Risk of Retinal Detachment after Cataract Extraction, 1980-2004. A Population-Based Study

Jay C. Erie, Matthew A. Raecker, Keith Baratz, Cathy D. Schleck, James P. Burke, Dennis M. Robertson

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Purpose: To estimate the long-term cumulative risk of retinal detachment (RD) after cataract extraction (CE). Design: Retrospective cohort study and nested case-control study. Participants: All residents of Olmsted County, Minnesota who had CE from 1980 through 2004 (10 256 CEs in 7137 residents) and were diagnosed subsequently with RD in the same period. Two controls chosen from the primary cataract surgery cohort were matched to each RD case by age, gender, and duration of follow-up. Methods: Cases were identified through the Rochester Epidemiology Project databases. Records were reviewed to confirm case status and ascertain risk factor information. The observed probability of RD after CE was estimated using the Kaplan-Meier method. A cumulative probability ratio of RD after CE was determined by comparing the observed probability of RD and the expected probability of RD in residents without CE. Logistic regression models assessed differences between cases and controls. Main Outcome Measures: Probability of and risk factors associated with RD after CE. Results: Eighty-two cases of RD were identified. The cumulative probability of RD increased in a nearly linear manner over the 25-year study period. At 1, 5, 10, 15, and 20 years after extracapsular CE (ECCE) and phacoemulsification, cumulative probabilities of RD were 0.27%, 0.71%, 1.23%, 1.58%, and 1.79%, respectively. There was no significant difference in the probability of RD after ECCE when compared with phacoemulsification (P = 0.13). The cumulative probability ratio of RD at 20 years after ECCE and phacoemulsification remained 4.0-fold (95% confidence interval, 2.6-5.4) higher than would be expected in a similar group of residents not undergoing CE (P<0.001). Male gender, younger age, myopia, increased axial length, and posterior capsular tear were associated significantly with RD (P<0.01). Conclusions: The cumulative risk of RD after ECCE and phacoemulsification is increased for up to 20 years after surgery.

Original languageEnglish (US)
Pages (from-to)2026-2032
Number of pages7
JournalOphthalmology
Volume113
Issue number11
DOIs
StatePublished - Nov 1 2006
Externally publishedYes

Fingerprint

Cataract Extraction
Retinal Detachment
Population
Phacoemulsification
Logistic Models
Myopia
Tears
Cataract

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Erie, J. C., Raecker, M. A., Baratz, K., Schleck, C. D., Burke, J. P., & Robertson, D. M. (2006). Risk of Retinal Detachment after Cataract Extraction, 1980-2004. A Population-Based Study. Ophthalmology, 113(11), 2026-2032. https://doi.org/10.1016/j.ophtha.2006.05.054

Risk of Retinal Detachment after Cataract Extraction, 1980-2004. A Population-Based Study. / Erie, Jay C.; Raecker, Matthew A.; Baratz, Keith; Schleck, Cathy D.; Burke, James P.; Robertson, Dennis M.

In: Ophthalmology, Vol. 113, No. 11, 01.11.2006, p. 2026-2032.

Research output: Contribution to journalArticle

Erie, JC, Raecker, MA, Baratz, K, Schleck, CD, Burke, JP & Robertson, DM 2006, 'Risk of Retinal Detachment after Cataract Extraction, 1980-2004. A Population-Based Study', Ophthalmology, vol. 113, no. 11, pp. 2026-2032. https://doi.org/10.1016/j.ophtha.2006.05.054
Erie, Jay C. ; Raecker, Matthew A. ; Baratz, Keith ; Schleck, Cathy D. ; Burke, James P. ; Robertson, Dennis M. / Risk of Retinal Detachment after Cataract Extraction, 1980-2004. A Population-Based Study. In: Ophthalmology. 2006 ; Vol. 113, No. 11. pp. 2026-2032.
@article{28ae2073ce5942a7891b45648f6e6224,
title = "Risk of Retinal Detachment after Cataract Extraction, 1980-2004. A Population-Based Study",
abstract = "Purpose: To estimate the long-term cumulative risk of retinal detachment (RD) after cataract extraction (CE). Design: Retrospective cohort study and nested case-control study. Participants: All residents of Olmsted County, Minnesota who had CE from 1980 through 2004 (10 256 CEs in 7137 residents) and were diagnosed subsequently with RD in the same period. Two controls chosen from the primary cataract surgery cohort were matched to each RD case by age, gender, and duration of follow-up. Methods: Cases were identified through the Rochester Epidemiology Project databases. Records were reviewed to confirm case status and ascertain risk factor information. The observed probability of RD after CE was estimated using the Kaplan-Meier method. A cumulative probability ratio of RD after CE was determined by comparing the observed probability of RD and the expected probability of RD in residents without CE. Logistic regression models assessed differences between cases and controls. Main Outcome Measures: Probability of and risk factors associated with RD after CE. Results: Eighty-two cases of RD were identified. The cumulative probability of RD increased in a nearly linear manner over the 25-year study period. At 1, 5, 10, 15, and 20 years after extracapsular CE (ECCE) and phacoemulsification, cumulative probabilities of RD were 0.27{\%}, 0.71{\%}, 1.23{\%}, 1.58{\%}, and 1.79{\%}, respectively. There was no significant difference in the probability of RD after ECCE when compared with phacoemulsification (P = 0.13). The cumulative probability ratio of RD at 20 years after ECCE and phacoemulsification remained 4.0-fold (95{\%} confidence interval, 2.6-5.4) higher than would be expected in a similar group of residents not undergoing CE (P<0.001). Male gender, younger age, myopia, increased axial length, and posterior capsular tear were associated significantly with RD (P<0.01). Conclusions: The cumulative risk of RD after ECCE and phacoemulsification is increased for up to 20 years after surgery.",
author = "Erie, {Jay C.} and Raecker, {Matthew A.} and Keith Baratz and Schleck, {Cathy D.} and Burke, {James P.} and Robertson, {Dennis M.}",
year = "2006",
month = "11",
day = "1",
doi = "10.1016/j.ophtha.2006.05.054",
language = "English (US)",
volume = "113",
pages = "2026--2032",
journal = "Ophthalmology",
issn = "0161-6420",
publisher = "Elsevier Inc.",
number = "11",

