Retina y Vítreo, Clínica de Oftalmología de Cali, Cali, Colombia.
Fundación Somos Ciencia al Servicio de la Comunidad, Fundación SCISCO, Servicio de Oftalmología, Universidad del Valleorg, Cali, Colombia; Grupo de investigación en Visión y Salud Ocular, VISOC, Servicio de Oftalmología, Universidad del Valle, Cali, Colombia; Department of Ophthalmology, University of Pittsburgh, Pittsburgh, PA, United States.
Arch Soc Esp Oftalmol (Engl Ed). 2022 Dec;97(12):663-669. doi: 10.1016/j.oftale.2022.09.001. Epub 2022 Sep 9.
To identify associated factors with the appearance of pseudophakic retinal detachment in patients with history of cataract surgery.
Retrospective case-control study of 802 eyes of 783 patients with history of cataract surgery. Cases were patients with pseudophakic retinal detachment (n = 258 eyes), while controls were patients with cataract surgery who did not developed retinal detachment during a 10-year follow-up period (n = 544 eyes).
Age at cataract surgery among cases was lower than in the control group (57 ± 13 vs. 67 ± 14 years old, respectively; p < 0.0001). Age at retinal detachment was 59 ± 13 years old (range 6-88) and the time between the cataract surgery and the retinal detachment had a median of 2 years (interquartile range 1-4) with a range of 1 month to 14 years. Associated factors for pseudophakic retinal detachment were younger age (<50 years: adjusted odds ratio [aOR] = 18.03, 95% confidence interval [95%CI] = 5.92-54.87; 50-59 years: aOR = 10.09, 95%CI = 3.37-30.23; and 60-69 years: aOR = 5.48, 95%CI = 1.88-15.93), male sex (aOR = 3.71, 95%CI = 2.54-5.44), anterior vitrectomy (aOR = 3.26, 95%CI = 1.16-9.16), history of retinal detachment in the fellow eye (aOR = 6.95, 95%CI = 3.15-15.31), and intraoperative complications during cataract extraction (aOR = 7.45, 95%CI = 3.54-15.69).
This is the first report of associated factors with pseudophakic retinal detachment in a Colombian population. Surgical complications, sex, and age were found to be associated with retinal detachment. Patients should be aware of these potential risks to make informed decisions about their eye health.
确定与白内障手术后出现假性视网膜脱离相关的因素。
对 783 例白内障手术后患者的 802 只眼进行回顾性病例对照研究。病例为假性视网膜脱离（258 只眼）患者，对照组为白内障手术后 10 年随访期间未发生视网膜脱离的患者（544 只眼）。
病例组白内障手术时的年龄低于对照组（分别为 57±13 岁和 67±14 岁；p<0.0001）。视网膜脱离的年龄为 59±13 岁（范围 6-88 岁），白内障手术与视网膜脱离之间的时间中位数为 2 年（四分位距 1-4 年），范围为 1 个月至 14 年。假性视网膜脱离的相关因素为年龄较小（<50 岁：调整后的优势比[aOR]为 18.03，95%置信区间[95%CI]为 5.92-54.87；50-59 岁：aOR 为 10.09，95%CI 为 3.37-30.23；60-69 岁：aOR 为 5.48，95%CI 为 1.88-15.93）、男性（aOR 为 3.71，95%CI 为 2.54-5.44）、前部玻璃体切除术（aOR 为 3.26，95%CI 为 1.16-9.16）、对侧眼视网膜脱离史（aOR 为 6.95，95%CI 为 3.15-15.31）和白内障摘除术中的并发症（aOR 为 7.45，95%CI 为 3.54-15.69）。
这是首次在哥伦比亚人群中报告与假性视网膜脱离相关的因素。手术并发症、性别和年龄与视网膜脱离相关。患者应了解这些潜在风险，以便就其眼部健康做出明智决策。
