Purpose

To report the incidence of postoperative rhegmatogenous retinal detachment after macular surgery in France between 2006 and 2016, and identify associated factors.

Design

Nationwide, population-based, cohort study.

Methods

All surgical procedures for an epiretinal membrane or a macular hole performed in France from January 1, 2006 to October 31, 2016 were identified in the French national administrative database (Programme de Médicalisation des Systèmes d'Information). The incidence of rhegmatogenous retinal detachment occurring within 90 days of a macular surgical procedure was investigated.

Results

From January 1, 2006 to October 31, 2016, 152,034 macular surgical procedures for epiretinal membranes or macular holes were recorded in France. Of these, 3605 cases of rhegmatogenous retinal detachment occurring within 90 days of the procedure were found. The incidence of rhegmatogenous retinal detachment was 2.37% overall, 1.95% for epiretinal membrane surgery, and 3.43% for macular hole surgery. In multivariable Poisson regression analysis, rhegmatogenous retinal detachment was associated with macular hole surgery (incidence rate ratio [IRR], 1.76; 95% CI, 1.63-1.90; P < .001), history of cataract extraction in the previous year (IRR, 1.20; 95% CI, 1.08-1.34; P = .001), age <60 years (P < .001), and male sex (IRR, 1.63; 95% CI, 1.51-1.76; P < .001).

Conclusions

The incidence of rhegmatogenous retinal detachment within 90 days of macular surgery was 2.37% overall in France between 2006 and 2016, and it was higher for macular hole surgery than for epiretinal membrane surgery.

中文翻译：

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2006 年至 2016 年法国黄斑手术后孔源性视网膜脱离的发生率

目的

报告 2006 年至 2016 年间法国黄斑手术后孔源性视网膜脱离的发生率，并确定相关因素。

设计

全国范围内基于人群的队列研究。

方法

2006 年 1 月 1 日至 2016 年 10 月 31 日期间在法国进行的所有视网膜前膜或黄斑裂孔手术均在法国国家行政数据库 (Programme de Médicalisation des Systèmes d'Information) 中确定。研究了黄斑手术后 90 天内发生孔源性视网膜脱离的发生率。

结果

从 2006 年 1 月 1 日到 2016 年 10 月 31 日，法国记录了 152,034 例视网膜前膜或黄斑裂孔的黄斑外科手术。其中，在手术后 90 天内发现了 3605 例孔源性视网膜脱离。孔源性视网膜脱离的总发生率为 2.37%，视网膜前膜手术为 1.95%，黄斑裂孔手术为 3.43%。在多变量泊松回归分析中，孔源性视网膜脱离与黄斑裂孔手术（发生率比 [IRR]，1.76；95% CI，1.63-1.90；P < .001）、前一年白内障摘除史（IRR， 1.20；95% CI，1.08-1.34；P  = .001），年龄 <60 岁（P <.001），男性（IRR，1.63；95% CI，1.51-1.76；P<.001）。

结论

2006 年至 2016 年间，法国黄斑手术后 90 天内孔源性视网膜脱离的发生率为 2.37%，黄斑裂孔手术的发生率高于视网膜前膜手术。