakic than in phakic eyes. In phakic eyes with RRD, a combined phacovitrectomy yielded better anatomical results.

Identifiants

pubmed: 35501490
doi: 10.1007/s00417-022-05674-x
pii: 10.1007/s00417-022-05674-x
pmc: PMC9477924
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3197-3204

Informations de copyright

© 2022. The Author(s).

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Auteurs

Viola Radeck (V)

Department of Ophthalmology, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, D-93042, Regensburg, Germany. viola.radeck@ukr.de.

Horst Helbig (H)

Department of Ophthalmology, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, D-93042, Regensburg, Germany.

David Maerker (D)

Department of Ophthalmology, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, D-93042, Regensburg, Germany.

Maria-Andreea Gamulescu (MA)

Department of Ophthalmology, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, D-93042, Regensburg, Germany.

Philipp Prahs (P)

Department of Ophthalmology, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, D-93042, Regensburg, Germany.

Teresa Barth (T)

Department of Ophthalmology, University Hospital of Regensburg, Franz-Josef-Strauss-Allee 11, D-93042, Regensburg, Germany.

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Classifications MeSH