Abstract
Purpose
To report the demographics and clinical characteristics of patients with a primary retinal detachment (RD).
Design
Prospective cohort study by a registry design.
Participants
Patients with RD treated at vitreoretinal sub-specialty institutions in Japan from February 2016 to March 2017.
Methods
Descriptive statistics for the primary RD, and multivariable ordered logistic regression and multiple linear regression analyses were performed.
Results
3178 eyes of 3178 cases were analyzed. The interval from onset to surgery was significantly shorter in patients in the 40-year age group than in other age groups except for the 50-year age group (P<0.05, Steel-Dwass test). The proportion of complex cases was significantly higher in the 10-year, 70-year, and 80+ year age groups than in the 40 and 50-year age groups (P<0.05, Steel-Dwass test). The size of RD was significantly associated with the male sex (odds ratio, 1.29; 95% confidence interval [CI], 1.07 to 1.56; P=0.0085) and the interval from onset to surgery (odds ratio, 1.03 95% CI, 1.01 to 1.04; P=0.0014). Low IOPs in eyes with RD were significantly associated with an older age (-0.24 mmHg/10 years, 95% CI, -0.32 to -0.16], P<0.0001) and larger RD area (-0.91 mmHg/quadrant, 95% CI, [-1.06 to -0.76], P <0.0001).
Conclusion
Profile and clinical characteristics of patients with a primary RD were not exactly the same as previous reports. A preoperative low IOP was associated with several ocular factors while the area of RD was associated not only with ocular but with social factors as well.




Similar content being viewed by others
Explore related subjects
Discover the latest articles and news from researchers in related subjects, suggested using machine learning.References
Mikhail M, Ali-Ridha A, Chorfi S, Kapusta MA. Long-term outcomes of sutureless 25-G+ pars-plana vitrectomy for the management of diabetic tractional retinal detachment. Graefes Arch Clin Exp Ophthalmol. 2017;255:255–61.
Mura M, Tan SH, De Smet MD. Use of 25-gauge vitrectomy in the management of primary rhegmatogenous retinal detachment. Retina. 2009;29:1299–304.
Lauer MS, D’Agostino RB Sr. The randomized registry trial—the next disruptive technology in clinical research? N Eng J Med. 2013;369:1579–81.
Concato J, Shah N, Horwitz RI. Randomized, controlled trials, observational studies, and the hierarchy of research designs. N Eng J Med. 2000;342:1887–92.
Ho JD, Liou SW, Tsai CY, Tsai RJ, Lin HC. Trends and outcomes of treatment for primary rhegmatogenous retinal detachment: a 9-year nationwide population-based study. Eye (Lond). 2009;23:669–75.
Park SJ, Cho SC, Choi NK, Park KH, Woo SJ. Age, sex, and time-specific trends in surgical approaches for rhegmatogenous retinal detachment: a nationwide, population-based study using the national claim registry. Retina. 2017;37:2326–33.
Adelman RA, Parnes AJ, Ducournau D. Strategy for the management of uncomplicated retinal detachments: the European vitreo-retinal society retinal detachment study report 1. Ophthalmology. 2013;120:1804–8.
Adelman RA, Parnes AJ, Sipperley JO, Ducournau D. Strategy for the management of complex retinal detachments: the European vitreo-retinal society retinal detachment study report 2. Ophthalmology. 2013;120:1809–13.
Michalewska Z, Ducournau D, Adelman RA. How do vitrectomy parameters influence the results of rhegmatogenous retinal detachments repair? EVRS RD study no. 3. Acta Ophthalmol. 2014;92:e416–7.
Adelman RA, Parnes AJ, Michalewska Z, Ducournau D. Clinical variables associated with failure of retinal detachment repair: the European vitreo-retinal society retinal detachment study report number 4. Ophthalmology. 2014;121:1715–9.
Jackson TL, Donachie PH, Sallam A, Sparrow JM, Johnston RL. United Kingdom national ophthalmology database study of vitreoretinal surgery: report 3, retinal detachment. Ophthalmology. 2014;121:643–8.
Sallam AB, Donachie PHJ, Yorston D, Steel DHW, Williamson TH, Jackson TL, et al. Royal college of ophthalmologists’ national database study of vitreoretinal surgery: report 7, intersurgeon variations in primary rhegmatogenous retinal detachment failure. Retina. 2018;38:334–42.
Parke Ii DW, Lum F, Rich WL. The IRIS(R) Registry: purpose and perspectives. Ophthalmologe. 2017;114:1–6.
Rough K, Thompson JT. When does size matter? Promises, pitfalls, and appropriate interpretation of “Big” medical records data. Ophthalmology. 2018;125:1136–8.
