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Atraumatic Rhegmatogenous Retinal Detachment: Epidemiology and Association with Refractive Error in U.S. Armed Forces

Ian Lee¹, Weidong Gu², Marcus Colyer³

¹Department of Ophthalmology, Walter Reed National Military Medical Center, Bethesda, MD, USA.

Ophthalmic Epidemiology

|January 23, 2025

Summary

Rhegmatogenous retinal detachment (RRD) occurs at a similar rate in U.S. military members regardless of gender. Refractive error, particularly myopia, significantly increases RRD risk.

Keywords:

RRD U.S. military epidemiology incidence refractive error relative risk rhegmatogenous retinal detachment

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Last Updated: May 31, 2025

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Area of Science:

Ophthalmology
Military Health
Public Health

Background:

Rhegmatogenous retinal detachment (RRD) is a serious ocular condition requiring prompt treatment.
Understanding the incidence and risk factors for RRD in specific populations, like military service members, is crucial for preventative strategies.

Purpose of the Study:

To determine the incidence, refractive error (RE) association, and distribution of atraumatic RRD.
To analyze RRD occurrence in U.S. military service members (SMs).

Main Methods:

Data from the Military Health System (MHS) M2 database (2017-2022) were analyzed.
Incidence rates were calculated and stratified by age, gender, and refractive error.
Multivariate Poisson regression assessed the relative risk (RR) of RRD associated with RE.

Main Results:

The overall incidence of RRD was 16.3 per 100,000 SMs.
RRD incidence increased with age and was similar between males and females.
SMs with RE had a 25-fold increased risk of RRD; myopia was the predominant refractive error (93.3%).

Conclusions:

RRD incidence in U.S. SMs is comparable to general population studies.
Refractive error is a significant risk factor for RRD in SMs, with myopia being the most common associated condition.