Retinal detachment in Olmsted County, Minnesota, 1976 through 1995

Jonathan A. Rowe, Jay C. Erie, Keith H. Baratz, David O. Hodge, Darryl T. Gray, Linda Butterfield, Dennis M. Robertson

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121 Scopus citations

Abstract

Objective: To estimate the incidence of rhegmatogenous retinal detachment (RD) in a geographically defined population and to compare the probability of RD in residents after cataract extraction with the probability of RD in residents who did not have cataract extraction. Design: Rochester Epidemiology Project databases were used to perform a retrospective population-based incidence study of RD diagnosed between 1976 and 1995 with cohort analyses of the influence of risk factors on the occurrence of RD. Participants: The population of Olmsted County, Minnesota, participated. Main Outcome Measure: Incidence rates of RD adjusted to the age and gender distribution of the 1990 U.S. white population were measured. Results: Three hundred eleven incident cases of rhegmatogenous RD were identified. The mean annual age-and gender-adjusted incidence rate of rhegmatogenous RD was 17.9 per 100,000 persons (95% confidence interval [Cl], 15.9-19.9). For idiopathic rhegmatogenous RD alone, the mean annual age- and gender-adjusted incidence rate was 12.6 (95% Cl, 10.9-14.3) per 100,000 persons. Ten years after phacoemulsification and extracapsular cataract extraction, the estimated cumulative probability of RD was 5.5 (95% Cl, 3.4-7.6) times as high as would have been expected in a similar group of county residents not undergoing cataract surgery. Conclusions: Cataract surgery is associated with a significantly elevated long-term cumulative probability of retinal detachment.

Original languageEnglish (US)
Pages (from-to)154-159
Number of pages6
JournalOphthalmology
Volume106
Issue number1
DOIs
StatePublished - Jan 1 1999

ASJC Scopus subject areas

  • Ophthalmology

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    Rowe, J. A., Erie, J. C., Baratz, K. H., Hodge, D. O., Gray, D. T., Butterfield, L., & Robertson, D. M. (1999). Retinal detachment in Olmsted County, Minnesota, 1976 through 1995. Ophthalmology, 106(1), 154-159. https://doi.org/10.1016/S0161-6420(99)90018-0