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Sex differences in the repair of retinal detachments in the United States

American Journal of Ophthalmology Jul 09, 2020

Callaway NF, Vail D, Al-Moujahed A, et al. - Researchers conducted this retrospective cohort study to determine differences between men and women in the repair of rhegmatogenous retinal detachments (RRD) in the United States. Demographic data, comorbid ocular conditions associated with RRD, systemic comorbidities, and surgical intervention (pneumatic retinopexy, pars plana vitrectomy, laser barricade, or scleral buckle (SB)) have been collected. The study period included 133 million eligible records with 61,071 incident RRD cases meeting inclusion criteria, 43% (n = 26,289) of which were women. After adjusting for confounders, women had 34% reduced odds of receipt of surgical repair of an RRD. In all sensitivity models, this effect persisted. Insured women are less likely to undergo surgical intervention for an RRD than the insured men. If the odds of repair in the US were equal between men and women then 781 more women would receive surgery every year, or 7,029 more during the period of study. Women are more likely to have SB and laser barricade repairs. The reason for these gender differences in RRD repair remains unknown, and further investigation is required.

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