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Retinal detachment. Prevalence
The risk of
retinal detachment in otherwise normal eyes is around 5 per 100,000 per
year. Detachment is more frequent in the middle-aged or elderly population
with rates of around 20 per 100,000 per year. The lifetime risk in normal
eyes is about 1 in 300.
- Retinal
detachment is extremely common in those with severe or extreme myopia
(above 5-6 diopters), as their eyes are longer and the retina is stretched
thin. The lifetime risk increases to 1 in 20. Myopia is associated with
67% of retinal detachment cases. Patients suffering from a detachment
related to myopia tend to be younger than non-myopic detachment patients
- Retinal detachment
can occur more frequently after surgery for cataracts. The estimate
of risk of retinal detachment after cataract surgery is 5 to 16 per
1000 cataract operations. The risk may be much higher in those who are
highly myopic, with a frequency of 7% reported in one study. Young age
at cataract removal further increased risk in this study
- Tractional retinal
detachments can also occur in patients with proliferative diabetic retinopathy
or those with proliferative retinopathy of sickle cell disease. In proliferative
retinopathy, abnormal blood vessels (neovascularization) grow within
the retina and extend into the vitreous. In advanced disease, the vessels
can pull the retina away from the back wall of the eye causing a traction
retinal detachment
Although retinal
detachment usually occurs in one eye, there is a 15% chance of developing
it in the other eye, and this risk increases to 25-30% in patients who
had cataracts extracted from both eyes.
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