Table 5.
Multivariable ORs of RRDs or RTs after Cataract Surgery by Ocular Comorbidity and Cataract Surgery Complexity
| Comorbidities and Cataract Surgery Complexity Indicators | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition | Present Before Cataract Procedure | Cataract Procedures | Retinal Events (RRD or RT) |
RRD |
RT |
|||||||||
| Uni OR (95% CI)∗ | P Value | Multi-OR (95% CI)† | P Value | Uni OR (95% CI)∗ | P Value | Multi-OR (95% CI)† | P Value | Uni OR (95% CI)∗ | P Value | Multi-OR (95% CI)† | P Value | |||
| Lattice degeneration | No | 3 139 456 | 31.22 (29.91–32.59) | < 0.001 | 23.14 (22.13–24.2) | < 0.001 | 15.92 (14.89–17.02) | < 0.001 | 10.53 (9.82–11.28) | < 0.001 | 54.48 (51.55–57.59) | < 0.001 | 43.86 (41.39–46.49) | < 0.001 |
| Yes | 37 739 | |||||||||||||
| High myopia | No | 2 519 634 | 1.49 (1.44–1.56) | < 0.001 | 1.12 (1.08–1.17) | < 0.001 | 1.51 (1.43–1.59) | < 0.001 | 1.2 (1.14–1.27) | < 0.001 | 1.51 (1.43–1.6) | < 0.001 | 1.06 (1–1.12) | 0.07 |
| Yes | 657 561 | |||||||||||||
| Posterior vitreous detachment | No | 2 845 917 | 1.27 (1.2–1.34) | < 0.001 | 1.13 (1.07–1.2) | < 0.001 | 1.2 (1.12–1.29) | < 0.001 | 1.24 (1.15–1.34) | < 0.001 | 1.35 (1.25–1.46) | < 0.001 | 1.01 (0.93–1.09) | 0.81 |
| Yes | 331 278 | |||||||||||||
| Hypermature cataract | No | 3 172 635 | 1.98 (1.4–2.79) | < 0.001 | 1.61 (1.13–2.28) | 0.01 | 2.41 (1.6–3.63) | < 0.001 | 1.61 (1.06–2.45) | 0.03 | 1.4 (0.77–2.53) | 0.27 | 1.46 (0.8–2.67) | 0.22 |
| Yes | 4560 | |||||||||||||
| Pseudoexfoliation | No | 3 067 803 | 1 (0.9–1.1) | 0.96 | 1.03 (0.93–1.14) | 0.57 | 1 (0.88–-1.14) | 0.96 | 0.98 (0.86–1.12) | 0.77 | 0.99 (0.86–1.15) | 0.94 | 1.11 (0.96–1.29) | 0.17 |
| Yes | 109 392 | |||||||||||||
| Floppy iris syndrome | No | 3 155 198 | 1.01 (0.82–1.26) | 0.90 | 0.82 (0.66–1.03) | 0.08 | 1.1 (0.84–1.45) | 0.49 | 0.77 (0.58–1.02) | 0.06 | 0.84 (0.59–1.19) | 0.33 | 0.88 (0.62–1.26) | 0.49 |
| Yes | 21 997 | |||||||||||||
| Use of complex cataract surgery CPT Code (66982) | No | 2 975 930 | 1.25 (1.17–1.34) | < 0.001 | 1.27 (1.19–1.37) | < 0.001 | 1.59 (1.47–1.72) | < 0.001 | 1.52 (1.4–1.66) | < 0.001 | 0.82 (0.73–0.92) | 0.001 | 0.89 (0.79–1.01) | 0.07 |
| Yes | 201 265 | |||||||||||||
CI = confidence interval; CPT = Current Procedural Terminology; IR = incidence rate; OR = odds ratio; (Ref) = reference; RRD = rhegmatogenous retinal detachment; RT = retinal tear.
Bold OR (95% CI) values indicate statistical significance (P < 0.05).
Univariable ORs are based on coefficients from a logistic regression model of the single variable.
Multivariable ORs are based on coefficients from a multivariable logistic regression model containing all of the demographic factors (age at cataract surgery, sex, race, ethnicity, indicator for the presence of bilateral cataract surgeries), comorbidities (lattice degeneration, high myopia, posterior vitreous detachment), and factors associated with cataract surgery complexity (hypermature cataract, pseudoexfoliation, floppy iris syndrome, and complex cataract surgery CPT code). Analyses adjusted for intereye correlation yielded similar results.