}

TY - JOUR

T1 - Risk of Retinal Detachment after Cataract Extraction, 1980-2004. A Population-Based Study

AU - Erie, Jay C.

AU - Raecker, Matthew A.

AU - Baratz, Keith

AU - Schleck, Cathy D.

AU - Burke, James P.

AU - Robertson, Dennis M.

PY - 2006/11/1

Y1 - 2006/11/1

N2 - Purpose: To estimate the long-term cumulative risk of retinal detachment (RD) after cataract extraction (CE). Design: Retrospective cohort study and nested case-control study. Participants: All residents of Olmsted County, Minnesota who had CE from 1980 through 2004 (10 256 CEs in 7137 residents) and were diagnosed subsequently with RD in the same period. Two controls chosen from the primary cataract surgery cohort were matched to each RD case by age, gender, and duration of follow-up. Methods: Cases were identified through the Rochester Epidemiology Project databases. Records were reviewed to confirm case status and ascertain risk factor information. The observed probability of RD after CE was estimated using the Kaplan-Meier method. A cumulative probability ratio of RD after CE was determined by comparing the observed probability of RD and the expected probability of RD in residents without CE. Logistic regression models assessed differences between cases and controls. Main Outcome Measures: Probability of and risk factors associated with RD after CE. Results: Eighty-two cases of RD were identified. The cumulative probability of RD increased in a nearly linear manner over the 25-year study period. At 1, 5, 10, 15, and 20 years after extracapsular CE (ECCE) and phacoemulsification, cumulative probabilities of RD were 0.27%, 0.71%, 1.23%, 1.58%, and 1.79%, respectively. There was no significant difference in the probability of RD after ECCE when compared with phacoemulsification (P = 0.13). The cumulative probability ratio of RD at 20 years after ECCE and phacoemulsification remained 4.0-fold (95% confidence interval, 2.6-5.4) higher than would be expected in a similar group of residents not undergoing CE (P<0.001). Male gender, younger age, myopia, increased axial length, and posterior capsular tear were associated significantly with RD (P<0.01). Conclusions: The cumulative risk of RD after ECCE and phacoemulsification is increased for up to 20 years after surgery.

AB - Purpose: To estimate the long-term cumulative risk of retinal detachment (RD) after cataract extraction (CE). Design: Retrospective cohort study and nested case-control study. Participants: All residents of Olmsted County, Minnesota who had CE from 1980 through 2004 (10 256 CEs in 7137 residents) and were diagnosed subsequently with RD in the same period. Two controls chosen from the primary cataract surgery cohort were matched to each RD case by age, gender, and duration of follow-up. Methods: Cases were identified through the Rochester Epidemiology Project databases. Records were reviewed to confirm case status and ascertain risk factor information. The observed probability of RD after CE was estimated using the Kaplan-Meier method. A cumulative probability ratio of RD after CE was determined by comparing the observed probability of RD and the expected probability of RD in residents without CE. Logistic regression models assessed differences between cases and controls. Main Outcome Measures: Probability of and risk factors associated with RD after CE. Results: Eighty-two cases of RD were identified. The cumulative probability of RD increased in a nearly linear manner over the 25-year study period. At 1, 5, 10, 15, and 20 years after extracapsular CE (ECCE) and phacoemulsification, cumulative probabilities of RD were 0.27%, 0.71%, 1.23%, 1.58%, and 1.79%, respectively. There was no significant difference in the probability of RD after ECCE when compared with phacoemulsification (P = 0.13). The cumulative probability ratio of RD at 20 years after ECCE and phacoemulsification remained 4.0-fold (95% confidence interval, 2.6-5.4) higher than would be expected in a similar group of residents not undergoing CE (P<0.001). Male gender, younger age, myopia, increased axial length, and posterior capsular tear were associated significantly with RD (P<0.01). Conclusions: The cumulative risk of RD after ECCE and phacoemulsification is increased for up to 20 years after surgery.

UR - http://www.scopus.com/inward/record.url?scp=33750358753&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750358753&partnerID=8YFLogxK

U2 - 10.1016/j.ophtha.2006.05.054

DO - 10.1016/j.ophtha.2006.05.054

M3 - Article

C2 - 16935341

AN - SCOPUS:33750358753

VL - 113

SP - 2026

EP - 2032

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

IS - 11

ER -