Are we facing an increasing surgical demand for high myopic traction maculopathies? A 12-year study from Hong Kong.

Autor: Li KKW; Department of Ophthalmology, United Christian Hospital, Hospital Authority, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR, China. kennethli@rcsed.ac.uk.; Department of Ophthalmology, Tseung Kwan O Hospital, Hospital Authority, No. 2 Po Ning Lane, Hang Hau, Tseung Kwan O, Hong Kong SAR, China. kennethli@rcsed.ac.uk.; Department of Ophthalmology, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. kennethli@rcsed.ac.uk., Wong DHT; Department of Ophthalmology, United Christian Hospital, Hospital Authority, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR, China.; Department of Ophthalmology, Tseung Kwan O Hospital, Hospital Authority, No. 2 Po Ning Lane, Hang Hau, Tseung Kwan O, Hong Kong SAR, China.; Department of Ophthalmology, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China., Li PSH; Department of Ophthalmology, United Christian Hospital, Hospital Authority, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong SAR, China.; Department of Ophthalmology, Tseung Kwan O Hospital, Hospital Authority, No. 2 Po Ning Lane, Hang Hau, Tseung Kwan O, Hong Kong SAR, China.
Jazyk: angličtina
Zdroj: BMC ophthalmology [BMC Ophthalmol] 2023 Jan 23; Vol. 23 (1), pp. 31. Date of Electronic Publication: 2023 Jan 23.
DOI: 10.1186/s12886-022-02709-z
Abstrakt: Purpose: We aimed to investigate the longitudinal change in the number of surgically operated myopic traction maculopathies (MTM) cases at a tertiary eye centre.
Methods: A retrospective study of all consecutive cases of surgically operated MTM over 12 years (2009-2020) was conducted in a myopia prevalent region. We compared outcomes among three groups: (1) myopic macular hole (MH), (2) myopic macular hole with retinal detachment (MHRD), and (3) myopic foveoschisis with retinal detachment (MFRD).
Results: Fifty-one cases were included in the study (8 cases of MH, 33 cases of MHRD and 10 cases of MFRD). The overall mean age was 63.8 +/- 8.7 with a female preponderance (2:1). The mean age of the MH group (58.6) was significantly younger than the MHRD group (64.2) and MFRD group (66.6) (p = 0.02). Subgroup analysis using ATN classification did not show its correlation with both visual improvement and anatomical success. When comparing the first 6-year period (2009-2014) with the second 6-year period (2015-2020), there was a significant increase in the number of cases (p = 0.01).
Conclusion: We observe an increase in the number of surgically operated MTM. This follows the trend of the global rise in the prevalence of myopia and baby boomers entering retirement.
(© 2023. The Author(s).)
Databáze: MEDLINE
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