June 2021
Volume 62, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2021
Time Series Trends for Rhegmatogenous Retinal Detachment Repair, Retinal Break Treatment, and Posterior Vitreous Detachment using the Intelligent Research In Sight (IRIS®) Registry
Author Affiliations & Notes
  • Steven Sepehr Saraf
    Ophthalmology, University of Washington, Seattle, Washington, United States
  • Megan Lacy
    Ophthalmology, University of Washington, Seattle, Washington, United States
  • Matthew Hunt
    Ophthalmology, University of Washington, Seattle, Washington, United States
  • Aaron Y Lee
    Ophthalmology, University of Washington, Seattle, Washington, United States
  • Cecilia S Lee
    Ophthalmology, University of Washington, Seattle, Washington, United States
  • Yewlin Chee
    Ophthalmology, University of Washington, Seattle, Washington, United States
  • Footnotes
    Commercial Relationships   Steven Saraf, None; Megan Lacy, None; Matthew Hunt, Boston Scientific, Patent ID: US20180228896A1 (P); Aaron Lee, Carl Zeiss Meditec (F), Genentec (C), Microsoft (F), Novartis (F), NVIDIA (F), Santen (F), Topcon (R), US Food and Drug Administration (E), Verana Health (C); Cecilia Lee, None; Yewlin Chee, None
  • Footnotes
    Support  NIH/NIA R01AG060942 (Cecilia S. Lee); NIH/NEI K23EY029246 (Aaron Y. Lee); Latham Vision Innovation Award, and an unrestricted grant from Research to Prevent Blindness (Steven S. Saraf, Aaron Y. Lee, Cecilia S. Lee, Yewlin Chee); NIH/NEI K23EY029246 (Aaron Y. Lee)
Investigative Ophthalmology & Visual Science June 2021, Vol.62, 167. doi:
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      Steven Sepehr Saraf, Megan Lacy, Matthew Hunt, Aaron Y Lee, Cecilia S Lee, Yewlin Chee; Time Series Trends for Rhegmatogenous Retinal Detachment Repair, Retinal Break Treatment, and Posterior Vitreous Detachment using the Intelligent Research In Sight (IRIS®) Registry. Invest. Ophthalmol. Vis. Sci. 2021;62(8):167.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : We studied time series trends for incidence rates of rhegmatogenous retinal detachment (RRD) repair, retinal break (RB) treatment, posterior vitreous detachment (PVD), and cataract surgery (CS) to investigate seasonal variation and differences among age, race, and sex using the IRIS Registry.

Methods : RRD repair, RB treatment, and CS were based on CPT codes. PVD diagnosis was based on ICD-9/10 codes. Daily incidence rates were calculated during a 5 year period (2014-2018) and defined as the ratio of number of patients diagnosed with RRD, RB, PVD, and CS to the total number of patients followed on a given day. CS group was included as a comparison for seasonal variation given its elective nature. Rates were stratified by decade of life (DOL), sex, and race.

Results : A total of 2,996,982 patients were diagnosed with incident PVD. Patients undergoing RRD repair (n=248,765), RB treatment (n=367,323) and CS (n=6,132,138) were included. The mean daily incidence for RRD, RB, PVD, and CS were 0.5, 0.7, 5.1, 12.2 per 100,000 patients, respectively (Figure 1). The highest incidence of RRD was in the 5th and 6th DOL. Men had higher incidence of RRD repair than women, whereas women had higher incidence of PVD. RRD incidence was higher in Whites compared to others. Time series showing seven day moving average point incidence for RRD repair, RB treatment and PVD by sex and age demographics is shown in Figure 2. Seasonal variation in RRD repair, RB treatment, PVD, and CS corresponded to national holidays with larger fluctuations in winter months.

Conclusions : The higher incidence of RD repair and RB treatment in men compared to higher PVD incidence in women may suggest an inherent sex-related risk. The seasonal variation associated with holidays was less pronounced for RRD repair and RB treatment.

This is a 2021 ARVO Annual Meeting abstract.

 

Figure 1. Stacked time series 2014-2018 showing 7 day moving average point incidence for rhegmatogenous retinal detachment (RRD) repair, retinal break (RB) treatment, posterior vitreous detachment (PVD) diagnosis, and cataract surgery (CS). National holidays are indicated with gray dashed lines.

Figure 1. Stacked time series 2014-2018 showing 7 day moving average point incidence for rhegmatogenous retinal detachment (RRD) repair, retinal break (RB) treatment, posterior vitreous detachment (PVD) diagnosis, and cataract surgery (CS). National holidays are indicated with gray dashed lines.

 

Figure 2. Time series showing 7 day moving average point incidence by sex and age demographics between 2014-2018 for rhegmatogenous retinal detachment repair, retinal break treatment, and posterior vitreous detachment.

Figure 2. Time series showing 7 day moving average point incidence by sex and age demographics between 2014-2018 for rhegmatogenous retinal detachment repair, retinal break treatment, and posterior vitreous detachment.

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