Age, sex influence risk for retinal detachment after cataract surgery
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CHICAGO — Risk factors for rhegmatogenous retinal detachment following cataract surgery include younger age, white race, male sex and lattice degeneration, according to a poster presented at the American Academy of Ophthalmology meeting.
Using the IRIS Registry, Michael J. Morano, MD, and colleagues conducted a retrospective study of 3,177,195 eyes of 1,983,712 patients at Wills Eye Hospital and found that one in 500 cataract surgeries in patents aged 40 or older resulted in rhegmatogenous retinal detachment (RRD).
“Large databases like the IRIS Registry offer an opportunity to better quantify the risk of complications and determine the risk factors associated with these complications,” Morano said.
Of the eyes studied, 6,690 developed RRD within a year of cataract surgery. RRD occurred at a median of 139 days after cataract surgery, with 15.9% occurring within 30 days, 37.3% occurring within 90 days and 59.9% occurring within 180 days.
The incidence rate of RRD in men was 0.37%, while it was only 0.11% in women. The incidence rate in white patients was 0.23%, while it was 0.13% in Black patients.
Those at the highest risk for RRD were men, younger patients and those with lattice degeneration. Additional risk factors were white race, hypermature cataract, posterior vitreous detachment, high myopia and use of complex cataract surgery.
“These results may help guide the informed consent process and identify higher-risk patients for RRD,” Morano said.
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Morano MJ, et al. Incidence and risk factors for retinal detachment after cataract surgery: An IRIS Registry analysis. Presented at: American Academy of Ophthalmology meeting; Sept. 30–Oct. 3, 2022; Chicago.
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