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Association of Rhegmatogenous Retinal Detachment Incidence With Myopia Prevalence in the Netherlands
Redmer van Leeuwen1, Annechien E G Haarman2,3, Mathijs A J van de Put4
1Department of Ophthalmology, University Medical Center Utrecht, Utrecht, the Netherlands.
JAMA Ophthalmology
|November 25, 2020
Summary
Rhegmatogenous retinal detachment (RRD) incidence increased 44% in the Netherlands between 2009 and 2016. This rise is linked to increasing myopia prevalence, not just age or cataract surgery rates.
Area of Science:
- Ophthalmology
- Public Health
- Epidemiology
Background:
- Rhegmatogenous retinal detachment (RRD) incidence is influenced by risk factors like age, sex, cataract surgery, and myopia.
- Changes in these risk factor prevalences may alter population-level RRD incidence.
Purpose of the Study:
- To investigate changes in RRD incidence in the Netherlands over recent years.
- To determine if these changes correlate with shifts in the prevalence of known RRD risk factors.
Main Methods:
- A cohort study analyzing data from all Dutch vitreoretinal clinics and a population-based cohort (Rotterdam Study).
- Inclusion of patients undergoing primary RRD surgery in 2009 and 2016.
- Analysis of RRD incidence rates and risk factor prevalence (age, sex, cataract extraction, myopia) in the Dutch population.
Main Results:
- The overall RRD incidence rate increased by 44% from 2009 to 2016.
- Increases were observed in both phakic (39%) and pseudophakic (66%) eyes, indicating cataract surgery alone doesn't explain the rise.
- Myopia prevalence in the 55-75 age group increased significantly during the study period.
Conclusions:
- Primary RRD incidence in the Netherlands rose significantly over a 7-year period.
- The increase is not solely attributable to changes in age distribution or cataract surgery rates.
- A concurrent increase in myopia prevalence may be a contributing factor, necessitating further population-based research.
