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

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