Outcomes and eye care knowledge in rhegmatogenous retinal detachment patients with a history of laser refractive surgery for myopia
| Title: | Outcomes and eye care knowledge in rhegmatogenous retinal detachment patients with a history of laser refractive surgery for myopia |
|---|---|
| Authors: | Chieh Lan, Yi-Hao Chen, Yung-Jen Chen, Jong-Jer Lee, Hsi-Kung Kuo, Pei-Chang Wu |
| Source: | Frontiers in Public Health, Vol 10 (2022) |
| Publisher Information: | Frontiers Media S.A., 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Public aspects of medicine |
| Subject Terms: | myopia, retinal detachment, laser refractive surgery, eye care knowledge, scleral buckle, vitrectomy, Public aspects of medicine, RA1-1270 |
| More Details: | PurposeTo investigate the surgical outcomes and eye care knowledge of patients with rhegmatogenous retinal detachment (RRD) who had previously undergone laser refractive surgery (LRS) for myopia in a myopia epidemic area.MethodsThis retrospective study included patients with primary RRD who underwent surgery and had a history of LRS for myopia at a tertiary medical center. Data were reviewed from medical charts to analyse the surgical outcomes. Questions about eye care knowledge and attitude toward myopia and LRS were obtained.ResultsA total of 774 patients underwent RRD surgery, among whom 341 (44%) had myopia > −3 dioptres, 66% of whom had high myopia. Thirty eyes of 26 patients had a history of LRS for myopia. The mean age of patients with a history of LRS was significantly lower than that of those without a history of LRS (45.7 ± 2.9 years vs. 53.8 ± 1.0, p < 0.001). The mean pre-LRS spherical equivalent was −8.66 ± 0.92 (range: −3.00–−12.00) dioptres. In more than half the patients (n = 15, 57.7%), the interval between LRS and RRD was more than 10 years. The primary retinal reattachment rate was only 60%, whereas the final retinal reattachment rate was 93%. The mean final visual acuity (VA) improved from a 20/286 to 20/105 (p = 0.006). Linear mixed model analysis showed factors of male sex and macular detachment were significant with poor visual outcome (p = 0.046 and 0.008) Eye care knowledge obtained from the 19 RRD patients with history of LRS, 47% of patients (9/19) mistakenly thought that LRS could cure myopia and its complications, and 63% of patients were less willing to visit an ophthalmologist because uncorrected VA improvement after LRS. Eighty-four percent thought that proper knowledge and more education about LRS and myopia for the public are important.ConclusionIn the RRD patients with a history of LRS for myopia, their age was relative younger. Male sex and macular detachment were associated with poor visual outcome. More education with proper knowledge of LRS, myopia and RRD is recommended for the patients to prevent or early detect the occurrence of RRD. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2296-2565 |
| Relation: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.895024/full; https://doaj.org/toc/2296-2565 |
| DOI: | 10.3389/fpubh.2022.895024 |
| Access URL: | https://doaj.org/article/696f526079344c778b7a199028cc607b |
| Accession Number: | edsdoj.696f526079344c778b7a199028cc607b |
| Database: | Directory of Open Access Journals |
| FullText | Text: Availability: 0 CustomLinks: – Url: https://resolver.ebsco.com/c/xy5jbn/result?sid=EBSCO:edsdoj&genre=article&issn=22962565&ISBN=&volume=10&issue=&date=20220801&spage=&pages=&title=Frontiers in Public Health&atitle=Outcomes%20and%20eye%20care%20knowledge%20in%20rhegmatogenous%20retinal%20detachment%20patients%20with%20a%20history%20of%20laser%20refractive%20surgery%20for%20myopia&aulast=Chieh%20Lan&id=DOI:10.3389/fpubh.2022.895024 Name: Full Text Finder (for New FTF UI) (s8985755) Category: fullText Text: Find It @ SCU Libraries MouseOverText: Find It @ SCU Libraries – Url: https://doaj.org/article/696f526079344c778b7a199028cc607b Name: EDS - DOAJ (s8985755) Category: fullText Text: View record from DOAJ MouseOverText: View record from DOAJ |
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| Items | – Name: Title Label: Title Group: Ti Data: Outcomes and eye care knowledge in rhegmatogenous retinal detachment patients with a history of laser refractive surgery for myopia – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Chieh+Lan%22">Chieh Lan</searchLink><br /><searchLink fieldCode="AR" term="%22Yi-Hao+Chen%22">Yi-Hao Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Yung-Jen+Chen%22">Yung-Jen Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Jong-Jer+Lee%22">Jong-Jer Lee</searchLink><br /><searchLink fieldCode="AR" term="%22Hsi-Kung+Kuo%22">Hsi-Kung Kuo</searchLink><br /><searchLink fieldCode="AR" term="%22Pei-Chang+Wu%22">Pei-Chang Wu</searchLink> – Name: TitleSource Label: Source Group: Src Data: Frontiers in Public Health, Vol 10 (2022) – Name: Publisher Label: Publisher Information Group: PubInfo Data: Frontiers Media S.A., 2022. – Name: DatePubCY