台湾原发性孔源性视网膜脱离的特征

Characteristics of primary rhegmatogenous retinal detachment in Taiwan.

作者信息

Chou S-C, Yang C-H, Lee C-H, Yang C-M, Ho T-C, Huang J-S, Lin C-P, Chen M-S, Shih Y-F

机构信息

Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.

出版信息

Eye (Lond). 2007 Aug;21(8):1056-61. doi: 10.1038/sj.eye.6702397. Epub 2006 May 12.

DOI:10.1038/sj.eye.6702397

PMID:16691255

Abstract

PURPOSE

To investigate the epidemiological characteristics and related risk factors for primary rhegmatogenous retinal detachment (RRD) in Taiwan.

METHODS

The case-control study was based on retrospective chart review of hospital patients treated for primary RRD from 1995 to 2001, inclusively. The preoperative fundus findings and refractive status were collected for each patient. Controls were selected from a nationwide survey of visual impairment in the adult population during the same period. Risk factors for RRD were analysed by logistic regression. A total of 1032 RRD cases and 3537 controls were enrolled for the study.

RESULTS

A pronounced bipeak pattern was evident in the age distribution for primary RRD in the third and sixth decades of life. Atrophic hole with lattice degeneration was preferential to younger (20-30 years) and highly myopic individuals (-7.4+/-5 D), whereas the flap tear tended to occur in middle-aged individuals (50-60 years) and those with moderate myopia (-4.1+/-5 D). The odds ratio for primary RRD with myopia, male gender, and older age (>40 years) were 1.33/D, 2.15, and 1.69, respectively.

CONCLUSIONS

Myopia is an important RRD risk factor for young Taiwanese. The increasing prevalence of myopia has predisposed the young population to RRD.

摘要

目的

探讨台湾地区原发性孔源性视网膜脱离（RRD）的流行病学特征及相关危险因素。

方法

本病例对照研究基于对1995年至2001年期间因原发性RRD接受治疗的住院患者的回顾性病历审查。收集每位患者术前的眼底检查结果和屈光状态。对照组选自同期全国范围内的成人视力损害调查。采用逻辑回归分析RRD的危险因素。本研究共纳入1032例RRD病例和3537例对照。

结果

原发性RRD的年龄分布在生命的第三个和第六个十年呈现明显的双峰模式。伴有格子样变性的萎缩性裂孔在年轻（20 - 30岁）和高度近视个体（-7.4±5 D）中更为常见，而瓣状裂孔则倾向于发生在中年个体（50 - 60岁）和中度近视个体（-4.1±5 D）中。近视、男性和年龄较大（>40岁）的原发性RRD的优势比分别为1.33/D、2.15和1.69。