Odwarstwienie siatkówki
Epidemiologia

Odwarstwienie siatkówki (ablatio retinae), zwłaszcza rhegmatogenne (RRD), stanowi poważne zagrożenie dla widzenia i wymaga pilnej interwencji chirurgicznej. Roczna zapadalność RRD waha się od 6,3 do 17,9 na 100 000 mieszkańców, z medianą około 10,5/100 000 (IQR 8,1-13,2), przy wyższych wartościach w Europie (do 21,8/100 000) i niższych w Ameryce. W Polsce wskaźnik zapadalności na RRD wynosi 13,72/100 000 osobo-lat, a w Korei Południowej 9,78/100 000 osobo-lat. Ryzyko RRD rośnie z wiekiem, osiągając szczyt w 6. i 7. dekadzie życia, z bimodalnym rozkładem częstości – młodszy szczyt związany z krótkowzrocznością i urazami, a starszy między 60-69 r.ż. Mężczyźni wykazują nieznacznie wyższe ryzyko (np. 10,68 vs 8,87/100 000 osobo-lat w Korei), szczególnie w oczach pseudofakijnych. Czynniki ryzyka obejmują wysoką krótkowzroczność (≤-6,00 D zwiększa ryzyko nawet 39-krotnie), przebyte operacje zaćmy (ryzyko wzrasta o ~1%, a przy utracie ciała szklistego do 10%), urazy oka (10-20% przypadków), zwyrodnienie kraciaste siatkówki, kapsulotomię YAG, rodzinne występowanie oraz olbrzymie przedarcia siatkówki. Wzrastająca globalna częstość krótkowzroczności i starzenie się populacji predysponują do dalszego wzrostu zapadalności RRD.

Epidemiologia odwarstwienia siatkówki

Odwarstwienie siatkówki (łac. ablatio retinae) to poważny stan okulistyczny zagrażający widzeniu, który charakteryzuje się oddzieleniem neurosensorycznej warstwy siatkówki od leżącego pod nią nabłonka barwnikowego. Najczęstszym typem jest odwarstwienie siatkówki rhegmatogenne (RRD), odpowiedzialne za większość przypadków tej choroby. Dokładne zrozumienie epidemiologii RRD jest kluczowe dla oceny obciążenia systemu opieki zdrowotnej oraz planowania odpowiednich strategii profilaktycznych i terapeutycznych.12

Częstotliwość występowania na świecie

Dane epidemiologiczne dotyczące odwarstwienia siatkówki wykazują znaczne zróżnicowanie geograficzne. Roczna zapadalność na rhegmatogenne odwarstwienie siatkówki (RRD) waha się między 6,3 a 17,9 przypadków na 100 000 mieszkańców, w zależności od badanej populacji i regionu.12 W badaniach o wielkości próby przekraczającej 300 pacjentów, mediana rocznej zapadalności wynosi około 10,5 przypadków na 100 000 osób (IQR 8,1-13,2).3 Inne źródła podają wyższą zapadalność, wynoszącą od 10 do 18 przypadków na 100 000 mieszkańców rocznie w Stanach Zjednoczonych.4

Badania przeprowadzone w różnych krajach wskazują na zróżnicowaną częstość występowania odwarstwienia siatkówki:56

  • Europa – najwyższa częstość występowania (od 12,05 na 100 000 w Szkocji do 21,8 na 100 000 w Hiszpanii)78
  • Region zachodniego Pacyfiku – pośrednia częstość
  • Ameryka – niższa częstość w porównaniu do Europy

W Polsce, według badania przeprowadzonego w latach 2013-2019, średnia zapadalność na wszystkie typy odwarstwienia siatkówki wynosiła 32,64 na 100 000 osobo-lat, co jest wartością wyższą niż w większości wcześniej publikowanych badań. Dla samego RRD wskaźnik ten wynosił 13,72 na 100 000 osobo-lat.9

W Korei Południowej zaobserwowano wzrost częstości występowania RRD w latach 2004-2015, ze średnią roczną zapadalnością wynoszącą 9,78 na 100 000 osobo-lat.10 Podobne wzrostowe trendy zaobserwowano w Szkocji, gdzie od 1987 roku odnotowywano średni roczny wzrost zapadalności na poziomie 1,9%.11

Czynniki demograficzne

Wiek

Odwarstwienie siatkówki może wystąpić w każdym wieku, jednak częstość jego występowania znacząco wzrasta wraz z wiekiem.1213 Większość badań wykazuje najwyższą częstość występowania RRD w 6. i 7. dekadzie życia (50-69 lat).1415 Rozkład częstości występowania RRD ma charakter bimodalny:16

  • Pierwszy, mniejszy szczyt w młodszym wieku – związany głównie z wysoką krótkowzrocznością i urazami
  • Drugi, większy szczyt między 60 a 69 rokiem życia

Ryzyko dożywotnie wystąpienia odwarstwienia siatkówki szacuje się na około 3% w wieku 85 lat.17 Badania przeprowadzone w amerykańskiej służbie wojskowej wykazały, że osoby w wieku 45-64 lat miały ośmiokrotnie wyższe ryzyko wystąpienia RRD w porównaniu do grupy wiekowej 18-24 lat.18

Płeć

Większość badań wskazuje na nieznacznie wyższą częstość występowania RRD u mężczyzn niż u kobiet.1920 W badaniu koreańskim standaryzowany współczynnik zapadalności wynosił 10,68 na 100 000 osobo-lat u mężczyzn i 8,87 na 100 000 osobo-lat u kobiet.21 Interesujące jest, że przewaga płci męskiej jest silniejsza w oczach pseudofakijnych (po operacji zaćmy) niż w oczach fakijnych.22

Badania przeprowadzone na Tajwanie wykazały, że współczynnik zapadalności standaryzowany względem wieku wynosił 18,89 dla mężczyzn i 13,93 dla kobiet na 100 000 osobo-lat (p<0,0001).23 Ponadto zaobserwowano, że u kobiet występuje wtórny szczyt zapadalności w wieku 20-29 lat, czego nie odnotowano u mężczyzn.24

Przynależność etniczna

Istnieją pewne różnice w częstości występowania odwarstwienia siatkówki w zależności od pochodzenia etnicznego:25

  • Wyższe ryzyko RRD obserwuje się u osób pochodzenia południowo-wschodnioazjatyckiego w porównaniu do osób rasy białej europejskiej, co może być związane z wyższym ryzykiem krótkowzroczności i dłuższą osią gałki ocznej w tych populacjach
  • Inne badanie nie wykazało istotnych różnic w czynnikach ryzyka, wynikach pooperacyjnych i cechach klinicznych u pacjentów z odwarstwieniem siatkówki pomiędzy populacjami Indyjską, Malajską i Chińską w Singapurze

Istnieją również anegdotyczne doniesienia o częstszym występowaniu RRD u osób pochodzenia żydowskiego i rzadszym u pacjentów pochodzenia afrykańskiego.26 Odmienna częstość występowania może być związana z czynnikami rasowymi oraz nawykami życiowymi, które mogą wpływać na rozwój odwarstwienia siatkówki.27

Główne czynniki ryzyka

Krótkowzroczność

Krótkowzroczność (myopia) jest jednym z najważniejszych czynników ryzyka odwarstwienia siatkówki.2829 Badania wykazały, że:30

  • Oczy z równoważnikiem sferycznym (SE) od -1,00 D do -3,00 D mają 4-krotnie zwiększone ryzyko RRD w porównaniu do oczu bez wady refrakcji
  • Oczy z SE poniżej -3,00 D mają 10-krotnie zwiększone ryzyko RRD
  • Pacjenci z wysoką krótkowzrocznością (≤-6,00 D) mają nawet 39-krotnie wyższe ryzyko RRD (868,83 na 100 000 osobo-lat) w porównaniu do osób bez krótkowzroczności (22,44 na 100 000 osobo-lat)31

Badania przeprowadzone wśród amerykańskich wojskowych wykazały, że u 93% przypadków RRD występowała wada refrakcji.32 Dane z Tajwanu wskazują, że wysoka krótkowzroczność była obecna u 10,51% pacjentów z RRD, ze średnim wiekiem wystąpienia 39,72±1,95 lat, co jest znacznie niższe niż średni wiek wystąpienia RRD w ogólnej populacji.33

Wzrastająca częstość występowania krótkowzroczności na świecie jest jednym z czynników przyczyniających się do rosnącej liczby przypadków odwarstwienia siatkówki.3435 Przewiduje się, że do 2050 roku 1 na 10 osób na świecie będzie miała wysoką krótkowzroczność, co może prowadzić do dalszego wzrostu częstości występowania RRD.36

Operacje zaćmy i pseudofakia

Przebyta operacja zaćmy jest znaczącym czynnikiem ryzyka odwarstwienia siatkówki:3738

  • Około 30-40% wszystkich pacjentów z odwarstwieniem siatkówki przeszło operację usunięcia zaćmy
  • Ryzyko odwarstwienia siatkówki wzrasta o około 1% po operacji zaćmy39
  • Operacja zaćmy powikłana utratą ciała szklistego podczas zabiegu może zwiększyć ryzyko odwarstwienia nawet do 10%40

W badaniu przeprowadzonym w Danii, 7 oczu (0,41%) spośród 1726 poddanych zewnątrztorebkowej ekstrakcji zaćmy rozwinęło odwarstwienie siatkówki w średnim okresie obserwacji wynoszącym 39 miesięcy.41 Odsetek pseudofakijnego RRD zwiększył się z 25% do 40% w ciągu 15-letniego okresu obserwacji w innym badaniu.42

Wraz ze wzrostem liczby operacji zaćmy w krajach uprzemysłowionych (o około 10% rocznie w ostatnich dekadach), nieunikniony jest wzrost odsetka pseudofakijnych odwarstwień siatkówki.43 Ryzyko odwarstwienia siatkówki po operacji zaćmy jest szczególnie wysokie u pacjentów z wysoką krótkowzrocznością – badania wykazały 7-krotnie wyższe ryzyko RRD u wysokich krótkowidów po operacji zaćmy w porównaniu do osób bez wady refrakcji.44

Urazy

Urazy oka stanowią ważny czynnik ryzyka odwarstwienia siatkówki, odpowiadając za około 10-20% wszystkich przypadków.45 Urazowe odwarstwienia siatkówki częściej występują u osób młodszych. Roczna zapadalność na urazowe rhegmatogenne odwarstwienie siatkówki w badaniu fińskim wynosiła 0,8 na 100 000 populacji.46

W ostatnich latach obserwuje się wzrost liczby urazowych odwarstwień siatkówki u dzieci i nastolatków, związanych zwłaszcza z urazami podczas gry w paintball.4748 Potencjalnym czynnikiem ryzyka RRD u personelu wojskowego mogą być urazy związane z walką, co może tłumaczyć wyższe wskaźniki zapadalności w tej grupie w porównaniu do analogicznych grup wiekowych w populacji ogólnej.49

Inne czynniki ryzyka

Do innych istotnych czynników ryzyka odwarstwienia siatkówki należą:505152

  • Zwyrodnienie kraciaste siatkówki – ok. 30% fakijnych pacjentów z tym zwyrodnieniem ma szansę na rozwój RRD53
  • Wcześniejsze odwarstwienie siatkówki w drugim oku – ryzyko w drugim oku wynosi od 15% do 30%, szczególnie wysokie (25-30%) u pacjentów po obustronnej operacji zaćmy5455
  • Kapsulotomia YAG – ryzyko wzrasta o około 4% po zabiegu56
  • Rodzinne występowanie odwarstwienia siatkówki – ryzyko u rodzeństwa jest zwiększone 2-krotnie, jeśli jedno z rodzeństwa miało tę chorobę57
  • Olbrzymie przedarcia siatkówki (GRT) – odpowiadają za 0,5-8,3% wszystkich przypadków odwarstwienia siatkówki58
  • Tylne odłączenie ciała szklistego (PVD) – większość retinoschiz i RRD występuje w ciągu 6-8 tygodni od diagnozy PVD59

