Incidence of retinal detachment after lens surgery in children and young adults with nontraumatic ectopia lentis
| Autor: | Hwan Heo, Scott R. Lambert |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent genetic structures medicine.medical_treatment Population Visual Acuity Intraocular lens Ectopia Lentis Article Young Adult Postoperative Complications Lens Implantation Intraocular Humans Medicine Young adult Child education Ectopia lentis Retrospective Studies Lenses Intraocular education.field_of_study business.industry Incidence Incidence (epidemiology) Retinal Detachment Retinal detachment Retrospective cohort study medicine.disease eye diseases Sensory Systems Surgery Ophthalmology medicine.anatomical_structure Lens (anatomy) sense organs business Follow-Up Studies |
| Zdroj: | J Cataract Refract Surg |
| ISSN: | 1873-4502 0886-3350 |
| Popis: | PURPOSE To determine the incidence of retinal detachment after lens surgery in children and young adults with nontraumatic ectopia lentis. SETTING Population-based claims data. DESIGN Population-based retrospective cohort study. METHODS Patients with nontraumatic ectopia lentis aged 30 years or younger who had undergone lens surgery with or without intraocular lens (IOL) implantation and had 1 year or greater continuous enrollment after lens surgery were included in the Optum deidentified Clinformatics Data Mart Database (2003 to 2019) and IBM MarketScan Databases (2007 to 2016). Both databases were assessed for sex, age, etiology of ectopia lentis, IOL implantation, and postoperative retinal detachment separately. Univariate and multivariate analyses were conducted to identify the risk factors for postoperative retinal detachment. RESULTS Among a total of 298 eyes (210 patients), IOL implantation was coupled with lens surgery in 151 eyes (49.8%) that underwent lens surgery for nontraumatic ectopia lentis. The median follow-up was 32 months in aphakic eyes and 29 months in pseudophakic eyes. Patients undergoing IOL implantation were older at the time of lens surgery (median age: no IOL, 6 years; IOL, 16 years; P < .001). Retinal detachment developed in 13 patients (14 eyes [4.7%]) 14 eyes (4.7%). Older age was the baseline characteristic that correlated most closely with the risk for retinal detachment (P = .05). CONCLUSIONS The rate of retinal detachment was similar with or without IOL implantation after lens surgery for nontraumatic ectopia lentis in children and young adults. |
| Databáze: | OpenAIRE |
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