Published in:
01-01-2020 | Retinal Detachment | Clinical Investigation
Japan-Retinal Detachment Registry Report I: preoperative findings in eyes with primary retinal detachment
Published in: Japanese Journal of Ophthalmology | Issue 1/2020
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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.