Niektóre badania sugerują również potencjalny związek między ciężkim wysiłkiem fizycznym/podnoszeniem ciężarów a zwiększonym ryzykiem odwarstwienia siatkówki, chociaż mechanizm tej zależności nie został jeszcze w pełni wyjaśniony.6061 Ponadto zaobserwowano możliwą zależność między otyłością i intensywnym spożywaniem alkoholu a zwiększonym ryzykiem RRD, szczególnie u osób bez krótkowzroczności.62

Zmienność sezonowa

Wyniki badań dotyczących sezonowych wahań w częstości występowania odwarstwienia siatkówki są niejednoznaczne.63 Niektóre badania wykazały statystycznie istotne sezonowe wahania w występowaniu odwarstwienia siatkówki.64 W badaniu przeprowadzonym w regionie Morza Czarnego w Turcji, najwyższą liczbę przypadków RRD odnotowano latem (27,4%) i jesienią, a najniższą zimą (23,1%), chociaż różnice te nie były statystycznie istotne.65

W badaniu IRIS Registry zaobserwowano, że sezonowe wahania w częstości występowania RRD, retinoschiz i PVD były powiązane z krajowymi świętami, szczególnie w miesiącach zimowych.66

Trendy i prognozy

W wielu krajach obserwuje się wzrost częstości występowania odwarstwienia siatkówki:6768

  • Dane z Danii potwierdziły 50% wzrost liczby przypadków RRD w ciągu ostatnich 16 lat69
  • Badanie szkockie wykazało statystycznie istotny wzrost zapadalności na RRD w ciągu ostatnich 10 lat70
  • W Korei Południowej zaobserwowano rosnący trend zapadalności na RRD w latach 2004-2015 (roczna zmiana procentowa [APC] wyniosła 2,05; 95% CI: 0,7-3,4)71

Wzrost częstości występowania RRD jest prawdopodobnie spowodowany:72

  • Wzrostem liczby operacji zaćmy
  • Wzrostem częstości występowania krótkowzroczności na świecie
  • Starzeniem się populacji
  • Potencjalnie innymi, jeszcze nieokreślonymi czynnikami

Przewiduje się, że wraz z globalną epidemią krótkowzroczności i starzeniem się populacji, liczba przypadków odwarstwienia siatkówki będzie nadal wzrastać.73 Ten wzrost powinien być brany pod uwagę przy planowaniu usług witreoretinalnych w przyszłości.74

Wpływ społecznych determinantów zdrowia

Badania wykazały, że społeczne determinanty zdrowia (SDOH) mają istotny wpływ na ciężkość odwarstwienia siatkówki przy prezentacji klinicznej.75 Ciężkość RRD jest skorelowana z niższym statusem społeczno-ekonomicznym,76 co może być związane z opóźnieniami w prezentacji klinicznej.

W Indiach, badania wykazały znaczne opóźnienia w leczeniu odwarstwienia siatkówki, co odzwierciedla niewystarczający stan lokalnych usług i systemów kierowania pacjentów.77 Te opóźnienia mogą przyczyniać się do zwiększonego obciążenia związanego z możliwą do uniknięcia ślepotą.

Zrozumienie społecznych czynników przewidujących opóźnienia w opiece jest kluczowe, ponieważ terminowa prezentacja po RRD ma zasadnicze znaczenie dla ostatecznej prognozy wzrokowej.78

Obciążenie systemów opieki zdrowotnej

Na podstawie szacunków zapadalności, w Stanach Zjednoczonych występuje około 28 000 nowych przypadków idiopatycznego odwarstwienia siatkówki rocznie.7980 W Wielkiej Brytanii szacuje się około 7300 nowych przypadków rocznie.8182 W Niemczech liczba ta wynosi około 8000 nowych przypadków rocznie.83

Pomimo postępów w technikach chirurgicznych i technologii, które znacznie poprawiły wyniki leczenia odwarstwienia siatkówki,8485 odwarstwienie siatkówki pozostaje stanem wymagającym pilnej interwencji chirurgicznej, a opóźnienia w leczeniu mogą prowadzić do trwałej utraty wzroku.86

Ze względu na rosnącą częstość występowania RRD, istnieje potrzeba lepszego monitorowania populacji wysokiego ryzyka oraz dostosowania systemów opieki zdrowotnej do zwiększonego zapotrzebowania na usługi witreoretinalne w przyszłości.8788

Znaczenie regularnych badań okulistycznych

Osoby z rozpoznanymi czynnikami ryzyka odwarstwienia siatkówki powinny przechodzić seryjne rozszerzone badania dna oka z depresją twardówki, często co roku.89 Regularne badania okulistyczne są kluczowe dla wczesnego wykrywania i leczenia odwarstwienia siatkówki, szczególnie u osób z podwyższonym ryzykiem.9091

Chociaż nie można zapobiec rhegmatogennemu odwarstwieniu siatkówki, można podjąć kroki w celu zmniejszenia ryzyka:92

  • Regularne badania okulistyczne, szczególnie dla osób z czynnikami ryzyka
  • Wczesne rozpoznanie i leczenie przedarć siatkówki
  • Odpowiednia ochrona oczu podczas aktywności sportowych i zawodowych związanych z ryzykiem urazu oka

Osoby z przeciętnym ryzykiem chorób oczu powinny przechodzić badania okulistyczne raz w roku, natomiast osoby z wyższym ryzykiem mogą wymagać częstszych kontroli.93

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  1. 09.04.2026
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Materiały źródłowe

