Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Gabriel, M; Großpötzl, M; Wallisch, F; Djavid, D; Pregartner, G; Haas, A; Wedrich, A; Mayer-Xanthaki, C.
In-depth analysis of risk factors for pseudophakic retinal detachments and retinal breaks.
Acta Ophthalmol. 2022; 100(3):e694-e700
Doi: 10.1111/aos.14974
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Gabriel Maximilian
- Co-Autor*innen der Med Uni Graz
- Djavid Daniel
- Großpötzl Manuel
- Haas Anton
- Mayer-Xanthaki Christoph Fidel
- Pregartner Gudrun
- Wallisch Fabian
- Wedrich Andreas
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- PURPOSE: To provide a detailed analysis of risk factors for pseudophakic retinal detachments (PRD) and pseudophakic retinal breaks (PRB). MATERIALS AND METHODS: We reviewed the medical records of cataract surgeries between 1996 and 2017 at a tertiary care hospital in Austria. A Cox proportional-hazard regression model was used to analyse risk factors for PRD and PRB. RESULTS: Sixty-five thousand six hundred and sixty-two eyes (45 043 patients) underwent phacoemulsification, and 393 eyes (cumulative incidence 0.6%) were diagnosed with PRD (327 eyes) or PRB (66 eyes) during the follow-up (median 7.1 years, range 0-21). Calculation of adjusted hazard ratios (HR) revealed a hierarchy of risk factors for either event including (from the highest to the lowest risk) posterior capsular rupture (PCR), patient age <65 years (compared with the age group >75 years), male gender and high myopia. Diabetes mellitus was associated with a lower risk. PCR was the strongest risk factor for PRD both in patients with and without perioperative vitrectomy (i.e. vitreous loss), but time to PRD was significantly reduced only following PCR with vitrectomy. CONCLUSIONS: Posterior capsular rupture, young patient age, male gender and high myopia were risk factors for PRD, but diabetes mellitus was associated with a lower risk. PCR had the strongest association with PRD, regardless of the need for perioperative vitrectomy due to vitreous loss. Time to PRD was reduced in patients with PCR and vitrectomy compared with PCR without the need for vitrectomy or uneventful surgery.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged - administration & dosage
- Humans - administration & dosage
- Male - administration & dosage
- Myopia - surgery
- Postoperative Complications - etiology
- Pseudophakia - complications
- Retinal Detachment - diagnosis, epidemiology, etiology
- Retinal Perforations - diagnosis, epidemiology, etiology
- Retrospective Studies - administration & dosage
- Risk Factors - administration & dosage
- Vitrectomy - adverse effects
- Find related publications in this database (Keywords)
- capsular rupture
- cataract
- myopia
- phacoemulsification
- pseudophakia
- retinal breaks
- retinal detachment