Taiji Sakamoto1,2, Sumihiro Kawano3,4, Ryo Kawasaki5,4, Akito Hirakata6,4, Hidetoshi Yamashita7,4, Shuichi Yamamoto8,4, Tatsuro Ishibashi9,4. 1. Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. tsakamot@m3.kufm.kagoshima-u.ac.jp. 2. Japan-Retinal Detachment Registry Group, Osaka, Japan. tsakamot@m3.kufm.kagoshima-u.ac.jp. 3. Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. 4. Japan-Retinal Detachment Registry Group, Osaka, Japan. 5. Department of Vision Informatics, Osaka University Graduate School of Medicine, Suita, Japan. 6. Kyorin Eye Center, Kyorin University, Tokyo, Japan. 7. Department of Ophthalmology, Yamagata University, Yamagata, Japan. 8. Department of Ophthalmology, Chiba University, Chiba, Japan. 9. Department of Ophthalmology, Kyushu University, Fukuoka, Japan.
Abstract
PURPOSE: To report the demographics and clinical characteristics of patients with a primary retinal detachment (RD). DESIGN: Prospective cohort study by a registry design. PARTICIPANTS: Patients with RD treated at vitreoretinal sub-specialty institutions in Japan from February 2016 to March 2017. METHODS: Descriptive statistics for the primary RD, and multivariable ordered logistic regression and multiple linear regression analyses were performed. RESULTS: 3178 eyes of 3178 cases were analyzed. The interval from onset to surgery was significantly shorter in patients in the 40-year age group than in other age groups except for the 50-year age group (P<0.05, Steel-Dwass test). The proportion of complex cases was significantly higher in the 10-year, 70-year, and 80+ year age groups than in the 40 and 50-year age groups (P<0.05, Steel-Dwass test). The size of RD was significantly associated with the male sex (odds ratio, 1.29; 95% confidence interval [CI], 1.07 to 1.56; P=0.0085) and the interval from onset to surgery (odds ratio, 1.03 95% CI, 1.01 to 1.04; P=0.0014). Low IOPs in eyes with RD were significantly associated with an older age (-0.24 mmHg/10 years, 95% CI, -0.32 to -0.16], P<0.0001) and larger RD area (-0.91 mmHg/quadrant, 95% CI, [-1.06 to -0.76], P <0.0001). CONCLUSION: Profile and clinical characteristics of patients with a primary RD were not exactly the same as previous reports. A preoperative low IOP was associated with several ocular factors while the area of RD was associated not only with ocular but with social factors as well.
PURPOSE: To report the demographics and clinical characteristics of patients with a primary retinal detachment (RD). DESIGN: Prospective cohort study by a registry design. PARTICIPANTS: Patients with RD treated at vitreoretinal sub-specialty institutions in Japan from February 2016 to March 2017. METHODS: Descriptive statistics for the primary RD, and multivariable ordered logistic regression and multiple linear regression analyses were performed. RESULTS: 3178 eyes of 3178 cases were analyzed. The interval from onset to surgery was significantly shorter in patients in the 40-year age group than in other age groups except for the 50-year age group (P<0.05, Steel-Dwass test). The proportion of complex cases was significantly higher in the 10-year, 70-year, and 80+ year age groups than in the 40 and 50-year age groups (P<0.05, Steel-Dwass test). The size of RD was significantly associated with the male sex (odds ratio, 1.29; 95% confidence interval [CI], 1.07 to 1.56; P=0.0085) and the interval from onset to surgery (odds ratio, 1.03 95% CI, 1.01 to 1.04; P=0.0014). Low IOPs in eyes with RD were significantly associated with an older age (-0.24 mmHg/10 years, 95% CI, -0.32 to -0.16], P<0.0001) and larger RD area (-0.91 mmHg/quadrant, 95% CI, [-1.06 to -0.76], P <0.0001). CONCLUSION: Profile and clinical characteristics of patients with a primary RD were not exactly the same as previous reports. A preoperative low IOP was associated with several ocular factors while the area of RD was associated not only with ocular but with social factors as well.
Entities:
Keywords:
Big data; Epidemiology; Retinal detachment; registry
Authors: Ahmed B Sallam; Paul H J Donachie; David Yorston; David H W Steel; Tom H Williamson; Timothy L Jackson; John M Sparrow; Robert L Johnston Journal: Retina Date: 2018-02 Impact factor: 4.256
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