  • #1 The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations | British Journal of Ophthalmology
    https://bjo.bmj.com/content/94/6/678
    Rhegmatogenous retinal detachment (RRD) is a potentially blinding condition. Obtaining an accurate estimate of RRD incidence in the population is essential in understanding the healthcare burden related to this disorder. […] RRD incidence demonstrates significant geographical variation and its incidence has been reported to be between 6.3 and 17.9 per 100000 population. […] The overall incidence of RRD is not yet well established: more incidence studies of adequate methodology are needed to explore temporal changes in incidence. RRD incidence varies with ethnicity and is strongly associated with increasing age, myopia and certain vitreo-retinal degenerations.
  • #2 Primary rhegmatogenous retinal detachment: clinical epidemiology and genetic aetiology
    https://era.ed.ac.uk/handle/1842/8923?show=full
    Primary rhegmatogenous retinal detachment (RRD) is one of the most common ophthalmic emergencies. […] Previous assessments of RRD incidence have demonstrated large differences in case definition and methodology, with incidence estimates varying 3-fold geographically and in different time periods. […] To date there have been no systematic or prospective incidence estimates of primary RRD in the U.K. […] In this thesis, I present the findings of the Scottish retinal detachment study that examined the incidence, demographic features, temporal incidence trends, as well as clinical and socio-economic associations of primary RRD in Scotland. […] Results from this study have estimated the annual incidence of primary RRD in Scotland to be 12.05 per 100,000 population. Based on this estimate, there are approximately 7,300 new cases annually in the United Kingdom.
  • #2 Demographics and Seasonality of Retinal Detachment, Retinal Breaks, and Posterior Vitreous Detachment from the Intelligent Research in Sight Registry
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9559074/
    To investigate the incidence, seasonal variation, and differences among age, sex, and race for rhegmatogenous retinal detachment (RRD) repair, retinal break (RB) treatment, and posterior vitreous detachment (PVD) in the Intelligent Research in Sight (IRIS) Registry. […] Rhegmatogenous retinal detachment (RRD) is a vision-threatening condition with an estimated incidence of 10 to 18 per 100 000 population per year in the United States. […] Understanding the relative incidence of these conditions and the timing of RB and RRD after acute PVD may be important to determine clinical surveillance guidelines. […] The estimated incidence of RRD in the United States has been derived from surveys and computer database studies conducted at a local level in Iowa and Minnesota. […] Demographic findings from international studies have shown an association with age, with the highest incidence of RRD being reported in the sixth (5059 years of age) and seventh (6069 years of age) decades of life.
  • #3 The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations – KP Bibliotek
    http://kbdk-kp.alma.exlibrisgroup.com/discovery/fulldisplay/cdi_proquest_miscellaneous_733109339/45METROPOL_INST:45KP_KPsearch
    Aims/BackgroundRhegmatogenous retinal detachment (RRD) is a potentially blinding condition. Obtaining an accurate estimate of RRD incidence in the population is essential in understanding the healthcare burden related to this disorder.MethodsA systematic review of all population-based epidemiology studies of RRD published between January 1970 and January 2009 from Medline database searches was performed.ResultsRRD incidence demonstrates significant geographical variation and its incidence has been reported to be between 6.3 and 17.9 per 100 000 population. For studies with a sample size >300 the median annual incidence per 100 000 population was 10.5 (IQR 8.1–13.2) and the mean proportion of bilateral RRD was 7.26%. Overall, the mean prevalence of lattice degeneration was 45.7±20.3% and myopia was 47.28±12.59%.ConclusionsEstimates of RRD incidence have varied threefold, but inclusion criteria and other design features have differed across studies making direct comparisons difficult. The overall incidence of RRD is not yet well established: more incidence studies of adequate methodology are needed to explore temporal changes in incidence. RRD incidence varies with ethnicity and is strongly associated with increasing age, myopia and certain vitreo-retinal degenerations. Due to changes in cataract surgery trends, the proportion of pseudophakic RRD presenting to specialised centres appears to be increasing.
  • #4 Demographics and Seasonality of Retinal Detachment, Retinal Breaks, and Posterior Vitreous Detachment from the Intelligent Research in Sight Registry
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9559074/
    To investigate the incidence, seasonal variation, and differences among age, sex, and race for rhegmatogenous retinal detachment (RRD) repair, retinal break (RB) treatment, and posterior vitreous detachment (PVD) in the Intelligent Research in Sight (IRIS) Registry. […] Rhegmatogenous retinal detachment (RRD) is a vision-threatening condition with an estimated incidence of 10 to 18 per 100 000 population per year in the United States. […] Understanding the relative incidence of these conditions and the timing of RB and RRD after acute PVD may be important to determine clinical surveillance guidelines. […] The estimated incidence of RRD in the United States has been derived from surveys and computer database studies conducted at a local level in Iowa and Minnesota. […] Demographic findings from international studies have shown an association with age, with the highest incidence of RRD being reported in the sixth (5059 years of age) and seventh (6069 years of age) decades of life.
  • #5 Retinal detachment – Wikipedia
    https://en.wikipedia.org/wiki/Retinal_detachment
    Rhegmatogenous retinal detachment affects between 5.3 and 12.6 individuals per 100,000 each year, depending on the geographic region. The highest rates are seen in Europe, followed by the Western Pacific and then the Americas. Additionally, the prevalence of rhegmatogenous retinal detachment is increasing alongside the rising rates of myopia worldwide.
  • #6 Characteristics and Seasonal Variations of Rhegmatogenous Retinal Detachment in the Eastern Black Sea Region of Turkey: 8-Year Results – Turkish Journal of Ophthalmology
    https://qa.oftalmoloji.org/articles/characteristics-and-seasonal-variations-of-rhegmatogenous-retinal-detachment-in-the-eastern-black-sea-region-of-turkey-8-year-results/doi/tjo.galenos.2019.59140
    To assess seasonal variations in the incidence of rhegmatogenous retinal detachment (RRD) in the Eastern Black Sea region of Turkey. […] The annual incidence in the USA is 12/100,000, while studies from Asian and European countries have reported figures of 7-14/100,000. […] Studies investigating relations between RRD and seasonal changes have reported differing findings. […] The purpose of the present study was to investigate seasonal variations and epidemiological characteristics of patients presenting with retinal detachment to a university hospital serving as a reference hospital in the Eastern Black Sea region over an 8-year period. […] The mean annual number of RRDs was 35.135.43 (29-44), and no significant differences were determined in patient numbers according to year (chi-square=5.595, p=0.558).
  • #7 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #8 Incidence and Risk Factors Affecting the Recurrence of Primary Retinal Detachment in a Tertiary Hospital in Spain
    https://www.mdpi.com/2077-0383/11/15/4551
    (1) Objective: To determine the incidence, visual outcomes and risk factors associated with the recurrence of primary retinal detachment (RD) in a tertiary hospital. (3) Results: 570 eyes with primary RD were included. Mean annual incidence of primary RD was 21.8 cases per 100,000 inhabitants. […] The main objective of the study was to identify the incidence of retinal redetachment after primary surgery and potential associated risk factors. […] Over the 4 years of the study, the mean population studied was 652,862 and primary RD surgery was performed in a total of 570 cases, yielding an average annual incidence of 21.8 cases per 100,000 population. […] Recurrences occurred in 28.9% of cases; considering that the mean time to recurrence was 114.42 days, with a median of 35 days, it is important to emphasize the need for close monitoring of the patient during the first 5 weeks. […] The two only independent variables associated with redetachment after logistic regression were male sex and ocular comorbidities.
  • #9 First Nation-Wide Study of the Incidence and Characteristics of Retinal Detachment in Poland during 2013–2019
    https://www.mdpi.com/2077-0383/12/4/1461
    First Nation-Wide Study of the Incidence and Characteristics of Retinal Detachment in Poland during 2013–2019 […] Aims: The present study aimed to analyze the incidence and characteristics of all types of retinal detachment (RD) in the overall population of Polish adults during 2013–2019. […] In the period 2013–2019, 71,073 patients with RD were newly diagnosed in Poland. The average incidence was 32.64/100,000 person-years (95% CI: 31.28–33.99) and it increased with the age of patients, with the highest rate in the group of patients ≥70 years of age. The overall incidences of rhegmatogenous RD, traction RD, serous RD, other RD and unspecified RD were 13.72/100,000, 2.03/100,000, 1.02/100,000, 7.90/100,000 and 7.97/100,000 person-years, respectively. […] The total incidence of retinal detachment in Poland was higher than found in previously published studies.
  • #10 Increasing trend in rhegmatogenous retinal detachment in Korea from 2004 to 2015 | BMC Ophthalmology | Full Text
    https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-021-02157-1
    To determine the 12-year incidence of and trends in rhegmatogenous retinal detachment (RRD) requiring surgery in Korea. […] We identified 53,179 patients with incident RRD requiring surgery using the Korean National Health Claims Database from 2004 to 2015. […] The average annual incidence rate was 9.78 (95% CI: 9.709.86). […] An increasing trend of RRD incidence was observed in the total population throughout the study period using joinpoint analysis (annual percentage change [APC], 2.05; 95% CI: 0.73.4). […] In Korea, the incidence of RRD has increased recently. […] An increasing trend in the incidence of rhegmatogenous retinal detachment was observed using data from Korean National Health Insurance service during the 12-year-study period from 2004 to 2015. […] The standardized incidence rate of RRD cases requiring surgery was 9.78 (95% CI: 9.709.86) per 100,000 person-years during the study period; that in male and female patients was 10.68 per 100,000 person-years (95% CI: 10.5710.80) and 8.87 per 100,000 person-years (95% CI: 8.768.98), respectively. […] The incidence of RRD showed an increasing trend from 2004 to 2015 in the total Korean population. […] The current study showed an overall increasing trend in the incidence of RRD during the 12-year study period.
  • #11 Primary rhegmatogenous retinal detachment: clinical epidemiology and genetic aetiology
    https://era.ed.ac.uk/handle/1842/8923?show=full
    In addition, using hospital episode data, the overall age-standardised incidence of RRD in Scotland was shown to be steadily increasing since 1987 with an average annual increase of 1.9%. […] Furthermore, I demonstrate that the risk of having an affected sibling with RRD is increased 2-fold given that one sibling has had the condition, substantiating a genetic component to the pathogenesis of this condition. […] In the final aspect of this thesis I will present the design and analysis of a two stage case-control genome-wide association study examining the role of common genetic variants and selected candidate genes in predisposing to RRD development.
  • #12 Demographics and Seasonality of Retinal Detachment, Retinal Breaks, and Posterior Vitreous Detachment from the Intelligent Research in Sight Registry
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9559074/
    To investigate the incidence, seasonal variation, and differences among age, sex, and race for rhegmatogenous retinal detachment (RRD) repair, retinal break (RB) treatment, and posterior vitreous detachment (PVD) in the Intelligent Research in Sight (IRIS) Registry. […] Rhegmatogenous retinal detachment (RRD) is a vision-threatening condition with an estimated incidence of 10 to 18 per 100 000 population per year in the United States. […] Understanding the relative incidence of these conditions and the timing of RB and RRD after acute PVD may be important to determine clinical surveillance guidelines. […] The estimated incidence of RRD in the United States has been derived from surveys and computer database studies conducted at a local level in Iowa and Minnesota. […] Demographic findings from international studies have shown an association with age, with the highest incidence of RRD being reported in the sixth (5059 years of age) and seventh (6069 years of age) decades of life.
  • #13 Demographics and Seasonality of Retinal Detachment, Retinal Breaks, and Posterior Vitreous Detachment from the Intelligent Research in Sight Registry
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9559074/
    Our findings support that age is a risk factor for RRD, RB formation, and PVD, consistent with prior studies. […] The incidence within the IRIS Registry of RRD repair was found to peak between 50 and 69 years of age, with an intermediate incidence between 40 to 49 years of age and 70 years of age. […] Our findings showed a clear difference between men and women with regard to incident RRD repair, RB treatment, and PVD. […] Investigating differences in race with respect to RRD repair, RB treatment, and PVD was challenging because of incomplete demographic information. […] Our findings showed that seasonal variations in CS corresponded highly with national holidays. Similarly, RD repair, RB treatment, and PVD were influenced by national holidays, especially in the winter months. […] Most RB treatments and RRD repairs occurred within 6 to 8 weeks of PVD diagnosis, which is consistent with the findings of prior studies that evaluated the timing of these events.
  • #14 Retinal Detachment Surgery in the Aging Eye – Retina Today
    https://retinatoday.com/articles/2021-oct/retinal-detachment-surgery-in-the-aging-eye
