Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective study
AIM: To compare the proportion of rhegmatogenous retinal detachment (RRD) associated with choroidal detachment (RRDCD) in the emergency surgery group with the routine inpatient surgery group and determine risk factors for RRDCD. METHODS: A total of 694 patients (694 eyes) diagnosed with RRD in the e...
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Press of International Journal of Ophthalmology (IJO PRESS)
2025-06-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2025/6/20250613.pdf |
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| author | Kai Gao Zi-Ye Chen Zhuang-Ling Lin Ya-Ping Liu Bao-Yi Liu Yuan Ma Zi-Tong Chen Rebiya●Tuxun Lan Jiang Zhuo-Jun Xu Chin-Ling Tsai Kun-Bei Lai Tao Li |
| author_facet | Kai Gao Zi-Ye Chen Zhuang-Ling Lin Ya-Ping Liu Bao-Yi Liu Yuan Ma Zi-Tong Chen Rebiya●Tuxun Lan Jiang Zhuo-Jun Xu Chin-Ling Tsai Kun-Bei Lai Tao Li |
| author_sort | Kai Gao |
| collection | DOAJ |
| description | AIM: To compare the proportion of rhegmatogenous retinal detachment (RRD) associated with choroidal detachment (RRDCD) in the emergency surgery group with the routine inpatient surgery group and determine risk factors for RRDCD. METHODS: A total of 694 patients (694 eyes) diagnosed with RRD in the emergency surgery (the median duration of RRD was 5d) group were included from the Department of Ophthalmic Emergency, and 692 patients (eyes) in the routine inpatient surgery group (the median duration was 15d) were selected randomly from the Ocular Fundus Department. Demographics, refractive status, macular status, lens status, extent of retinal detachment, number of retinal breaks, duration of symptoms before surgery, and the incidence of RRDCD were compared. A logistic regression analysis was used to determine potential risk factors for RRDCD. RESULTS: Compared to the routine inpatient surgery group, the emergency surgery group had a significant less median time to surgery (P<0.001) and a decreased proportion of RRDCD (2.88% vs 10.84%, P<0.001). Logistic regression analysis revealed that a prolonged duration of RRD [OR 3.51, 95% confidence interval (CI) 1.98-6.23], pseudophakia/aphakia status [OR 2.74, 95%CI (1.50-4.98)], multiple retinal breaks [OR 1.67, 95%CI (1.03-2.70)], and a substantial extent of RRD [OR 11.58, 95%CI (7.12-18.84)] were independent risk factors for RRDCD. CONCLUSION: Emergency surgical pattern of RRD demonstrates a lower incidence of RRDCD. The adoption of an expedited surgical approach has the potential to reduce the duration of RRD, possibly correlating with a decreased risk of RRDCD development. |
| format | Article |
| id | doaj-art-d1bd1ad1fada4f2cad320ffec01bea9b |
| institution | OA Journals |
| issn | 2222-3959 2227-4898 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
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| series | International Journal of Ophthalmology |
| spelling | doaj-art-d1bd1ad1fada4f2cad320ffec01bea9b2025-08-20T01:55:34ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982025-06-011861071107610.18240/ijo.2025.06.1320250613Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective studyKai Gao0Zi-Ye Chen1Zhuang-Ling Lin2Ya-Ping Liu3Bao-Yi Liu4Yuan Ma5Zi-Tong Chen6Rebiya●Tuxun7Lan Jiang8Zhuo-Jun Xu9Chin-Ling Tsai10Kun-Bei Lai11Tao Li12Tao Li and Kun-Bei Lai. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, No.7 Jinsui Road, Guangzhou 510060, Guangdong Province, China. litao2@mail.sysu.edu.cn; laikunbei888@mail.sysu.edu.cnState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China;Co-first Authors: Kai Gao and Zi-Ye ChenAIM: To compare the proportion of rhegmatogenous retinal detachment (RRD) associated with choroidal detachment (RRDCD) in the emergency surgery group with the routine inpatient surgery group and determine risk factors for RRDCD. METHODS: A total of 694 patients (694 eyes) diagnosed with RRD in the emergency surgery (the median duration of RRD was 5d) group were included from the Department of Ophthalmic Emergency, and 692 patients (eyes) in the routine inpatient surgery group (the median duration was 15d) were selected randomly from the Ocular Fundus Department. Demographics, refractive status, macular status, lens status, extent of retinal detachment, number of retinal breaks, duration of symptoms before surgery, and the incidence of RRDCD were compared. A logistic regression analysis was used to determine potential risk factors for RRDCD. RESULTS: Compared to the routine inpatient surgery group, the emergency surgery group had a significant less median time to surgery (P<0.001) and a decreased proportion of RRDCD (2.88% vs 10.84%, P<0.001). Logistic regression analysis revealed that a prolonged duration of RRD [OR 3.51, 95% confidence interval (CI) 1.98-6.23], pseudophakia/aphakia status [OR 2.74, 95%CI (1.50-4.98)], multiple retinal breaks [OR 1.67, 95%CI (1.03-2.70)], and a substantial extent of RRD [OR 11.58, 95%CI (7.12-18.84)] were independent risk factors for RRDCD. CONCLUSION: Emergency surgical pattern of RRD demonstrates a lower incidence of RRDCD. The adoption of an expedited surgical approach has the potential to reduce the duration of RRD, possibly correlating with a decreased risk of RRDCD development.http://ies.ijo.cn/en_publish/2025/6/20250613.pdfrhegmatogenous retinal detachment with choroidal detachmentophthalmic emergencyrhegmatogenous retinal detachment |
| spellingShingle | Kai Gao Zi-Ye Chen Zhuang-Ling Lin Ya-Ping Liu Bao-Yi Liu Yuan Ma Zi-Tong Chen Rebiya●Tuxun Lan Jiang Zhuo-Jun Xu Chin-Ling Tsai Kun-Bei Lai Tao Li Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective study International Journal of Ophthalmology rhegmatogenous retinal detachment with choroidal detachment ophthalmic emergency rhegmatogenous retinal detachment |
| title | Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective study |
| title_full | Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective study |
| title_fullStr | Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective study |
| title_full_unstemmed | Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective study |
| title_short | Evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns: a retrospective study |
| title_sort | evaluation of the risk factors for rhegmatogenous retinal detachment associated with choroidal detachment from the viewpoint of treatment patterns a retrospective study |
| topic | rhegmatogenous retinal detachment with choroidal detachment ophthalmic emergency rhegmatogenous retinal detachment |
| url | http://ies.ijo.cn/en_publish/2025/6/20250613.pdf |
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