Schulze-Bonsel K, Feltgen N, Burau H, Hansen L, Bach M. Visual acuities “hand motion” and “counting fingers” can be quantified with the freiburg visual acuity test. Invest Ophthalmol Vis Sci. 2006;47:1236–40.
Hildebrand GR. Anatomy and physiology of the retina. In: Reynolds J, Olitsky S, editors. Pediatric retina. Berlin: Springer; 2011. p. 39–65.
Yu Y, An M, Mo B, Yang Z, Liu W. Risk factors for choroidal detachment following rhegmatogenous retinal detachment in a chinese population. BMC Ophthalmol. 2016;16:140.
Sasaki K, Ideta H, Yonemoto J, Tanaka S, Hirose A, Oka C. Epidemiologic characteristics of rhegmatogenous retinal detachment in Kumamoto, Japan. Graefes Arch Clin Exp Ophthalmol. 1995;233:772–6.
Shunmugam M, Shah AN, Hysi PG, Williamson TH. The pattern and distribution of retinal breaks in eyes with rhegmatogenous retinal detachment. Am J Ophthalmol. 2014;157(221–6):e1.
Sheu SJ, Ger LP, Chen JF. Male sex as a risk factor for pseudophakic retinal detachment after cataract extraction in Taiwanese adults. Ophthalmology. 2007;114:1898–903.
Burton TC, Arafat NI, Phelps CD. Intraocular pressure in retinal detachment. Int Ophthalmol. 1979;1:147–52.
Solberg T, Ytrehus T, Ringvold A. Hypotony and retinal detachment. Acta Ophthalmologica. 1986;64:26–32.
Morse PH, Scheie HG. Prophylactic cryoretinopexy of retinal breaks. Arch Ophthalmol. 1974;92:204–7.
Pastor JC, Rojas J, Pastor-Idoate S, Di Lauro S, Gonzalez-Buendia L, Delgado-Tirado S. Proliferative vitreoretinopathy: a new concept of disease pathogenesis and practical consequences. Prog Retin Eye Res. 2016;51:125–55.
R Core Team. R: a language and environment for statistical computing. R foundation for statistical computing, Vienna, Austria. 2018. https://www.R-project.org/. Accessed 1 Nov 2018.
Diakou LAN, Trinquart L, Hrobjartsson A, Barnes C, Yavchitz A, Ravaud P, et al. Comparison of central adjudication of outcomes and onsite outcome assessment on treatment effect estimates. Cochrane Database Syst Rev. 2016;3:Mr000043.
Parke DW 3rd, Lum F. Return to the operating room after macular surgery: IRIS registry analysis. Ophthalmology. 2018;125:1273–8.
Chen SN, Lian Ie B, Wei YJ. Epidemiology and clinical characteristics of rhegmatogenous retinal detachment in Taiwan. Br J Ophthalmol. 2016;100:1216–20.
Mitry D, Charteris DG, Fleck BW, Campbell H, Singh J. The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations. Br J Ophthalmol. 2010;94:678–84.
Minihan M, Tanner V, Williamson TH. Primary rhegmatogenous retinal detachment: 20 years of change. Br J Ophthalmol. 2001;85:546–8.
Ashrafzadeh MT, Schepens CL, Elzeneiny II, Moura R, Morse P, Kraushar MF. Aphakic and phakic retinal detachment. I. Preoperative findings. Arch Ophthalmol. 1973;89:476–83.
Tillery WV, Lucier AC. Round atrophic holes in lattice degeneration–an important cause of phakic retinal detachment. Trans Sec Ophthalmol Am Acad Ophthalmol Otolar. 1976;81:509–18.
Pederson JE. Ocular hypotony. Trans Ophthalmol Soc UK. 1986;105(Pt 2):220–6.
Brockhurst RJ. Ciliochoroidal (uveal) effusion. In: Ryan SJ, editor. Retina. 2nd ed. St Louis: Mosby; 1994. p. 1745–52.
Holmes DE. Big data: a very short introduction, chapter 1. Oxford: Oxford University Press; 2017.
Acknowledgements
This study was supported by the Japan Retina Vitreous Society. The authors thank Professor Duco Hamasaki of Bascom Palmer Eye Institute, University of Miami, FL, for providing critical discussions and suggestions to our study and editing of the final manuscript.