    Based on data from the Primary Retinal Detachment Outcomes Study, patients 80 years and older were more likely to present with macula-off detachments and preoperative proliferative vitreoretinopathy compared with patients 40 to 79 years old. […] The prevalence of RRD has a bimodal distribution: a peak at young ages (attributed to high myopia and trauma) and a greater peak between 60 and 69 years. […] To better understand the characteristics and treatment outcomes of RRD in elderly patients, our group analyzed data from the Primary Retinal Detachment Outcomes (PRO) study, a large, comprehensive, observational data set from all patients at six centers who underwent primary RRD repair. […] Examining risk factors for preventable and reversible causes of blindness in the elderly provides insight into the delayed and more complex nature of RRD in this population.
  • #15
    https://www.scipublications.com/journal/index.php/wjcmr/article/view/575
    The incidence of RD is approximately 1 in 10000. It can occur at any age, but peaks in people between 60 to 69 years. Males have a slightly higher chance of developing RRD than females. Southeastern Asians may have a higher risk of RRD than Caucasians as they have a higher risk of myopia. […] Myopic patients over -3 dioptres have a 10-fold increased likelihood of developing RDD. The fellow eye also has a higher risk of developing RRD, with 2% to 10% of RRDs being bilateral. The incidence is also higher in patients with a family history of RD. The risk increases by 1% after cataract surgery and 4% following NdYAG capsulotomy. Patients with pre-existing peripheral retinal disease or degeneration, such as lattice degeneration, have a higher risk of developing RRD. All patients with lattice degeneration have a 1% chance of developing RRD. In contrast around 30% of phakic patients have a chance of developing RRD. Other risk factors that may predispose RD are summarised in Table 1.
  • #16 Retinal Detachment Surgery in the Aging Eye – Retina Today
    https://retinatoday.com/articles/2021-oct/retinal-detachment-surgery-in-the-aging-eye
    Based on data from the Primary Retinal Detachment Outcomes Study, patients 80 years and older were more likely to present with macula-off detachments and preoperative proliferative vitreoretinopathy compared with patients 40 to 79 years old. […] The prevalence of RRD has a bimodal distribution: a peak at young ages (attributed to high myopia and trauma) and a greater peak between 60 and 69 years. […] To better understand the characteristics and treatment outcomes of RRD in elderly patients, our group analyzed data from the Primary Retinal Detachment Outcomes (PRO) study, a large, comprehensive, observational data set from all patients at six centers who underwent primary RRD repair. […] Examining risk factors for preventable and reversible causes of blindness in the elderly provides insight into the delayed and more complex nature of RRD in this population.
  • #17 Retinal Detachment: Causes and Treatment | Doctor
    https://patient.info/doctor/retinal-detachment-pro
    Retinal detachment has an annual incidence of 10-15 per 100,000 people. […] Incidence increases with advancing age. […] Lifetime risk is estimated to be 3% at 85 years of age. […] Average age of presentation is 60 years. […] It is unusual in younger people, although traumatic RD is more common in younger patients, particularly men. […] There has been an increase in presentation of much younger individuals, associated with paintball injuries. […] It is more frequent in right eyes and with increasing affluence. […] Men and women are similarly affected. […] After RD the risk of RD in the contralateral eye is around 10%. […] There are an estimated 7,300 new cases in the UK every year. […] There is anecdotal evidence that it is more common in people of Jewish descent and less common in patients of African origin.
  • #18 Study Describes Myopia’s Link to Increased Risk of Retinal Detachment in Military Population
    https://www.reviewofoptometry.com/breakingnews/article/study-describes-myopias-link-to-increased-risk-of-retinal-detachment-in-military-population
    Rhegmatogenous retinal detachment (RRD) is a serious ocular condition that can significantly and permanently affect vision. Global incidence rates for RRD can range from 7.9 to 26.2 per 100,000 people; however, studies in the general population tend to skew toward older subjects, with an average age of 58.7 years reported in large-scale studies such as the Primary Retinal Detachment Outcome Study. […] A recent study published in Ophthalmic Epidemiology examines the incidence of rhegmatogenous retinal detachment (RRD) among U.S. military service members with refractive errors. The research, involving over 1.2 million personnel, found that myopia accounted for 93% of RRD cases, with incidence increasing with age. […] The rates between male and female subjects were 16.4 and 15.9 per 100,000, respectively, and RRD incidence increased with age. According to the researchers, male and female service members aged 45 to 64 had an eight-fold increase compared to the youngest category, 18 to 24 years.
  • #19 Retinal Detachment – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK551502/
    The incidence and risk of RRD vary between study results; one showed 1 in 10,000 individuals, and another showed the annual risk of RRD to be about 6.3 to 17.9 per 100,000 individuals. Males may be at a slightly higher risk than females of getting an RRD. There may be a higher risk of RRD in those of Southeastern Asian descent compared to European White race persons, confounded by the fact that Southeastern Asian populations tended to have a higher risk of myopia and a longer axial length. Results from another study did not find a significant difference in risk factors, postoperative outcomes, and clinical features in patients with retinal detachments between Indian, Malay, and Chinese populations in Singapore.
  • #20 Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States | Scientific Reports
    https://www.nature.com/articles/s41598-023-35520-x
    The present study reinforces the importance of myopia and particularly high myopia as a risk factor for RRD along with age and male sex across non-myopes and myopes alike. […] Here we report an incidence rate of 22.44 RRDs per 100,000 person-years in non-myopes, 67.51 RRDs per 100,000 person-years in myopes, and 868.83 RRDs per 100,000 person-years in high-myopes. […] Understanding the epidemiology of RRDs in myopia and high myopia in the United States is critical for eye care providers to better monitor high risk populations.
  • #21 Increasing trend in rhegmatogenous retinal detachment in Korea from 2004 to 2015 | BMC Ophthalmology | Full Text
    https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-021-02157-1
    To determine the 12-year incidence of and trends in rhegmatogenous retinal detachment (RRD) requiring surgery in Korea. […] We identified 53,179 patients with incident RRD requiring surgery using the Korean National Health Claims Database from 2004 to 2015. […] The average annual incidence rate was 9.78 (95% CI: 9.709.86). […] An increasing trend of RRD incidence was observed in the total population throughout the study period using joinpoint analysis (annual percentage change [APC], 2.05; 95% CI: 0.73.4). […] In Korea, the incidence of RRD has increased recently. […] An increasing trend in the incidence of rhegmatogenous retinal detachment was observed using data from Korean National Health Insurance service during the 12-year-study period from 2004 to 2015. […] The standardized incidence rate of RRD cases requiring surgery was 9.78 (95% CI: 9.709.86) per 100,000 person-years during the study period; that in male and female patients was 10.68 per 100,000 person-years (95% CI: 10.5710.80) and 8.87 per 100,000 person-years (95% CI: 8.768.98), respectively. […] The incidence of RRD showed an increasing trend from 2004 to 2015 in the total Korean population. […] The current study showed an overall increasing trend in the incidence of RRD during the 12-year study period.
  • #22
    https://link.springer.com/article/10.1007/s00417-022-05674-x
    To analyze the correlation between lens status, age, and sex in the epidemiology and success rates of rhegmatogenous retinal detachment (RRD) surgery. […] The percentage of pseudophakic RRD increased from 25 to 40% during the 15 years observation period. […] The ratio of male and female patients with RRD varies between age groups. […] The proportion of pseudophakic RRD has increased within 15 years. […] The male predominance in RRD is stronger in pseudophakic than in phakic eyes. […] In phakic eyes with RRD, a combined phacovitrectomy yielded better anatomical results. […] RRD is not a homogenous entity. […] Most studies show a male predominance in RRD patients, and the reason for the observed sex ratio is however unclear. […] With the rising number of cataract operations, an increasing proportion of pseudophakic RRD can be expected.
  • #23 Epidemiology and clinical characteristics of rhegmatogenous retinal detachment in Taiwan | British Journal of Ophthalmology
    https://bjo.bmj.com/content/100/9/1216
    The annual incidence of RRD in Taiwan is comparable to most Western countries, with a relatively younger mean age. […] The age-standardised incidence rate of RRD over the 13-year period was 16.401.06 per 105 person-years (18.89 and 13.93 for men and women, respectively, p0.0001) and an average age of 47.760.67years. […] The incidence in both genders had an obvious peak at 5069years of age, and a secondary peak at 2029years in women. […] Concomitant high myopia was noted in 10.51% of the patients, with an average of 39.721.95years. […] The male patients were more susceptible to retinal detachment in almost all age groups. […] Retinal detachment in patients with high myopia was associated with a younger age at onset.
  • #24 Epidemiology and clinical characteristics of rhegmatogenous retinal detachment in Taiwan | British Journal of Ophthalmology
    https://bjo.bmj.com/content/100/9/1216
    The annual incidence of RRD in Taiwan is comparable to most Western countries, with a relatively younger mean age. […] The age-standardised incidence rate of RRD over the 13-year period was 16.401.06 per 105 person-years (18.89 and 13.93 for men and women, respectively, p0.0001) and an average age of 47.760.67years. […] The incidence in both genders had an obvious peak at 5069years of age, and a secondary peak at 2029years in women. […] Concomitant high myopia was noted in 10.51% of the patients, with an average of 39.721.95years. […] The male patients were more susceptible to retinal detachment in almost all age groups. […] Retinal detachment in patients with high myopia was associated with a younger age at onset.
  • #25 Retinal Detachment – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK551502/
    The incidence and risk of RRD vary between study results; one showed 1 in 10,000 individuals, and another showed the annual risk of RRD to be about 6.3 to 17.9 per 100,000 individuals. Males may be at a slightly higher risk than females of getting an RRD. There may be a higher risk of RRD in those of Southeastern Asian descent compared to European White race persons, confounded by the fact that Southeastern Asian populations tended to have a higher risk of myopia and a longer axial length. Results from another study did not find a significant difference in risk factors, postoperative outcomes, and clinical features in patients with retinal detachments between Indian, Malay, and Chinese populations in Singapore.
  • #26 Retinal Detachment: Causes and Treatment | Doctor
    https://patient.info/doctor/retinal-detachment-pro
    Retinal detachment has an annual incidence of 10-15 per 100,000 people. […] Incidence increases with advancing age. […] Lifetime risk is estimated to be 3% at 85 years of age. […] Average age of presentation is 60 years. […] It is unusual in younger people, although traumatic RD is more common in younger patients, particularly men. […] There has been an increase in presentation of much younger individuals, associated with paintball injuries. […] It is more frequent in right eyes and with increasing affluence. […] Men and women are similarly affected. […] After RD the risk of RD in the contralateral eye is around 10%. […] There are an estimated 7,300 new cases in the UK every year. […] There is anecdotal evidence that it is more common in people of Jewish descent and less common in patients of African origin.
  • #27
    https://link.springer.com/article/10.1007/BF00184088
    Background: The epidemiology of rhegmatogenous retinal detachment in Asians is not well known. We studied the epidemiologic characteristics of rhegmatogenous retinal detachment in Kumamoto, Japan. […] From a population of 1 840000, 192 residents developed retinal detachment. The annual incidence was therefore 10.4 per 100000 population (9.6 for males, 11.2 for females). […] Compared with previously published studies from other countries, the incidence of detachments associated with lattice degeneration and macular hole was higher, while the incidences of aphakic detachment and detachment due to blunt trauma were lower in Japan. Racial factors and living habits may affect the development of retinal detachment.
  • #28 Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States | Scientific Reports
    https://www.nature.com/articles/s41598-023-35520-x
    Myopia is a known risk factor for rhegmatogenous retinal detachment (RRD). […] The incidence rate of RRD in phakic patients in the United States was 39-fold higher in high myopes than non-myopes (868.83 per 100,000 person-years versus 22.44 per 100,000 person-years) and three-fold higher in myopes than non-myopes (67.51 per 100,000 person-years versus 22.44 per 100,000 person-years). […] Combined, the incidence rate of RRD in phakic patients in the United States from 2007 to 2016 was 25.27 RRDs per 100,000 person-years, a rate higher than those in prior published studies in North America, South America, Europe, Asia, and Australia. […] The absolute risk of myopia and high myopia increased from 2007 to 2016. […] The risk of RRD in phakic high myopes rose with increasing age. […] We found a three-fold higher incidence rate of RRDs in myopes as compared to non-myopes and a 39-fold higher incidence rate of RRDs in high myopes as compared to non-myopes.
  • #29 Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States | Scientific Reports
    https://www.nature.com/articles/s41598-023-35520-x
