Five-year nationwide incidence of macular hole requiring surgery in Korea

Soo Chang Cho1,2, Sang Jun Park1, Seong Jun Byun1

  • 1Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Abstract

Insights

The incidence of macular hole (MH) surgery in Korea is 3.14 per 100,000 person-years, with higher rates in women and older adults. This population-based study highlights key demographics for surgical macular hole (MH) intervention.

Area of Science:

  • Ophthalmology
  • Public Health
  • Epidemiology

Background:

  • Macular hole (MH) is an eye condition requiring surgical intervention.
  • Understanding the incidence and demographics of MH is crucial for healthcare planning.

Purpose of the Study:

  • To estimate the incidence and demographic characteristics of patients undergoing surgery for macular hole (MH) in Korea.
  • To provide population-based data on MH surgical needs.

Main Methods:

  • Retrospective analysis of the Korean national health claims database (2011-2015).
  • Identification of patients with diagnostic and surgical codes for MH and vitrectomy.
  • Calculation of average incidence rates using direct standardization with 2015 census data.

Main Results:

  • A total of 7,301 patients with MH requiring surgery were identified.
  • The average incidence of MH surgery was 3.14 per 100,000 person-years.
  • Incidence was significantly higher in women (4.29) than men (2.00) and increased with age, peaking in the 65-69 age group.

Conclusions:

  • This study is the largest nationwide population-based investigation of MH incidence in South Korea.
  • Macular hole (MH) is more prevalent in elderly individuals, particularly women.
  • The findings underscore the demographic trends of MH requiring surgical intervention.

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