Effect of deprivation and ethnicity on primary macula-on retinal detachment repair success rate and clinical outcomes: A study of 568 patients.
Moussa, George KALOGEROPOULOS, DIMITRIOS Ch'ng, Soon Lett, Kim Son Mitra, Arijit Tyagi, Ajai K Sharma, Ash Andreatta, Walter
Moussa, George
KALOGEROPOULOS, DIMITRIOS
Ch'ng, Soon
Lett, Kim Son
Mitra, Arijit
Tyagi, Ajai K
Sharma, Ash
Andreatta, Walter
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Affiliation
University of Birmingham; University of Ioannina; Kantonsspital Winterthur; Sandwell and West Birmingham NHS Trust
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Publication date
2021-11-09
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Abstract
Purpose: Socio-economic deprivation and ethnic variation have been frequently linked to poorer health outcomes. We collected a large series of primary macula-on rhegmatogenous retinal detachment (RRD) cases and analysed the effect of socio-economic deprivation and ethnicity on both six-month retinal re-detachment rate and visual outcomes.
Materials and methods: Retrospective consecutive case series of 568 patients attending Birmingham and Midlands Eye Centre from January 2017-2020. Multiple Indices of Deprivation (IMD) deciles were used for deprivation status and split to two groups: IMD-A (Decile 1-5) and IMD-B (Decile 6-10). The two largest subgroups of ethnicities were compared, White and South Asians (SA).
Results: We report an overall retinal re-detachment rate of 8.5%. IMD-A re-detached significantly more than IMD-B (11.2% vs 6.0% respectively, p = 0.034). No statistical significance was found between White and SA re-detachment rate (9.1% and 5.6% respectively, p = 0.604). SA median age significantly lower at 49 years (IQR: 37-61) compared to White patients at 57 years (IQR: 50-65) (p = <0.001). IMD-A median age of 55 years (IQR: 46-64) was significantly lower to IMD-B median age of 58 years (IQR: 51-65) (p = 0.011). No differences in final visual outcomes were detected across all groups.
Conclusion: We demonstrated an increased retinal re-detachment rate in our more deprived patients according to IMD and a younger cohort of SA compared to White ethnicity. Further prospective studies are required to demonstrate the link between socio-economic deprivation and surgical success.
Citation
Moussa G, Kalogeropoulos D, Ch'ng SW, Lett KS, Mitra A, Tyagi AK, Sharma A, Andreatta W. Effect of deprivation and ethnicity on primary macula-on retinal detachment repair success rate and clinical outcomes: A study of 568 patients. PLoS One. 2021 Nov 9;16(11):e0259714.
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Article