    The present study reinforces the importance of myopia and particularly high myopia as a risk factor for RRD along with age and male sex across non-myopes and myopes alike. […] Here we report an incidence rate of 22.44 RRDs per 100,000 person-years in non-myopes, 67.51 RRDs per 100,000 person-years in myopes, and 868.83 RRDs per 100,000 person-years in high-myopes. […] Understanding the epidemiology of RRDs in myopia and high myopia in the United States is critical for eye care providers to better monitor high risk populations.
  • #30 Prevalence and Management of Retinal Detachment in High Myopia | Retinal Physician
    https://retinalphysician.com/issues/2023/julyaugust/prevalence-and-management-of-retinal-detachment-in-high-myopia/
    As with PVDs, the lifetime risk of RD in myopia is proportional to the axial length and spherical equivalent (SE). The Eye Disease Case Control Study Group found that compared with emmetropes, eyes with an SE of -1.00 D to -3.00 D had a 4-fold increased risk of RD, and eyes with an SE of less than -3.00 D had a 10-fold increased risk of RD. Without surgery, the lifetime risk of RD in high myopia, as defined by Burton as less than -5.00 D, is 20-fold higher than in emmetropia. Ocular surgery may further compound this risk. Although the safety of cataract surgery has dramatically increased since its inception, the risk of RD after surgery for myopes is far greater than for emmetropes. Al Muammar et al found a 7-fold increase in RD in high myopes after cataract surgery as compared to emmetropes.
  • #31 Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States | Scientific Reports
    https://www.nature.com/articles/s41598-023-35520-x
    Myopia is a known risk factor for rhegmatogenous retinal detachment (RRD). […] The incidence rate of RRD in phakic patients in the United States was 39-fold higher in high myopes than non-myopes (868.83 per 100,000 person-years versus 22.44 per 100,000 person-years) and three-fold higher in myopes than non-myopes (67.51 per 100,000 person-years versus 22.44 per 100,000 person-years). […] Combined, the incidence rate of RRD in phakic patients in the United States from 2007 to 2016 was 25.27 RRDs per 100,000 person-years, a rate higher than those in prior published studies in North America, South America, Europe, Asia, and Australia. […] The absolute risk of myopia and high myopia increased from 2007 to 2016. […] The risk of RRD in phakic high myopes rose with increasing age. […] We found a three-fold higher incidence rate of RRDs in myopes as compared to non-myopes and a 39-fold higher incidence rate of RRDs in high myopes as compared to non-myopes.
  • #32 Study Describes Myopia’s Link to Increased Risk of Retinal Detachment in Military Population
    https://www.reviewofoptometry.com/article/study-describes-myopias-link-to-increased-risk-of-retinal-detachment-in-military-population
    Rhegmatogenous retinal detachment (RRD) is a serious ocular condition that can significantly and permanently affect vision. One of the most common risk factors for RRD is refractive errors, particularly myopia. Global incidence rates for RRD can range from 7.9 to 26.2 per 100,000 people; however, studies in the general population tend to skew toward older subjects, with an average age of 58.7 years reported in large-scale studies such as the Primary Retinal Detachment Outcome Study. […] Their results revealed an RRD incidence rate of 16.3 per 100,000, which increased with age; and in eyes with detailed refractive data, myopia accounted for 93% of the cases. […] The research, involving over 1.2 million personnel, found that myopia accounted for 93% of RRD cases, with incidence increasing with age.
  • #33 Epidemiology and clinical characteristics of rhegmatogenous retinal detachment in Taiwan | British Journal of Ophthalmology
    https://bjo.bmj.com/content/100/9/1216
    The annual incidence of RRD in Taiwan is comparable to most Western countries, with a relatively younger mean age. […] The age-standardised incidence rate of RRD over the 13-year period was 16.401.06 per 105 person-years (18.89 and 13.93 for men and women, respectively, p0.0001) and an average age of 47.760.67years. […] The incidence in both genders had an obvious peak at 5069years of age, and a secondary peak at 2029years in women. […] Concomitant high myopia was noted in 10.51% of the patients, with an average of 39.721.95years. […] The male patients were more susceptible to retinal detachment in almost all age groups. […] Retinal detachment in patients with high myopia was associated with a younger age at onset.
  • #34 Retinal detachment – Wikipedia
    https://en.wikipedia.org/wiki/Retinal_detachment
    Rhegmatogenous retinal detachment affects between 5.3 and 12.6 individuals per 100,000 each year, depending on the geographic region. The highest rates are seen in Europe, followed by the Western Pacific and then the Americas. Additionally, the prevalence of rhegmatogenous retinal detachment is increasing alongside the rising rates of myopia worldwide.
  • #35 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #36 Prevalence and Management of Retinal Detachment in High Myopia | Retinal Physician
    https://retinalphysician.com/issues/2023/julyaugust/prevalence-and-management-of-retinal-detachment-in-high-myopia/
    By 2050, 1 in 10 people on the planet will be highly myopic. High myopia is defined by the International Myopia Institute as a condition in which the spherical equivalent refractive error of an eye is less than or equal to -6.00 D when ocular accommodation is relaxed. This anticipated 4-fold increase in prevalence of high myopia since 2000 brings with it the many retina sequelae of increased axial elongation, including myopic traction maculopathy (MTM), myopic macular degeneration (MMD), and retinal detachments (RDs). The incidence of RDs is increasing globally, with data from Denmark confirming a 50% increase in RDs over the last 16 years. A study conducted in Scotland among the general population revealed that the increase in RDs was mainly attributed to men aged 50 and above. The same study also found a strong association between myopia and early onset RDs, with myopia diagnosed in 82.1% of phakic RDs in individuals under the age of 50. There are a number of factors that influence the rise of RDs in myopes, including the younger age at onset of PVD, greater axial elongation leading to increased peripheral retinal thinning and peripheral retinal pathology, and the increased perpendicular and tangential tractional forces in the posterior pole of a staphylomatous eye resulting in myopic foveal detachments.
  • #37 Retinal Detachment: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1224737-overview
    Although 6% of the general population are thought to have retinal breaks, most of these are asymptomatic benign atrophic holes, which are without accompanying pathology and do not lead to retinal detachment. The annual incidence is approximately one in 10,000 or about 1 in 300 over a lifetime. Other sources suggest that the age-adjusted incidence of idiopathic retinal detachments is approximately 12.5 cases per 100,000 per year, or about 28,000 cases per year in the US. […] Certain groups have higher prevalence than others. Patients with high myopia (6 diopters) and individuals with aphakia (ie, cataract removal without lens implant) have a higher risk. Cataract extraction complicated by vitreous loss during surgery can have an increased detachment rate of up to 10%. […] The most common worldwide etiologic factors associated with retinal detachment are myopia (ie, nearsightedness), aphakia, pseudophakia (ie, cataract removal with lens implant), and trauma. Approximately 40-50% of all patients with detachments have myopia, 30-40% have undergone cataract removal, and 10-20% have encountered direct ocular trauma. Traumatic detachments are more common in young persons, and myopic detachment occurs most commonly in persons aged 25-45 years.
  • #38 Rhegmatogenous Retinal Detachment (06.01.2014)
    https://di.aerzteblatt.de/int/archive/article/152685
    Rhegmatogenous retinal detachment is the most common retinological emergency threatening vision, with an incidence of 1 in 10 000 persons per year, corresponding to about 8000 new cases in Germany annually. […] Epidemiologic studies have identified myopia and prior cataract surgery as the main risk factors. […] The incidence of rhegmatogenous retinal detachment in the general population in Europe is ca. 1 in 10 000, corresponding to around 8000 new cases each year in Germany. […] The risk of retinal detachment in the second eye is between 3.5% and 5.8% in the first year and 9% to 10% within 4 years; existing detachment in one eye is therefore the most frequent risk factor. […] There are typical risk factors that increase the danger of rhegmatogenous retinal detachment, principal among them shortsightedness, cataract surgery, and trauma. […] The higher incidence of retinal detachment in patients with these risk factors is attributed to points of particularly strong adhesion between the vitreous body and the retina.
  • #39
    https://www.scipublications.com/journal/index.php/wjcmr/article/view/575
    The incidence of RD is approximately 1 in 10000. It can occur at any age, but peaks in people between 60 to 69 years. Males have a slightly higher chance of developing RRD than females. Southeastern Asians may have a higher risk of RRD than Caucasians as they have a higher risk of myopia. […] Myopic patients over -3 dioptres have a 10-fold increased likelihood of developing RDD. The fellow eye also has a higher risk of developing RRD, with 2% to 10% of RRDs being bilateral. The incidence is also higher in patients with a family history of RD. The risk increases by 1% after cataract surgery and 4% following NdYAG capsulotomy. Patients with pre-existing peripheral retinal disease or degeneration, such as lattice degeneration, have a higher risk of developing RRD. All patients with lattice degeneration have a 1% chance of developing RRD. In contrast around 30% of phakic patients have a chance of developing RRD. Other risk factors that may predispose RD are summarised in Table 1.
  • #40 Retinal Detachment: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1224737-overview
    Although 6% of the general population are thought to have retinal breaks, most of these are asymptomatic benign atrophic holes, which are without accompanying pathology and do not lead to retinal detachment. The annual incidence is approximately one in 10,000 or about 1 in 300 over a lifetime. Other sources suggest that the age-adjusted incidence of idiopathic retinal detachments is approximately 12.5 cases per 100,000 per year, or about 28,000 cases per year in the US. […] Certain groups have higher prevalence than others. Patients with high myopia (6 diopters) and individuals with aphakia (ie, cataract removal without lens implant) have a higher risk. Cataract extraction complicated by vitreous loss during surgery can have an increased detachment rate of up to 10%. […] The most common worldwide etiologic factors associated with retinal detachment are myopia (ie, nearsightedness), aphakia, pseudophakia (ie, cataract removal with lens implant), and trauma. Approximately 40-50% of all patients with detachments have myopia, 30-40% have undergone cataract removal, and 10-20% have encountered direct ocular trauma. Traumatic detachments are more common in young persons, and myopic detachment occurs most commonly in persons aged 25-45 years.
  • #41
    https://journals.lww.com/jcrs/abstract/1993/11000/epidemiology_of_retinal_detachment_following.2.aspx
    We reviewed the medical records of 1,726 eyes consecutively operated on with extracapsular cataract extraction to examine the incidence of and the risk factors for retinal detachment (RD). […] In Denmark, both diagnoses and deaths are registered centrally; therefore, a complete follow-up was achieved in each case and actuarial statistical methods were used in the risk assessment. […] Seven eyes (0.41 %) developed RD and 345 eyes (20.0%) had YAG-laser capsulotomy in the observation period, which averaged 39 months. […] We identified the following risk factors for RD: age less than 70 years at the time of surgery, intraoperative complications, axial length 25 mm. […] One eye (0.29%) developed RD following YAG-laser capsulotomy. […] We concluded that the high risk of RD is concentrated in a small group of myopic patients who have cataract surgery when they are less than 70 years of age. […] Our results do not suggest a causal relationship between YAG-laser capsulotomy and subsequent RD.
  • #42
    https://link.springer.com/article/10.1007/s00417-022-05674-x
    To analyze the correlation between lens status, age, and sex in the epidemiology and success rates of rhegmatogenous retinal detachment (RRD) surgery. […] The percentage of pseudophakic RRD increased from 25 to 40% during the 15 years observation period. […] The ratio of male and female patients with RRD varies between age groups. […] The proportion of pseudophakic RRD has increased within 15 years. […] The male predominance in RRD is stronger in pseudophakic than in phakic eyes. […] In phakic eyes with RRD, a combined phacovitrectomy yielded better anatomical results. […] RRD is not a homogenous entity. […] Most studies show a male predominance in RRD patients, and the reason for the observed sex ratio is however unclear. […] With the rising number of cataract operations, an increasing proportion of pseudophakic RRD can be expected.
  • #43
    https://link.springer.com/article/10.1007/s00417-022-05674-x
    The study was approved by the local ethic board (Ethikkommission der Universitt Regensburg) and adheres to the principles of the declaration of Helsinki. […] The overall primary anatomic success rate was 91%, which is in accordance with other recently published studies for RRD surgery. […] The number of cataract surgeries has increased in the order of 10% per year over the last decades in industrialized countries. […] Since cataract surgery is a major risk factor for RRD, it is inevitably that the proportion of pseudophakic RRD increases with time. […] The success rates also showed some correlation with the lens status. […] A controversial question is whether cataract surgery should be performed simultaneously during vitreous surgery for RD. […] In conclusion, our analysis of the influence of lens status, age, and sex in a large consecutive series of RD surgery revealed that the gender predominance in RD varies within different age groups.
  • #44 Prevalence and Management of Retinal Detachment in High Myopia | Retinal Physician
