From Ophthalmology Department, University Hospital, Dijon, France (I.B.G, P-H.G, F.B, C.C-G); Inserm, CIC 1432, Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, University Hospital, Dijon, France (I.B.G, A-S.M, C.Q).
Inserm, CIC 1432, Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, University Hospital, Dijon, France (I.B.G, A-S.M, C.Q); Biostatistics and Bioinformatics (DIM), University Hospital, Dijon, France, Bourgogne Franche-Comté University, Dijon, France (A-S.M, C.Q); Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), Inserm, UVSQ, Institut Pasteur, Université Paris-Saclay, Paris, France (P-H.G, C.C-G).
Am J Ophthalmol. 2022 Nov;243:91-97. doi: 10.1016/j.ajo.2022.07.017. Epub 2022 Jul 28.
To report the incidence of postoperative rhegmatogenous retinal detachment after macular surgery in France between 2006 and 2016, and identify associated factors.
Nationwide, population-based, cohort study.
All surgical procedures for an epiretinal membrane or a macular hole performed in France from January 1, 2006 to October 31, 2016 were identified in the French national administrative database (Programme de Médicalisation des Systèmes d'Information). The incidence of rhegmatogenous retinal detachment occurring within 90 days of a macular surgical procedure was investigated.
From January 1, 2006 to October 31, 2016, 152,034 macular surgical procedures for epiretinal membranes or macular holes were recorded in France. Of these, 3605 cases of rhegmatogenous retinal detachment occurring within 90 days of the procedure were found. The incidence of rhegmatogenous retinal detachment was 2.37% overall, 1.95% for epiretinal membrane surgery, and 3.43% for macular hole surgery. In multivariable Poisson regression analysis, rhegmatogenous retinal detachment was associated with macular hole surgery (incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P < .001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001), and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).
The incidence of rhegmatogenous retinal detachment within 90 days of macular surgery was 2.37% overall in France between 2006 and 2016, and it was higher for macular hole surgery than for epiretinal membrane surgery.
报告 2006 年至 2016 年法国黄斑手术后孔源性视网膜脱离的发生率，并确定相关因素。
全国范围内、基于人群的队列研究。
在法国，从 2006 年 1 月 1 日至 2016 年 10 月 31 日，在法国国家行政数据库（Programme de Médicalisation des Systèmes d'Information）中确定了所有进行外膜或黄斑裂孔手术的程序。调查黄斑手术后 90 天内发生孔源性视网膜脱离的发生率。
从 2006 年 1 月 1 日至 2016 年 10 月 31 日，法国共记录了 152034 例外膜或黄斑裂孔的黄斑手术。其中，术后 90 天内发现 3605 例孔源性视网膜脱离。总的孔源性视网膜脱离发生率为 2.37%，外膜手术为 1.95%，黄斑裂孔手术为 3.43%。多变量泊松回归分析显示，孔源性视网膜脱离与黄斑裂孔手术相关（发生率比 [IRR]，1.76；95%置信区间 [CI]，1.63-1.90；P<.001）、前一年白内障摘除史（IRR，1.20；95%CI，1.08-1.34；P=0.001）、年龄<60 岁（P<.001）和男性（IRR，1.63；95%CI，1.51-1.76；P<.001）。
2006 年至 2016 年期间，法国黄斑手术后 90 天内孔源性视网膜脱离的发生率总体为 2.37%，黄斑裂孔手术高于外膜手术。
