Rhegmatogene Netzhautablösung

Bechrakis, Nikolaos E.; Dimmer, Andreas

doi:10.1007/s00347-017-0647-z

Cited by 21 publications

(6 citation statements)

References 81 publications

(65 reference statements)

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“…The aim of this investigation was to estimate the incidence of retinal detachment in a population-based cohort study in Germany. Up to now, there have only been estimates available based on data of neighboring or other countries [11, 14]. The 5-year cumulative incidence of retinal detachment was 0.21% in our study cohort of subjects aged 35–74 years at inclusion with an incidence rate of 42/100,000 person-years.…”

Section: Discussionmentioning

confidence: 69%

“…A certain trend towards higher incidences in the male sex has been demonstrated in various studies [2-8, 10, 12-14, 16-18, 23, 24]. Other risk factors are family predisposition [6, 15, 19, 20], summer months [11] and heavy lifting in everyday working life [4, 22]. As for education and affluence, there are trends towards higher [4] but also lower income and education [12, 22] as potential risk factors.…”

Section: Introductionmentioning

confidence: 95%

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Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

et al. 2020

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Purpose: To investigate the incidence of retinal detachment in the German population and assess potential risk factors. Methods: The Gutenberg Health Study is a population-based cohort study in Mainz, Germany including subjects (n=15.010) with an age range from 35 to 74 years at baseline. Participants underwent a comprehensive ophthalmologic examination including distant-corrected visual acuity, refraction and slit-lamp examination at baseline. A computer-assisted telephone interview was conducted after 2.5 and 5 years. The 5-year cumulative incidence of retinal detachment was computed for the study sample and stratified on age decades. Risk factors were analyzed using logistic regression including age, sex, spherical equivalent, pseudophakia and prior laser retinal therapy. Results: 13.416 participants (age 52.2 ±10.7 years, 48.8% female) were included in this analysis. 28 subjects had a retinal detachment in one eye, no subject had a retinal detachment in both eyes. The 5-year cumulative incidence of retinal detachment was 0.21% (95%-confidence interval: 0.14 – 0.31%), the incidence rate was 42/100.000 person-years. Risk factors were male sex (OR= 4.16, p=0.004), pseudophakia (OR=3.93, p=0.045) and myopia (OR=1.31 per diopter myopia, p<0.0001), but not prior retinal laser therapy or age. Conclusion: The incidence of retinal detachment in Germany at age 35 to 74 years is comparable to estimates from neighboring European countries. Risk factors are male sex, pseudophakia and myopia.

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Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 95%

Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

et al. 2020

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“…It has been demonstrated that myopic eyes are at a greater risk of developing RRD than emmetropic or hyperopic eyes, and the risk of RD increases with increasing axial length. 35 , 36 An annual RRD incidence of 15 to 34 per 100,000 for mild myopia, 15 to 73 for moderate myopia, 102 to 128 for high myopia, and 287 in very highly myopic eyes were reported in a 2021 systematic review. 37 In addition, previous studies have reported that AL increases significantly after SB or PPV.…”

Section: Discussionmentioning

confidence: 99%

A Prediction Nomogram for Recurrent Retinal Detachment

Zhou¹,

Lu²,

Chen³

et al. 2023

RMHP

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Purpose Recurrent retinal detachment (re-RD) is one of the complications in rhegmatogenous retinal detachment patients who underwent surgical treatment. We investigated the risk factors for re-RD and developed a nomogram for estimating clinical risk. Methods Univariate and multivariable logistic regression models were performed to determine the association between variables and re-RD, and a nomogram was then developed for re-RD. The nomogram performance was assessed based on its discrimination, calibration, and clinical usefulness. Results This study analyzed 15 potential variables of re-RD in 403 rhegmatogenous retinal detachment patients who underwent initial surgical treatment. Axial length, inferior breaks, retinal break diameter, and surgical methods were independent risk factors for re-RD. A clinical nomogram incorporating these four independent risk factors was constructed. The diagnostic performance of the nomogram was excellent (area under the curve = 0.892, 95% CI: 0.831–0.953). Our study further validated this nomogram by bootstrapping for 500 repetitions. The area under the curve of the bootstrap model was 0.797 (95% CI: 0.712–0.881). This model showed good calibration curve fitting and a positive net benefit in decision curve analysis. Conclusion Axial length, inferior breaks, retinal break diameter, and surgical methods could be risk factors for re-RD. We have developed a prediction nomogram of re-RD for rhegmatogenous retinal detachment following initial surgical treatment.

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“…Rhegmatogenous retinal detachment (RRD) is the most common type of retinal detachment with an incidence between 9.5 and 18.2 cases per 100,000 inhabitants per year [ 1 ]. Pars plana vitrectomy (PPV) along the gas tamponade achieves high anatomical success [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Microperimetry-Assessed Functional Alterations and OCT-Changes in Patients after Retinal Detachment Surgery Using Pars Plana Vitrectomy and SF6 Tamponade

et al. 2021

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Background: We study the retinal function measured by macular integrity assessment microperimetry (MAIA) and structural changes assessed by scanning swept source optical coherence tomography (SS-OCT) between healthy individuals and patients undergoing pars plana vitrectomy (PPV) after rhegmatogenous retinal detachment (RRD). Methods: Cross-sectional study. Early Treatment Diabetic Retinopathy Study (ETDRS) grids were measured by SS-OCT and compared with the MAIA parameters. Results: Thirty-eight eyes with RRD (19 macula-on and 19 macula-off) were compared with 113 healthy eyes. The retinal sensitivity and average total threshold were reduced in all sectors in the RRD group; macular integrity index was increased. Macular thicknesses in total retina and ganglion cell layer (GCL)++ protocols were higher in the RRD group in nasal outer (NO) and central (C) sectors and only in C sector for GCL+ protocol. Thicknesses were lower in total retina, GCL++ protocols in the temporal outer (TO) sector and in the GCL+ protocol in NO sector. Best-corrected visual acuity (BCVA) correlated moderately with retinal sensitivity in all sectors and in just several sectors with time between the date of surgery and the test. The central nasal (CN) sector thickness and the average total threshold were higher in the macula-on subgroup. Conclusions: RRD and subsequent surgery results in functional and structural changes, especially in individuals with macular detachment.

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Rhegmatogene Netzhautablösung

Cited by 21 publications

References 81 publications

Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

A Prediction Nomogram for Recurrent Retinal Detachment

Microperimetry-Assessed Functional Alterations and OCT-Changes in Patients after Retinal Detachment Surgery Using Pars Plana Vitrectomy and SF6 Tamponade

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