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. 1989;87:143–157.

The influence of refractive error and lattice degeneration on the incidence of retinal detachment.

T C Burton 1
PMCID: PMC1298542  PMID: 2562517

Abstract

This study indicates the feasibility of stratifying the general population into various risk pools for retinal detachment depending on a person's age, refractive status, and the presence of lattice degeneration. At first impression the risks seem at variance with the fine clinical studies of Byer, who has shown a very low detachment rate in the population with lattice degeneration. In all likelihood the vast majority of his patients were emmetropic or mildly myopic, so that very few would be expected to develop detachments during their entire lifetimes, let along during intervals of only 10 to 20 years. This study shows the futility of following, or treating prophylactically, young emmetropic individuals with lattice degeneration. Assuming that prophylaxis is actually effective, one would have to treat 1000 emmetropic lattice patients in the 30 to 39 year age group to prevent a single detachment over a 10-year period. Lattice patients with low to moderate degrees of myopia tend to develop detachments between 40 and 60 years of age caused by premature posterior vitreous separation and tractional tears. Clearly prophylaxis for this group is not warranted, since only 5% to 10% of these individuals will experience detachments in their lifetimes. On the other hand this study has verified the previous suspicions that persons with myopia exceeding -5.0 D accompanied by lattice degeneration have an extraordinarily high risk of detachment during their lifetimes. Detachments in this group tend to cluster in the second, third, and fourth decades, are typically caused by atrophic holes, are slowly progressive, and are often simultaneously bilateral. Enhanced vigilance is certainly appropriate during this time and perhaps consideration should be given to prophylactically treating this group. This would be no small task, since within a population of 1 million persons there would be about 1150 aged 10 to 39 years with myopia exceeding -5.0 D and lattice degeneration. Only 4 detachments annually and 40 detachments in 10 years would be expected in this highest risk group.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BOHRINGER H. R. Statistisches zu Häufigkeit und Risiko der Netzhautablösung. Ophthalmologica. 1956 Apr-May;131(4-5):331–334. doi: 10.1159/000302858. [DOI] [PubMed] [Google Scholar]
  2. Burton T. C., Brown C. K., Haimann M. H. Predicting age of onset for individuals at risk for phakic retinal detachment. Trans Am Ophthalmol Soc. 1983;81:149–161. [PMC free article] [PubMed] [Google Scholar]
  3. Byer N. E. Clinical study of lattice degeneration of the retina. Trans Am Acad Ophthalmol Otolaryngol. 1965 Nov-Dec;69(6):1065–1081. [PubMed] [Google Scholar]
  4. CAMBIAGGI A. MYOPIA AND RETINAL DETACHMENT: STATISTICAL STUDY OF SOME OF THEIR RELATIONSHIPS. Am J Ophthalmol. 1964 Oct;58:642–650. [PubMed] [Google Scholar]
  5. Haimann M. H., Burton T. C., Brown C. K. Epidemiology of retinal detachment. Arch Ophthalmol. 1982 Feb;100(2):289–292. doi: 10.1001/archopht.1982.01030030291012. [DOI] [PubMed] [Google Scholar]
  6. Kaluzny J. Myopia and retinal detachment. Pol Med J. 1970;9(6):1544–1549. [PubMed] [Google Scholar]
  7. Karlin D. B., Curtin B. J. Peripheral chorioretinal lesions and axial length of the myopic eye. Am J Ophthalmol. 1976 May;81(5):625–635. doi: 10.1016/0002-9394(76)90129-x. [DOI] [PubMed] [Google Scholar]
  8. Morse P. H. Lattice degeneration of the retina and retinal detachment. Am J Ophthalmol. 1974 Dec;78(6):930–934. doi: 10.1016/0002-9394(74)90804-6. [DOI] [PubMed] [Google Scholar]
  9. Morse P. H., Scheie H. G. Rhegmatogenous retinal detachment in patients aged 40 years or less. Trans Ophthalmol Soc U K. 1975 Apr;95(1):128–133. [PubMed] [Google Scholar]
  10. Roberts J., Rowland M. Refraction status and motility defects of persons 4-74 years. Vital Health Stat 11. 1978 Aug;(206):1–124. [PubMed] [Google Scholar]
  11. Schepens C. L., Marden D. Data on the natural history of retinal detachment. Further characterization of certain unilateral nontraumatic cases. Am J Ophthalmol. 1966 Feb;61(2):213–226. doi: 10.1016/0002-9394(66)90274-1. [DOI] [PubMed] [Google Scholar]
  12. Straatsma B. R., Zeegen P. D., Foos R. Y., Feman S. S., Shabo A. L. Lattice degeneration of the retina. XXX Edward Jackson Memorial Lecture. Am J Ophthalmol. 1974 May;77(5):619–649. doi: 10.1016/0002-9394(74)90525-x. [DOI] [PubMed] [Google Scholar]

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