Institutions of J-RD Registry project committee and their collaborators
1. Chiba University: Shuichi Yamamoto, Takayuki Baba, Eiju Sato, Masayasu Kitahashi, Tomoaki Tatsumi, Gen Miura, Tomohiro Niizawa
2. Kagoshima University: Taiji Sakamoto, Keita Yamakiri, Toshifumi Yamashita, Hiroki Otsuka, Seiji Sameshima, Narimasa Yoshinaga, Shozo Sonoda
3. Kyorin University: Akito Hirakata, Takashi Koto, Makoto Inoue, Kazunari Hirota, Yuji Itoh, Tadashi Orihara, Yoshinobu Emoto, Masahiko Sano, Hiroyuki Takahashi, Ryo Tokizawa
4. Yamagata University: Hidetoshi Yamashita, Koichi Nishitsuka, Yutaka Kaneko, Katsuhiro Nishi
Collaborative Institutions and their collaborators
5. Asahikawa Medical University Hospital: Akitoshi Yoshida, Shinji Ono, Hiroyuki Hirokawa, Kenji Sogawa, Tsuneaki Omae, Akihiro Ishibazawa
6. Gunma University: Shoji Kishi, Hideo Akiyama, Hidetaka Matsumoto, Ryo Mukai, Masahiro Morimoto
7. Hirosaki University: Mitsuru Nakazawa, Yukihiko Suzuki, Takashi Kudo, Kobu Adachi
8. Hokkaido University: Susumu Ishida, Kousuke Noda, Satoru Kase, Syouhei Mori, Ryo Ando, Michiyuki Saito, Tomohiro Suzuki
9. Kansai Medical University Hospital: Kanji Takahashi, Yoshimi Nagai, Tadashi Nakauchi, Haruiko Yamada
10. Kindai University Sakai Hospital: Shuji Kusaka, Daishi Tsujioka
11. Kyoto University: Akitaka Tsujikawa, Kiyoshi Suzuma
12. Kyushu University: Tatsuro Ishibashi, Koh-Hei Sonoda, Yasuhiro Ikeda, Riichiro Kohno, Keijiro Ishikawa
13. Mie University: Mineo Kondo, Maki Kozawa
14. Nagasaki University: Takashi Kitaoka, Eiko Tsuiki
15. Nagoya City University: Yuichiro Ogura, Munenori Yoshida, Hiroshi Morita, Aki Kato, Yoshio Hirano, Kazuhiko Sugitani
16. Nagoya University: Hiroko Terasaki, Takeshi Iwase, Yasuki Ito, Shinji Ueno, Hiroki Kaneko, Norie Nonobe, Taro Kominami
17. National Center for Child Health and Development: Noriyuki Azuma, Tadashi Yokoi
18. Nihon University Hospital: Hiroyuki Shimada, Hiroyuki Nakashizuka, Takayuki Hattori, Ari Shinojima, Yorihisa Kutagawa
19. Okayama University: Fumio Shiraga, Yuki Morizane, Shuhei Kimura
20. Osaka Medical School: Tsunehiko Ikeda, Teruyo Kida, Takaki Sato, Masanori Fukumoto
21. Osaka Rosai Hospital: Kazuyuki Emi, Hiroshi Nakashima
22. Shiga Medical University: Masahito Ohji, Masashi Kakinoki, Osamu Sawada
23. Takeuchi Eye Clinic: Shinobu Takeuchi, Sumiyoshi Tanaka
24. Tokyo Womens Medical College: Tomohiro Iida, Hideki Koizumi, Ichiro Maruko, Taiji Hasegawa, Akiko Kogure,
25. Yamanashi University: Hiroyuki Iijima, Tomohiro Oshiro, Yasushi Tateno, Wataru Kikushima, Atsushi Sugiyama, Seigo Yoneyama
26. Yokohama City University Medical Center: Kazuaki Kadonosono, Shimpei Sato, Shin Yamane
Author information
Authors and Affiliations
Consortia
Corresponding author
Ethics declarations
Conflicts of interest
T. Sakamoto, None; S. Kawano, None; R. Kawasaki, Grant (Senju), Lecture fee (Novartis, Bayer, Senju, Astellas, Santen, Kowa, Takeda, Pfizer, Topcon, Nitto Medic, Senju), Advisory Board fee (Roche, Novo Nordisk, MICIN, Predictive Analytics, Office future), Endowed (Topcon); A. Hirakata, Grant (Santen, Alcon, Senju, Novartis, Bayer, Nidek, Pfizer), Lecture fee (Santen, Alcon, Senju, Novartis, Bayer, Nidek, Pfizer, Kowa), Advisory Board fee (Alcon); H. Yamashita, None; S. Yamamoto, None; T. Ishibashi, None.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Corresponding Author: Taiji Sakamoto
Electronic supplementary material
Below is the link to the electronic supplementary material.
About this article
Cite this article
Sakamoto, T., Kawano, S., Kawasaki, R. et al. Japan-Retinal Detachment Registry Report I: preoperative findings in eyes with primary retinal detachment. Jpn J Ophthalmol 64, 1–12 (2020). https://doi.org/10.1007/s10384-019-00702-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10384-019-00702-6