To estimate the incidence of rhegmatogenous retinal detachment (RD) in a geographically defined population and to compare the probability of RD in residents after cataract extraction with the probability of RD in residents who did not have cataract extraction.
Rochester Epidemiology Project databases were used to perform a retrospective population-based incidence study of RD diagnosed between 1976 and 1995 with cohort analyses of the influence of risk factors on the occurrence of RD.
The population of Olmsted County, Minnesota, participated.
Incidence rates of RD adjusted to the age and gender distribution of the 1990 U.S. white population were measured.
Three hundred eleven incident cases of rhegmatogenous RD were identified.
The mean annual age-and gender-adjusted incidence rate of rhegmatogenous RD was 17.9 per 100,000 persons (95% confidence interval [Cl], 15.9-19.9).
For idiopathic rhegmatogenous RD alone, the mean annual age-and gender-adjusted incidence rate was 12.6 (95% Cl, 10.9-14.3) per 100,000 persons.
Ten years after phacoemulsification and extracapsular cataract extraction, the estimated cumulative probability of RD was 5.5 (95% Cl, 3.4-7.6) times as high as would have been expected in a similar group of county residents not undergoing cataract surgery.
Cataract surgery is associated with a significantly elevated long-term cumulative probability of retinal detachment.
Mots-clés Pascal : Décollement rétine, Facteur risque, Cataracte, Chirurgie, Traitement, Complication, Postopératoire, Epidémiologie, Minnesota, Etats Unis, Amérique du Nord, Amérique, Homme, Oeil pathologie, Rétinopathie, Cristallin pathologie, Segment antérieur pathologie
Mots-clés Pascal anglais : Retinal detachment, Risk factor, Cataract, Surgery, Treatment, Complication, Postoperative, Epidemiology, Minnesota, United States, North America, America, Human, Eye disease, Retinopathy, Lens disease, Anterior segment disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0083261
Code Inist : 002B09I. Création : 31/05/1999.