Incidence and epidemiological characteristics of rhegmatogenous retinal detachment in Beijing, China
Incidence and epidemiological characteristics of rhegmatogenous retinal detachment in Beijing, China
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DOI：
10.1016/s0161-6420(03)00867-4
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发表时间：
2003-12-01
期刊：
影响因子：
13.7
通讯作者：
Zhao, QX
中科院分区：
文献类型：
--
作者：
Li, XX;Wang, JZ;Zhao, QX
目的：估计中国北京孔源性视网膜脱离（RRD）的发病率和流行病学特征。设计：基于人群的前瞻性发病率研究。参与者：北京及其附近郊区的人口（N = 6 589 000）。主要指标：RRD 发病率。结果：1999 年 10 月至 9 月期间，共有 526 名新诊断的 RRD 患者2000 年，年发病率为 7.98/10 万人（95% 置信区间 = 7.30-8.67）。 60～69岁人群发病率最高（22.15/10万）。钝性外伤相关RRD的3种亚型发病率为0.93/10万，无晶状体眼和人工晶状体眼视网膜脱离为0.80/10万，非外伤性有晶状体眼视网膜脱离为6.25/10万。男性创伤性脱离的发生率明显较高，但其他 2 种 RRD 亚型则不然。双侧RRD患者中高度近视（大于或等于6屈光度）的患病率（57.1%）高于单侧RRD患者（32.4%）。结论：北京地区RRD的发生率与大多数发达国家的报告相当。据估计，中国每年有9000至10000例RRD新发病例。由于 60% 至 70% 的 RRD 患者生活在小城镇或偏远农业地区，获得合格的视网膜玻璃体外科医生的机会有限，因此在中国护理这些患者面临着巨大的挑战。 (C) 2003 年由美国眼科学会颁发。
Objective: To estimate the incidence and epidemiologic characteristics of rhegmatogenous retinal detachment (RRD) in Beijing, China.Design: Prospective population-based incidence study.Participants: The population of Beijing and its nearby suburbs (N = 6 589 000).Main Outcome Measure: Incident RRD.Results: A total of 526 patients with RRD were newly diagnosed between October 1999 and September 2000. The annual incidence was 7.98/100 000 people (95% confidence interval = 7.30-8.67). People aged 60 to 69 had the highest incidence (22.15/100 000). Incidences of 3 subtypes of RRD were 0.93/100 000 for related to blunt trauma, 0.80/100 000 for aphakic and pseudophakic, and 6.25/100 000 for nontraumatic phakic retinal detachment. A significantly higher incidence was found in males for traumatic detachment, but not for the other 2 subtypes of RRD. High myopia (greater than or equal to-6 diopters) was more prevalent in bilateral RRD (57.1%) than in the unilaterally affected patients (32.4%).Conclusions: The incidence of RRD in Beijing is comparable to most of the reports from the developed countries. It is estimated that there are 9000 to 10 000 new cases of RRD in China each year. As 60% to 70% of the RRD patients live in small towns or remote farming areas with limited access to qualified retina-vitreous surgeons, care for these patients presents a great challenge in China. (C) 2003 by the American Academy of Ophthalmology.