Primary rhegmatogenous retinal detachment: risk factors for macular involvement.

Détails

ID Serval
serval:BIB_476C8AB90583
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Primary rhegmatogenous retinal detachment: risk factors for macular involvement.
Périodique
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
Auteur(s)
Potic J., Bergin C., Giacuzzo C., Daruich A., Konstantinidis L., Wolfensberger T.J.
ISSN
1435-702X (Electronic)
ISSN-L
0721-832X
Statut éditorial
Publié
Date de publication
03/2018
Peer-reviewed
Oui
Volume
256
Numéro
3
Pages
489-494
Langue
anglais
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Résumé
Rhegmatogenous retinal detachment (RD) has diagnostically been divided into macula-OFF or macula-ON. The aim of this study was to describe the demographics and primary outcome of patients with RD following surgery with respect to the macular status, and to determine risk factors for macular involvement.
This prospective, observational, mono-centric cohort study was conducted at the Jules-Gonin Eye Hospital, from February 2015 until March 2017. The study included 194 eligible patients with primary RD. All patients underwent surgical treatment after baseline clinical examination. The dataset was analyzed using descriptive and analytic statistics.
A total of 52.6% (102/194) of patients presented with macula-OFF RD. Mean age was 63.9 ± 12.0 vs. 59.7 ± 11.2 years in the OFF and ON group, respectively. There were 129 men (66.5%) and 65 (33.5%) women, and there were significantly more right eyes affected [right vs. left eyes 123 (63.4%) vs. 71 (36.6%), p = 0.000]. Significantly more myopes (<-3D) presented with a macula-ON RD (p = 0.04). There were more phakic patients in the cohort (55.7%), and phakic eyes were more likely to present with macula-ON RD (p = 0.01). Multivariate modeling showed that pseudophakic lens status and eyes with axial length less than 25 mm (p = 0.06) are independent predictive factors for macula-OFF RD (p = 0.02), whereas sex and laterality were not risk factors for macular involvement.
Pseudophakic lens status and axial length < 25 mm are independent predictive factors for macula-OFF RD. While pseudophakic lens status is a recognized risk factor for RD, shorter axial length has not been previously identified as a risk factor for the macula-OFF RD.

Mots-clé
Axial Length, Eye, Female, Follow-Up Studies, Humans, Incidence, Macula Lutea/pathology, Male, Middle Aged, Prospective Studies, Retinal Detachment/diagnosis, Retinal Detachment/epidemiology, Retinal Detachment/physiopathology, Risk Assessment, Risk Factors, Switzerland/epidemiology, Tomography, Optical Coherence/methods, Visual Acuity, Axial length, Lens status, Macula status, Retinal detachment
Pubmed
Web of science
Création de la notice
19/01/2018 16:13
Dernière modification de la notice
03/05/2018 20:28
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