    https://retinalphysician.com/issues/2023/julyaugust/prevalence-and-management-of-retinal-detachment-in-high-myopia/
    As with PVDs, the lifetime risk of RD in myopia is proportional to the axial length and spherical equivalent (SE). The Eye Disease Case Control Study Group found that compared with emmetropes, eyes with an SE of -1.00 D to -3.00 D had a 4-fold increased risk of RD, and eyes with an SE of less than -3.00 D had a 10-fold increased risk of RD. Without surgery, the lifetime risk of RD in high myopia, as defined by Burton as less than -5.00 D, is 20-fold higher than in emmetropia. Ocular surgery may further compound this risk. Although the safety of cataract surgery has dramatically increased since its inception, the risk of RD after surgery for myopes is far greater than for emmetropes. Al Muammar et al found a 7-fold increase in RD in high myopes after cataract surgery as compared to emmetropes.
  • #45 Retinal Detachment: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1224737-overview
    Although 6% of the general population are thought to have retinal breaks, most of these are asymptomatic benign atrophic holes, which are without accompanying pathology and do not lead to retinal detachment. The annual incidence is approximately one in 10,000 or about 1 in 300 over a lifetime. Other sources suggest that the age-adjusted incidence of idiopathic retinal detachments is approximately 12.5 cases per 100,000 per year, or about 28,000 cases per year in the US. […] Certain groups have higher prevalence than others. Patients with high myopia (6 diopters) and individuals with aphakia (ie, cataract removal without lens implant) have a higher risk. Cataract extraction complicated by vitreous loss during surgery can have an increased detachment rate of up to 10%. […] The most common worldwide etiologic factors associated with retinal detachment are myopia (ie, nearsightedness), aphakia, pseudophakia (ie, cataract removal with lens implant), and trauma. Approximately 40-50% of all patients with detachments have myopia, 30-40% have undergone cataract removal, and 10-20% have encountered direct ocular trauma. Traumatic detachments are more common in young persons, and myopic detachment occurs most commonly in persons aged 25-45 years.
  • #46 Epidemiology of rhegmatogenous retinal detachment in a Finnish population. | Read by QxMD
    https://read.qxmd.com/read/3993347/epidemiology-of-rhegmatogenous-retinal-detachment-in-a-finnish-population?redirected=slug
    During a -4 year period, 1978-1981, 310 eyes of 301 patients living in the district of the Helsinki University Central Hospital were examined for rhegmatogenous detachment of the retina. This corresponds to an annual incidence of 6.9 per 100 000 mean population. […] The estimated annual incidence of rhegmatogenous detachment in the myopic population was more than 3 times that in the non-myopic population. […] The annual incidence of traumatic rhegmatogenous retinal detachment was 0.8 per 100 000 mean population. […] There were significant (P less than 0.005) seasonal variations in the occurrence of retinal detachment.
  • #47 Retinal Detachment: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1224737-overview
    Estimates reveal that 15% of people with retinal detachments in one eye develop detachment in the other eye. Risk of bilateral detachment is increased (25-30%) in patients who have had bilateral cataract extraction. […] As the population ages, retinal detachments (RDs) are becoming more common. Retinal detachment usually occurs in persons aged 40-70 years. However, paintball injuries in young children and teens are becoming increasingly common causes of eye injuries, including traumatic retinal detachments.
  • #48 Retinal Detachment: Causes and Treatment | Doctor
    https://patient.info/doctor/retinal-detachment-pro
    Retinal detachment has an annual incidence of 10-15 per 100,000 people. […] Incidence increases with advancing age. […] Lifetime risk is estimated to be 3% at 85 years of age. […] Average age of presentation is 60 years. […] It is unusual in younger people, although traumatic RD is more common in younger patients, particularly men. […] There has been an increase in presentation of much younger individuals, associated with paintball injuries. […] It is more frequent in right eyes and with increasing affluence. […] Men and women are similarly affected. […] After RD the risk of RD in the contralateral eye is around 10%. […] There are an estimated 7,300 new cases in the UK every year. […] There is anecdotal evidence that it is more common in people of Jewish descent and less common in patients of African origin.
  • #49 Study Describes Myopia’s Link to Increased Risk of Retinal Detachment in Military Population
    https://www.reviewofoptometry.com/breakingnews/article/study-describes-myopias-link-to-increased-risk-of-retinal-detachment-in-military-population
    The authors noted in their paper that, although these rates are comparable to other studies in Western countries, they had expected lower incidence rates of RRD considering the study population age and low prevalence of high myopia among service members. […] Compared to studies that have reported incidence rates for similar age groups, they noted, rates among US service members are higher across all similar age categories. […] Combat-related trauma may be considered as a contributing risk factor, the authors suggested. Military service is a physically demanding profession and service members have been shown to maintain a higher level of physical activity compared to the civilian population, they wrote. […] Ultimately, this study agrees with previous findings on the increased risk of RRD with age and myopia, but researchers say further studies are needed to investigate other risk factors for RRD outside of age, gender and refractive errors.
  • #50 The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations | British Journal of Ophthalmology
    https://bjo.bmj.com/content/94/6/678
    Rhegmatogenous retinal detachment (RRD) is a potentially blinding condition. Obtaining an accurate estimate of RRD incidence in the population is essential in understanding the healthcare burden related to this disorder. […] RRD incidence demonstrates significant geographical variation and its incidence has been reported to be between 6.3 and 17.9 per 100000 population. […] The overall incidence of RRD is not yet well established: more incidence studies of adequate methodology are needed to explore temporal changes in incidence. RRD incidence varies with ethnicity and is strongly associated with increasing age, myopia and certain vitreo-retinal degenerations.
  • #51 Retinal Detachment: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1224737-overview
    Although 6% of the general population are thought to have retinal breaks, most of these are asymptomatic benign atrophic holes, which are without accompanying pathology and do not lead to retinal detachment. The annual incidence is approximately one in 10,000 or about 1 in 300 over a lifetime. Other sources suggest that the age-adjusted incidence of idiopathic retinal detachments is approximately 12.5 cases per 100,000 per year, or about 28,000 cases per year in the US. […] Certain groups have higher prevalence than others. Patients with high myopia (6 diopters) and individuals with aphakia (ie, cataract removal without lens implant) have a higher risk. Cataract extraction complicated by vitreous loss during surgery can have an increased detachment rate of up to 10%. […] The most common worldwide etiologic factors associated with retinal detachment are myopia (ie, nearsightedness), aphakia, pseudophakia (ie, cataract removal with lens implant), and trauma. Approximately 40-50% of all patients with detachments have myopia, 30-40% have undergone cataract removal, and 10-20% have encountered direct ocular trauma. Traumatic detachments are more common in young persons, and myopic detachment occurs most commonly in persons aged 25-45 years.
  • #52 Rhegmatogenous Retinal Detachment (06.01.2014)
    https://di.aerzteblatt.de/int/archive/article/152685
    Rhegmatogenous retinal detachment is the most common retinological emergency threatening vision, with an incidence of 1 in 10 000 persons per year, corresponding to about 8000 new cases in Germany annually. […] Epidemiologic studies have identified myopia and prior cataract surgery as the main risk factors. […] The incidence of rhegmatogenous retinal detachment in the general population in Europe is ca. 1 in 10 000, corresponding to around 8000 new cases each year in Germany. […] The risk of retinal detachment in the second eye is between 3.5% and 5.8% in the first year and 9% to 10% within 4 years; existing detachment in one eye is therefore the most frequent risk factor. […] There are typical risk factors that increase the danger of rhegmatogenous retinal detachment, principal among them shortsightedness, cataract surgery, and trauma. […] The higher incidence of retinal detachment in patients with these risk factors is attributed to points of particularly strong adhesion between the vitreous body and the retina.
  • #53
    https://www.scipublications.com/journal/index.php/wjcmr/article/view/575
    The incidence of RD is approximately 1 in 10000. It can occur at any age, but peaks in people between 60 to 69 years. Males have a slightly higher chance of developing RRD than females. Southeastern Asians may have a higher risk of RRD than Caucasians as they have a higher risk of myopia. […] Myopic patients over -3 dioptres have a 10-fold increased likelihood of developing RDD. The fellow eye also has a higher risk of developing RRD, with 2% to 10% of RRDs being bilateral. The incidence is also higher in patients with a family history of RD. The risk increases by 1% after cataract surgery and 4% following NdYAG capsulotomy. Patients with pre-existing peripheral retinal disease or degeneration, such as lattice degeneration, have a higher risk of developing RRD. All patients with lattice degeneration have a 1% chance of developing RRD. In contrast around 30% of phakic patients have a chance of developing RRD. Other risk factors that may predispose RD are summarised in Table 1.
  • #54 Retinal Detachment: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1224737-overview
    Estimates reveal that 15% of people with retinal detachments in one eye develop detachment in the other eye. Risk of bilateral detachment is increased (25-30%) in patients who have had bilateral cataract extraction. […] As the population ages, retinal detachments (RDs) are becoming more common. Retinal detachment usually occurs in persons aged 40-70 years. However, paintball injuries in young children and teens are becoming increasingly common causes of eye injuries, including traumatic retinal detachments.
  • #55 Rhegmatogenous Retinal Detachment (06.01.2014)
    https://di.aerzteblatt.de/int/archive/article/152685
    Rhegmatogenous retinal detachment is the most common retinological emergency threatening vision, with an incidence of 1 in 10 000 persons per year, corresponding to about 8000 new cases in Germany annually. […] Epidemiologic studies have identified myopia and prior cataract surgery as the main risk factors. […] The incidence of rhegmatogenous retinal detachment in the general population in Europe is ca. 1 in 10 000, corresponding to around 8000 new cases each year in Germany. […] The risk of retinal detachment in the second eye is between 3.5% and 5.8% in the first year and 9% to 10% within 4 years; existing detachment in one eye is therefore the most frequent risk factor. […] There are typical risk factors that increase the danger of rhegmatogenous retinal detachment, principal among them shortsightedness, cataract surgery, and trauma. […] The higher incidence of retinal detachment in patients with these risk factors is attributed to points of particularly strong adhesion between the vitreous body and the retina.
  • #56
    https://www.scipublications.com/journal/index.php/wjcmr/article/view/575
    The incidence of RD is approximately 1 in 10000. It can occur at any age, but peaks in people between 60 to 69 years. Males have a slightly higher chance of developing RRD than females. Southeastern Asians may have a higher risk of RRD than Caucasians as they have a higher risk of myopia. […] Myopic patients over -3 dioptres have a 10-fold increased likelihood of developing RDD. The fellow eye also has a higher risk of developing RRD, with 2% to 10% of RRDs being bilateral. The incidence is also higher in patients with a family history of RD. The risk increases by 1% after cataract surgery and 4% following NdYAG capsulotomy. Patients with pre-existing peripheral retinal disease or degeneration, such as lattice degeneration, have a higher risk of developing RRD. All patients with lattice degeneration have a 1% chance of developing RRD. In contrast around 30% of phakic patients have a chance of developing RRD. Other risk factors that may predispose RD are summarised in Table 1.
  • #57 Primary rhegmatogenous retinal detachment: clinical epidemiology and genetic aetiology
    https://era.ed.ac.uk/handle/1842/8923?show=full
    In addition, using hospital episode data, the overall age-standardised incidence of RRD in Scotland was shown to be steadily increasing since 1987 with an average annual increase of 1.9%. […] Furthermore, I demonstrate that the risk of having an affected sibling with RRD is increased 2-fold given that one sibling has had the condition, substantiating a genetic component to the pathogenesis of this condition. […] In the final aspect of this thesis I will present the design and analysis of a two stage case-control genome-wide association study examining the role of common genetic variants and selected candidate genes in predisposing to RRD development.
  • #58 Anatomical and functional outcomes of retinal detachment associated with nontraumatic giant retinal tears compared to simple rhegmatogenous retinal detachment | International Journal of Retina and Vitreous | Full Text
    https://journalretinavitreous.biomedcentral.com/articles/10.1186/s40942-022-00407-y
    Giant retinal tears (GRTs) are defined as full thickness neurosensory retinal breaks extending circumferentially for 90 (3 clock hours) or more in the presence of posterior vitreous detachment (PVD). […] It is estimated that GRTs are responsible for 0.5 to 8.3% of all RD. […] GRT-RD treatment remains a challenge for retinal surgeons and anatomical success of primary surgery tends to be lower than for RRD. […] The prevalence of GRT-RD of 1.7% in our cohort is comparable with previous studies reporting a prevalence of 0.5 to 8.3%. […] Our multiple regression analysis however suggests that GRT might be associated with poorer anatomical outcomes in the primary repair of RD. […] When adjusting for other preoperative risk factors, GRT remained significantly associated with reduced SSAS compared to simple RRD.