Label: Publication Year Group: Date Data: 2022 – Name: Subset Label: Collection Group: HoldingsInfo Data: LCC:Public aspects of medicine – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22myopia%22">myopia</searchLink><br /><searchLink fieldCode="DE" term="%22retinal+detachment%22">retinal detachment</searchLink><br /><searchLink fieldCode="DE" term="%22laser+refractive+surgery%22">laser refractive surgery</searchLink><br /><searchLink fieldCode="DE" term="%22eye+care+knowledge%22">eye care knowledge</searchLink><br /><searchLink fieldCode="DE" term="%22scleral+buckle%22">scleral buckle</searchLink><br /><searchLink fieldCode="DE" term="%22vitrectomy%22">vitrectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Public+aspects+of+medicine%22">Public aspects of medicine</searchLink><br /><searchLink fieldCode="DE" term="%22RA1-1270%22">RA1-1270</searchLink> – Name: Abstract Label: Description Group: Ab Data: PurposeTo investigate the surgical outcomes and eye care knowledge of patients with rhegmatogenous retinal detachment (RRD) who had previously undergone laser refractive surgery (LRS) for myopia in a myopia epidemic area.MethodsThis retrospective study included patients with primary RRD who underwent surgery and had a history of LRS for myopia at a tertiary medical center. Data were reviewed from medical charts to analyse the surgical outcomes. Questions about eye care knowledge and attitude toward myopia and LRS were obtained.ResultsA total of 774 patients underwent RRD surgery, among whom 341 (44%) had myopia > −3 dioptres, 66% of whom had high myopia. Thirty eyes of 26 patients had a history of LRS for myopia. The mean age of patients with a history of LRS was significantly lower than that of those without a history of LRS (45.7 ± 2.9 years vs. 53.8 ± 1.0, p < 0.001). The mean pre-LRS spherical equivalent was −8.66 ± 0.92 (range: −3.00–−12.00) dioptres. In more than half the patients (n = 15, 57.7%), the interval between LRS and RRD was more than 10 years. The primary retinal reattachment rate was only 60%, whereas the final retinal reattachment rate was 93%. The mean final visual acuity (VA) improved from a 20/286 to 20/105 (p = 0.006). Linear mixed model analysis showed factors of male sex and macular detachment were significant with poor visual outcome (p = 0.046 and 0.008) Eye care knowledge obtained from the 19 RRD patients with history of LRS, 47% of patients (9/19) mistakenly thought that LRS could cure myopia and its complications, and 63% of patients were less willing to visit an ophthalmologist because uncorrected VA improvement after LRS. Eighty-four percent thought that proper knowledge and more education about LRS and myopia for the public are important.ConclusionIn the RRD patients with a history of LRS for myopia, their age was relative younger. Male sex and macular detachment were associated with poor visual outcome. More education with proper knowledge of LRS, myopia and RRD is recommended for the patients to prevent or early detect the occurrence of RRD. – Name: TypeDocument Label: Document Type Group: TypDoc Data: article – Name: Format Label: File Description Group: SrcInfo Data: electronic resource – Name: Language Label: Language Group: Lang Data: English – Name: ISSN Label: ISSN Group: ISSN Data: 2296-2565 – Name: NoteTitleSource Label: Relation Group: SrcInfo Data: https://www.frontiersin.org/articles/10.3389/fpubh.2022.895024/full; https://doaj.org/toc/2296-2565 – Name: DOI Label: DOI Group: ID Data: 10.3389/fpubh.2022.895024 – Name: URL Label: Access URL Group: URL Data: <link linkTarget="URL" linkTerm="https://doaj.org/article/696f526079344c778b7a199028cc607b" linkWindow="_blank">https://doaj.org/article/696f526079344c778b7a199028cc607b</link> – Name: AN Label: Accession Number Group: ID Data: edsdoj.696f526079344c778b7a199028cc607b |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.3389/fpubh.2022.895024 Languages: – Text: English Subjects: – SubjectFull: myopia Type: general – SubjectFull: retinal detachment Type: general – SubjectFull: laser refractive surgery Type: general – SubjectFull: eye care knowledge Type: general – SubjectFull: scleral buckle Type: general – SubjectFull: vitrectomy Type: general – SubjectFull: Public aspects of medicine Type: general – SubjectFull: RA1-1270 Type: general Titles: – TitleFull: Outcomes and eye care knowledge in rhegmatogenous retinal detachment patients with a history of laser refractive surgery for myopia Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Chieh Lan – PersonEntity: Name: NameFull: Yi-Hao Chen – PersonEntity: Name: NameFull: Yung-Jen Chen – PersonEntity: Name: NameFull: Jong-Jer Lee – PersonEntity: Name: NameFull: Hsi-Kung Kuo – PersonEntity: Name: NameFull: Pei-Chang Wu IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 22962565 Numbering: – Type: volume Value: 10 Titles: – TitleFull: Frontiers in Public Health Type: main |
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