Abstract
Aim
To evaluate the epidemiological characteristics of retinal detachment in a defined urban population in the Southeast of Brazil.
Methods
A retrospective study of patients consulted at the Department of Ophthalmology, State University of Campinas, São Paulo, Brazil, with retinal detachment between June 1, 2003 and July 31, 2004. Data were entered into the Statistical Package for the Social Sciences (version 10.0).
Results
There were a total population of 3 389 294 in the 42 cities of Campinas catchment area. A total of 313 patients fitted the inclusion criteria. The overall demand incidence of retinal detachment was 9.2:100 000. The number of males peaked in the 50–79 age group, whereas that of the females peaked in the 60 to 80+ age group. The ages ranged from 4 months to 84 years (mean 49.3). The female-to-male ratio was 1:2.1. Nontraumatic phakic detachments had the highest demand incidence of 7.1:100 000. The demand incidence of nontraumatic aphakic detachments was very low at 0.09:100 000. Almost one third of all patients seeking treatment presented inoperable cases of retinal detachments.
Conclusions
This is the first study of demand incidence of retinal detachment in Latin Americans. The age-specific demand incidence increases with age. Nontraumatic phakic detachments were the most common type of detachment. The incidence of the traumatic types of detachment was higher in males than that in females. Such data are important to plan and implement vitreoretinal services taking into account the population likely to be served.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Sheldrick JH, Vernon SA, Wilson A, Read SJ . Demand incidence and episode rates of ophthalmic disease in a defined urban population. BMJ 1992; 305: 933–936.
Covolo GA . Avaliação da demanda atendida num modelo de atenção secundária em saúde ocular (thesis) (Demands assessment in a secondary eye care service). Campinas: State University of Campinas, São Paulo, 2003.
Shaw DE, Gibson JM, Rosenthal AR . A year in a general ophthalmic outpatient department in England. Arch Ophthalmol 1986; 104: 1843–1846.
Muñoz B, West SK . Blindness and visual impairment in the Americas and the Caribbean. Br J Ophthalmol 2002; 86 (5): 498–504.
Fundação Instituto Brasileiro de Geografia e Estatística: Rio de Janeiro. (Brazilian Census and Statistical Foundation). Available from URL: http://www.ibge.gov.br. (accessed November 1, 2004).
World Health Organization. International statistical classification of diseases, injuries and causes of death, 10th revision. Geneva: WHO, 1993.
Machemer R, Aaberg TM, Freeman HM, Irvine AR, Lean JS, Michels RM . An updated classification of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol 1991; 112 (2): 159–165.
Törnquist R, Stenkula S, Törnquist P . Retinal detachment: a study of a population-based patient material in Sweden 1971-1981- I. Epidemiology Acta Ophthalmol 1987; 213: 213–222.
Wong T, Tielsch JM, Schein OD . Racial difference in the incidence of retinal detachment in Singapore. Arch Ophthalmol 1999; 117: 379–383.
Pinto LF, Soranz, DR . Private health plans: populational coverage in Brazil. Ciência & Saúde Coletiva 2004; 9 (1): 85–98.
Derengowski MG, Fonseca JF . Private health plans national forum. Agência Nacional de Saúde Suplementar (Private Health Plans Brazilian Agency). Available from URL: http://www.ans.gov.br. (accessed May 1, 2005).
Rowe JA, Erie JC, Baratz KH, Hodge DO, Gray DT, Butterfield L et al. Retinal detachment in Olmsted Country, Minnesota, 1976 through 1995. Ophthalmology 1999; 106: 154–159.
Algvere PV, Jahnberg P, Textorius O . The Swedish Retinal Detachment Register. 1. A database for epidemiological and clinical studies. Graefes Arch Clin Exp Ophthalmol 1999; 237: 137–144.
Rosner M, Treister G, Belkin M . Epidemiology of retinal detachment in childhood and adolescence. J Paediatr Ophthalmol Strabismus 1987; 24: 42–44.
Mowatt L, Shun-Shin G, Price N . Ethnic differences in the demand incidence of retinal detachments in two districts in the West Midlands. Eye 2003; 17: 63–70.
Haimannn MH, Burton TC, Brown CK . Epidemiology of retinal detachment. Arch Ophthalmol 1982; 100: 289–292.
Sasaki K, Ideta H, Yonemoto J, Sumiyoshi T, Hirose A, Oka C . Epidemiology characteristics of rhegmatogenous retinal detachment in Kumamoto. Jpn Graefe's Arch Clin Exp Ophthalmol 1995; 233: 772–776.
Wilkes SR, Beard CM, Kurland LT, Robertson DM, ÓFallon WM . The incidence of retinal detachment in Rochester, Minnesota, 1970-1978. Am J Ophthalmol 1982; 94: 670–673.
Peters AL . Retinal detachment in black South Africans. S Afr Med J 1995; 3: 158–159.
Thompson JR . The demand incidence of cataract in Asian immigrants to Britain and their descendants. Br J Ophthalmol 1989; 73 (12): 950–954.
Shanks J, McCallum A . Needs and demands for ophthalmology services. BMJ 1992; 305 (6867): 1501–1502.
Author information
Authors and Affiliations
Corresponding author
Additional information
There are no competing interests to declare
Rights and permissions
About this article
Cite this article
Limeira-Soares, P., Lira, R., Arieta, C. et al. Demand incidence of retinal detachment in Brazil. Eye 21, 348–352 (2007). https://doi.org/10.1038/sj.eye.6702202
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sj.eye.6702202
Keywords
This article is cited by
-
Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States
Scientific Reports (2023)
-
Rhegmatogene Netzhautablösung
Der Ophthalmologe (2018)