  • #59 Demographics and Seasonality of Retinal Detachment, Retinal Breaks, and Posterior Vitreous Detachment from the Intelligent Research in Sight Registry
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9559074/
    Our findings support that age is a risk factor for RRD, RB formation, and PVD, consistent with prior studies. […] The incidence within the IRIS Registry of RRD repair was found to peak between 50 and 69 years of age, with an intermediate incidence between 40 to 49 years of age and 70 years of age. […] Our findings showed a clear difference between men and women with regard to incident RRD repair, RB treatment, and PVD. […] Investigating differences in race with respect to RRD repair, RB treatment, and PVD was challenging because of incomplete demographic information. […] Our findings showed that seasonal variations in CS corresponded highly with national holidays. Similarly, RD repair, RB treatment, and PVD were influenced by national holidays, especially in the winter months. […] Most RB treatments and RRD repairs occurred within 6 to 8 weeks of PVD diagnosis, which is consistent with the findings of prior studies that evaluated the timing of these events.
  • #60 Study Describes Myopia’s Link to Increased Risk of Retinal Detachment in Military Population
    https://www.reviewofoptometry.com/article/study-describes-myopias-link-to-increased-risk-of-retinal-detachment-in-military-population
    The mechanism for heavy occupational lifting serving as a risk factor for RRD has not been demonstrated. […] Ultimately, this study agrees with previous findings on the increased risk of RRD with age and myopia, but researchers say further studies are needed to investigate other risk factors for RRD outside of age, gender and refractive errors.
  • #61
    https://journals.lww.com/epidem/fulltext/2009/05000/risk_factors_for_retinal_detachment.29.aspx
    We recently reported a case-control study testing the hypothesis that heavy occupational lifting or manual handling (requiring the Valsalva maneuver) may be a risk factor for retinal detachment among people who are myopic (near-sighted). […] Other etiologic studies of retinal detachment, although not restricted to myopic subjects, have provided little information on risk factors among nonmyopic people. […] We therefore did a supplementary analysis of our data to explore how risk factors for retinal detachment vary in nonmyopic subjects compared with near-sighted people. […] The more pronounced age-related risk in nonmyopic cases (4-fold after 65 years) can be attributed to the impact of near-sightedness as a predisposing factor for retinal detachment across the age spectrum. […] Regarding heavy lifting/manual handling, the absence of any clear association (between nonmyopic and myopic cases) with retinal detachment leads us to hypothesize that this factor may increase the risk of retinal detachment regardless of myopia.
  • #62
    https://journals.lww.com/epidem/fulltext/2009/05000/risk_factors_for_retinal_detachment.29.aspx
    As for BMI, there were signs of a possible dose-response relation, suggesting that obesity might conceivably be an even more prominent risk factor for retinal detachment among nonmyopic people. […] Our observations suggest that the plausible etiologic role of heavy drinking in retinal detachment might be more relevant (or more evident) in nonmyopic people, and underline the need for clarification of the effect of heavy drinking on this and other eye conditions. […] They also highlight the need for analytic studies to evaluate risk factors separately for nonmyopic people especially because retinal detachment often occurs in the absence of myopia.
  • #63 Characteristics and Seasonal Variations of Rhegmatogenous Retinal Detachment in the Eastern Black Sea Region of Turkey: 8-Year Results – Turkish Journal of Ophthalmology
    https://qa.oftalmoloji.org/articles/characteristics-and-seasonal-variations-of-rhegmatogenous-retinal-detachment-in-the-eastern-black-sea-region-of-turkey-8-year-results/doi/tjo.galenos.2019.59140
    To assess seasonal variations in the incidence of rhegmatogenous retinal detachment (RRD) in the Eastern Black Sea region of Turkey. […] The annual incidence in the USA is 12/100,000, while studies from Asian and European countries have reported figures of 7-14/100,000. […] Studies investigating relations between RRD and seasonal changes have reported differing findings. […] The purpose of the present study was to investigate seasonal variations and epidemiological characteristics of patients presenting with retinal detachment to a university hospital serving as a reference hospital in the Eastern Black Sea region over an 8-year period. […] The mean annual number of RRDs was 35.135.43 (29-44), and no significant differences were determined in patient numbers according to year (chi-square=5.595, p=0.558).
  • #64 Epidemiology of rhegmatogenous retinal detachment in a Finnish population. | Read by QxMD
    https://read.qxmd.com/read/3993347/epidemiology-of-rhegmatogenous-retinal-detachment-in-a-finnish-population?redirected=slug
    During a -4 year period, 1978-1981, 310 eyes of 301 patients living in the district of the Helsinki University Central Hospital were examined for rhegmatogenous detachment of the retina. This corresponds to an annual incidence of 6.9 per 100 000 mean population. […] The estimated annual incidence of rhegmatogenous detachment in the myopic population was more than 3 times that in the non-myopic population. […] The annual incidence of traumatic rhegmatogenous retinal detachment was 0.8 per 100 000 mean population. […] There were significant (P less than 0.005) seasonal variations in the occurrence of retinal detachment.
  • #65 Characteristics and Seasonal Variations of Rhegmatogenous Retinal Detachment in the Eastern Black Sea Region of Turkey: 8-Year Results – Turkish Journal of Ophthalmology
    https://qa.oftalmoloji.org/articles/characteristics-and-seasonal-variations-of-rhegmatogenous-retinal-detachment-in-the-eastern-black-sea-region-of-turkey-8-year-results/doi/tjo.galenos.2019.59140
    In terms of seasons, the highest number of cases was seen in summer (n=77, 27.4%) and the fewest in winter (n=65, 23.1%). No statistically significant difference was observed (chi-square=1.121, p=0.772). […] Although the incidence of RRD was higher in summer and fall in our study, no significant variation was observed compared to the other seasons. […] The incidence of RRD was relatively higher in the third quarter (28.1%) and in the summer (27.4%) compared to the other periods. […] The principal limitations of this study are its single-center and population-based nature.
  • #66 Demographics and Seasonality of Retinal Detachment, Retinal Breaks, and Posterior Vitreous Detachment from the Intelligent Research in Sight Registry
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9559074/
    Our findings support that age is a risk factor for RRD, RB formation, and PVD, consistent with prior studies. […] The incidence within the IRIS Registry of RRD repair was found to peak between 50 and 69 years of age, with an intermediate incidence between 40 to 49 years of age and 70 years of age. […] Our findings showed a clear difference between men and women with regard to incident RRD repair, RB treatment, and PVD. […] Investigating differences in race with respect to RRD repair, RB treatment, and PVD was challenging because of incomplete demographic information. […] Our findings showed that seasonal variations in CS corresponded highly with national holidays. Similarly, RD repair, RB treatment, and PVD were influenced by national holidays, especially in the winter months. […] Most RB treatments and RRD repairs occurred within 6 to 8 weeks of PVD diagnosis, which is consistent with the findings of prior studies that evaluated the timing of these events.
  • #67 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #68 Increasing trend in rhegmatogenous retinal detachment in Korea from 2004 to 2015 | BMC Ophthalmology | Full Text
    https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-021-02157-1
    To determine the 12-year incidence of and trends in rhegmatogenous retinal detachment (RRD) requiring surgery in Korea. […] We identified 53,179 patients with incident RRD requiring surgery using the Korean National Health Claims Database from 2004 to 2015. […] The average annual incidence rate was 9.78 (95% CI: 9.709.86). […] An increasing trend of RRD incidence was observed in the total population throughout the study period using joinpoint analysis (annual percentage change [APC], 2.05; 95% CI: 0.73.4). […] In Korea, the incidence of RRD has increased recently. […] An increasing trend in the incidence of rhegmatogenous retinal detachment was observed using data from Korean National Health Insurance service during the 12-year-study period from 2004 to 2015. […] The standardized incidence rate of RRD cases requiring surgery was 9.78 (95% CI: 9.709.86) per 100,000 person-years during the study period; that in male and female patients was 10.68 per 100,000 person-years (95% CI: 10.5710.80) and 8.87 per 100,000 person-years (95% CI: 8.768.98), respectively. […] The incidence of RRD showed an increasing trend from 2004 to 2015 in the total Korean population. […] The current study showed an overall increasing trend in the incidence of RRD during the 12-year study period.
  • #69 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #70 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #71 Increasing trend in rhegmatogenous retinal detachment in Korea from 2004 to 2015 | BMC Ophthalmology | Full Text
    https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-021-02157-1
    To determine the 12-year incidence of and trends in rhegmatogenous retinal detachment (RRD) requiring surgery in Korea. […] We identified 53,179 patients with incident RRD requiring surgery using the Korean National Health Claims Database from 2004 to 2015. […] The average annual incidence rate was 9.78 (95% CI: 9.709.86). […] An increasing trend of RRD incidence was observed in the total population throughout the study period using joinpoint analysis (annual percentage change [APC], 2.05; 95% CI: 0.73.4). […] In Korea, the incidence of RRD has increased recently. […] An increasing trend in the incidence of rhegmatogenous retinal detachment was observed using data from Korean National Health Insurance service during the 12-year-study period from 2004 to 2015. […] The standardized incidence rate of RRD cases requiring surgery was 9.78 (95% CI: 9.709.86) per 100,000 person-years during the study period; that in male and female patients was 10.68 per 100,000 person-years (95% CI: 10.5710.80) and 8.87 per 100,000 person-years (95% CI: 8.768.98), respectively. […] The incidence of RRD showed an increasing trend from 2004 to 2015 in the total Korean population. […] The current study showed an overall increasing trend in the incidence of RRD during the 12-year study period.
  • #72 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #73 Prevalence and Management of Retinal Detachment in High Myopia | Retinal Physician
    https://retinalphysician.com/issues/2023/julyaugust/prevalence-and-management-of-retinal-detachment-in-high-myopia/
    Retinal detachments in the setting of high myopia are increasing in prevalence around the world. Vitreoretinal surgeons must measure the axial length prior to surgery to ensure they have adequate reach and must perform a thorough preoperative and intraoperative exam to ensure no breaks are missed. Detachments in the setting of MTM, although historically rare, are likely to increase with the myopia epidemic. They are challenging to repair and may recur as the MTM progresses. Newer surgical techniques, as well as the modification of older techniques, may result in higher surgical success.
  • #74 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #75 Social determinants of health and retinal detachments – Green – Annals of Eye Science
    https://aes.amegroups.org/article/view/8146/html
    Rhegmatogenous retinal detachment (RRD) is a sight threatening condition in which the neurosensory retina separates from the underlying retinal pigment epithelium. With an incidence of 6.3 to 17.9 per 100,000 persons (1), RRD is a condition frequently encountered by vitreoretinal specialists. […] Because timely presentation after RRD is crucial to ultimate visual prognosis, it is important to understand the social factors that predict delays in care. […] In a recently published study by Ong et al. (6) titled Neighborhood-Level Social Determinants of Health and Presenting Characteristics for Rhegmatogenous Retinal Detachments, the authors examined the association between neighborhood-level social determinants of health (SDOH) with baseline severity (visual acuity and fovea status) of RRD. […] Overall, this study suggests that SDOH play an important role in RRD severity.
  • #76 Social determinants of health and retinal detachments – Green – Annals of Eye Science
    https://aes.amegroups.org/article/view/8146/html
    RRD severity has been found previously to be correlated with lower socioeconomic status (12,13). Severity of detachment is highly related to delay in presentation (14), as the longer the retina is detached, the more likely it is that the detachment progresses to the fovea or that proliferative vitreoretinopathy (PVR) develops. […] The recent study, Neighborhood-Level Social Determinants of Health and Presenting Characteristics for Rhegmatogenous Retinal Detachments by Ong et al. (6) sheds light on the importance of considering SDOH when examining risk factors for suboptimal outcomes in RRDs.
  • #77 Late presentation of retinal detachment in India: A comparison between developing nations – The National Medical Journal of India
    https://nmji.in/late-presentation-of-retinal-detachment-in-india-a-comparison-between-developing-nations/
    According to WHO, one-fifth of blind people in the world are Indians and their number is going to double soon. Cataract-related blindness has been the focus but retinal blindness is still unaddressed. Retinal detachment (RD) is the most common indication for retinal surgery. Traditionally, it has been labelled incurable and community-based efforts for its management have been inadequate. […] Our results highlight the delay associated with management of RD in India. It reflects the deficient state of local services and referral systems, requiring an urgent re-evaluation of our regional services. As the rate of cataract surgery increases, prevalence of RD would increase. Improper diagnosis and late referral will add to the burden of preventable blindness.
  • #78 Social determinants of health and retinal detachments – Green – Annals of Eye Science
    https://aes.amegroups.org/article/view/8146/html
    Rhegmatogenous retinal detachment (RRD) is a sight threatening condition in which the neurosensory retina separates from the underlying retinal pigment epithelium. With an incidence of 6.3 to 17.9 per 100,000 persons (1), RRD is a condition frequently encountered by vitreoretinal specialists. […] Because timely presentation after RRD is crucial to ultimate visual prognosis, it is important to understand the social factors that predict delays in care. […] In a recently published study by Ong et al. (6) titled Neighborhood-Level Social Determinants of Health and Presenting Characteristics for Rhegmatogenous Retinal Detachments, the authors examined the association between neighborhood-level social determinants of health (SDOH) with baseline severity (visual acuity and fovea status) of RRD. […] Overall, this study suggests that SDOH play an important role in RRD severity.
  • #79 Retinal Detachment: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1224737-overview
    Although 6% of the general population are thought to have retinal breaks, most of these are asymptomatic benign atrophic holes, which are without accompanying pathology and do not lead to retinal detachment. The annual incidence is approximately one in 10,000 or about 1 in 300 over a lifetime. Other sources suggest that the age-adjusted incidence of idiopathic retinal detachments is approximately 12.5 cases per 100,000 per year, or about 28,000 cases per year in the US. […] Certain groups have higher prevalence than others. Patients with high myopia (6 diopters) and individuals with aphakia (ie, cataract removal without lens implant) have a higher risk. Cataract extraction complicated by vitreous loss during surgery can have an increased detachment rate of up to 10%. […] The most common worldwide etiologic factors associated with retinal detachment are myopia (ie, nearsightedness), aphakia, pseudophakia (ie, cataract removal with lens implant), and trauma. Approximately 40-50% of all patients with detachments have myopia, 30-40% have undergone cataract removal, and 10-20% have encountered direct ocular trauma. Traumatic detachments are more common in young persons, and myopic detachment occurs most commonly in persons aged 25-45 years.
  • #80 Retinal Detachment – Optometrists.org
    https://www.optometrists.org/general-practice-optometry/guide-to-eye-conditions/guide-to-retinal-diseases/retinal-detachment/
    Over 28,000 cases of retinal detachment occur every year. […] The annual incidence of retinal detachments is approximately 12.5 cases per 100,000 per year, or about 28,000 cases per year in the US. […] Seeing your eye doctor frequently, such as yearly eye exams, especially if you have risks for retinal diseases, is important to avoid vision loss.
  • #81 Retinal Detachment: Causes and Treatment | Doctor
    https://patient.info/doctor/retinal-detachment-pro
    Retinal detachment has an annual incidence of 10-15 per 100,000 people. […] Incidence increases with advancing age. […] Lifetime risk is estimated to be 3% at 85 years of age. […] Average age of presentation is 60 years. […] It is unusual in younger people, although traumatic RD is more common in younger patients, particularly men. […] There has been an increase in presentation of much younger individuals, associated with paintball injuries. […] It is more frequent in right eyes and with increasing affluence. […] Men and women are similarly affected. […] After RD the risk of RD in the contralateral eye is around 10%. […] There are an estimated 7,300 new cases in the UK every year. […] There is anecdotal evidence that it is more common in people of Jewish descent and less common in patients of African origin.
  • #82 Primary rhegmatogenous retinal detachment: clinical epidemiology and genetic aetiology
    https://era.ed.ac.uk/handle/1842/8923?show=full
    Primary rhegmatogenous retinal detachment (RRD) is one of the most common ophthalmic emergencies. […] Previous assessments of RRD incidence have demonstrated large differences in case definition and methodology, with incidence estimates varying 3-fold geographically and in different time periods. […] To date there have been no systematic or prospective incidence estimates of primary RRD in the U.K. […] In this thesis, I present the findings of the Scottish retinal detachment study that examined the incidence, demographic features, temporal incidence trends, as well as clinical and socio-economic associations of primary RRD in Scotland. […] Results from this study have estimated the annual incidence of primary RRD in Scotland to be 12.05 per 100,000 population. Based on this estimate, there are approximately 7,300 new cases annually in the United Kingdom.
  • #83 Rhegmatogenous Retinal Detachment (06.01.2014)
    https://di.aerzteblatt.de/int/archive/article/152685
    Rhegmatogenous retinal detachment is the most common retinological emergency threatening vision, with an incidence of 1 in 10 000 persons per year, corresponding to about 8000 new cases in Germany annually. […] Epidemiologic studies have identified myopia and prior cataract surgery as the main risk factors. […] The incidence of rhegmatogenous retinal detachment in the general population in Europe is ca. 1 in 10 000, corresponding to around 8000 new cases each year in Germany. […] The risk of retinal detachment in the second eye is between 3.5% and 5.8% in the first year and 9% to 10% within 4 years; existing detachment in one eye is therefore the most frequent risk factor. […] There are typical risk factors that increase the danger of rhegmatogenous retinal detachment, principal among them shortsightedness, cataract surgery, and trauma. […] The higher incidence of retinal detachment in patients with these risk factors is attributed to points of particularly strong adhesion between the vitreous body and the retina.
  • #84 Retinal Detachment: Improving Outcomes with Technique and Technology – Advances for Medical Professionals | NewYork-Presbyterian
    https://www.nyp.org/publications/professional-advances/ophthalmology/retinal-detachment-improving-outcomes-with
    The incidence of rhegmatogenous retinal detachment, the most common type of retinal detachment, has been reported to be between 6.3 and 18 per 100,000 each year. The age-specific incidence increases to a peak in both sexes in the 60- to 70-year age group. […] The estimated lifetime risk is 3 percent at 85 years of age. The risk increases in patients with high myopia, presence of lattice degeneration, trauma, or after cataract surgery. Retinal detachment is a major cause for universal vision loss if not treated quickly, says Thanos Papakostas, MD, a retinal specialist in the Department of Ophthalmology at NewYork-Presbyterian/Weill Cornell Medical Center. […] According to Dr. Papakostas, the surgical techniques and technology currently available today have greatly improved outcomes in the treatment of retinal detachment.
  • #85 Retinal Detachment: Improving Outcomes with Technique and Technology – Advances for Medical Professionals | NewYork-Presbyterian
    https://www.nyp.org/publications/professional-advances/ophthalmology/retinal-detachment-improving-outcomes-with
    In general, however, if the patient is older with a detachment of the vitreous and has an artificial lens, we tend to do a vitrectomy. […] Successful outcomes with vitrectomy are due, in large part, to advances in instrumentation technology, says Dr. Papakostas. […] Although scleral buckles can lead to high success rates in retinal detachment surgery, they can be associated with certain complications, such as change in the refractive error of the eye, diplopia, infection, and buckle extrusion, among others. […] Careful planning, appropriate patient selection, and good intraoperative technique can reduce the rate of these complications, says Dr. Papakostas.
  • #86 Retinal Detachment | Retina | MedlinePlus
    https://medlineplus.gov/retinaldetachment.html
    The retina is a layer of tissue in the back of your eye that senses light and sends images to your brain. It can occur at any age, but it is more common in people over age 40. It affects men more than women and whites more than African Americans. A retinal detachment is also more likely to occur in people who: […] A retinal detachment is a medical emergency. If not promptly treated, it can cause permanent vision loss. […] The primary NIH organization for research on Retinal Detachment is the National Eye Institute.
  • #87 Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States | Scientific Reports
    https://www.nature.com/articles/s41598-023-35520-x
    The present study reinforces the importance of myopia and particularly high myopia as a risk factor for RRD along with age and male sex across non-myopes and myopes alike. […] Here we report an incidence rate of 22.44 RRDs per 100,000 person-years in non-myopes, 67.51 RRDs per 100,000 person-years in myopes, and 868.83 RRDs per 100,000 person-years in high-myopes. […] Understanding the epidemiology of RRDs in myopia and high myopia in the United States is critical for eye care providers to better monitor high risk populations.
  • #88 The Scottish RD survey 10 years on: the increasing incidence of retinal detachments | Eye
    https://www.nature.com/articles/s41433-022-02123-1
    The Scottish RD Survey reported an incidence of 12.05/100,000/yr in 2009. […] Data published from Denmark recently confirmed a 50% increase in RD presentations over the last 16 years. […] Our study confirms that RRD is becoming more common in the UK, reflecting almost identical findings from Denmark. […] This trend is in part due to increasing myopia, increasing pseudophakia, and possibly other factors. […] Our study shows that the incidence of retinal detachment is increasing in the UK. […] The rising incidence is likely to be caused by increasing cataract surgery, increasing myopia and possibly other undetermined factors. […] This increasing incidence should be considered when planning VR services in the future. […] There is a statistically significant increase in the incidence of rhegmatogenous retinal detachments in Scotland in the last 10 years.
  • #89 Retinal Detachment – EyeWiki
    https://eyewiki.org/Retinal_Detachment
    Retinal detachment is a sight threatening condition with an incidence of approximately 1 in 10000. […] Patients with known risk factors for retinal detachment should have serial dilated fundus examinations with scleral depression, often yearly. […] Proliferative retinopathy (PVR) is the most common cause of repair failure and occurs in about 810% of patients undergoing primary retinal detachment repair.
  • #90 Retinal Detachment: Symptoms & Causes
    https://my.clevelandclinic.org/health/diseases/10705-retinal-detachment
    Estimates for the incidence of retinal detachment vary. (The incidence is the number of new cases in a set period of time, usually a year.) One figure estimates incidence in the U.S. at 1 in 10,000 people. Another study estimates the annual risk of rhegmatogenous retinal detachment, the most common type, at 6.3 to 17.9 per 100,000 people. […] If youre at high risk for retinal detachment, talk to your healthcare provider. Your provider can help you set an eye exam schedule and suggest other steps to protect your eye health. […] You cant prevent rhegmatogenous retinal detachment, but you can take steps to lower your risk: […] People who have an average risk of eye disease should get eye exams once a year. If youre at higher risk for eye disease, you may need checkups more frequently. Talk to your provider to figure out your best exam schedule.
  • #91 Retinal Detachment – Optometrists.org
    https://www.optometrists.org/general-practice-optometry/guide-to-eye-conditions/guide-to-retinal-diseases/retinal-detachment/
    Over 28,000 cases of retinal detachment occur every year. […] The annual incidence of retinal detachments is approximately 12.5 cases per 100,000 per year, or about 28,000 cases per year in the US. […] Seeing your eye doctor frequently, such as yearly eye exams, especially if you have risks for retinal diseases, is important to avoid vision loss.
  • #92 Retinal Detachment: Symptoms & Causes
    https://my.clevelandclinic.org/health/diseases/10705-retinal-detachment
    Estimates for the incidence of retinal detachment vary. (The incidence is the number of new cases in a set period of time, usually a year.) One figure estimates incidence in the U.S. at 1 in 10,000 people. Another study estimates the annual risk of rhegmatogenous retinal detachment, the most common type, at 6.3 to 17.9 per 100,000 people. […] If youre at high risk for retinal detachment, talk to your healthcare provider. Your provider can help you set an eye exam schedule and suggest other steps to protect your eye health. […] You cant prevent rhegmatogenous retinal detachment, but you can take steps to lower your risk: […] People who have an average risk of eye disease should get eye exams once a year. If youre at higher risk for eye disease, you may need checkups more frequently. Talk to your provider to figure out your best exam schedule.
  • #93 Retinal Detachment: Symptoms & Causes
    https://my.clevelandclinic.org/health/diseases/10705-retinal-detachment
    Estimates for the incidence of retinal detachment vary. (The incidence is the number of new cases in a set period of time, usually a year.) One figure estimates incidence in the U.S. at 1 in 10,000 people. Another study estimates the annual risk of rhegmatogenous retinal detachment, the most common type, at 6.3 to 17.9 per 100,000 people. […] If youre at high risk for retinal detachment, talk to your healthcare provider. Your provider can help you set an eye exam schedule and suggest other steps to protect your eye health. […] You cant prevent rhegmatogenous retinal detachment, but you can take steps to lower your risk: […] People who have an average risk of eye disease should get eye exams once a year. If youre at higher risk for eye disease, you may need checkups more frequently. Talk to your provider to figure out your best exam schedule.