Abstract
PurposeSocio-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 methodsRetrospective 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).ResultsWe 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.ConclusionWe 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.
Highlights
Rhegmatogenous retinal detachment (RRD) is one of the most common surgical ophthalmic emergencies in the United Kingdom [1]
We demonstrated an increased retinal re-detachment rate in our more deprived patients according to Index of Multiple Deprivation (IMD) and a younger cohort of South Asians (SA) compared to White ethnicity
Patients that re-detached, had significantly worse post-operative LogMAR (p
Summary
Rhegmatogenous retinal detachment (RRD) is one of the most common surgical ophthalmic emergencies in the United Kingdom [1]. Saidkasimova et al reported an higher incidence of RRD in affluent areas, possibly due to the higher rate of cataract surgeries performed. Low socio-economic status is associated with an increased incidence of blindness and visual impairment due to a variety of ocular pathologies other than RRD [4, 5] In addition, three out of six studies reported in a systematic review by Lane et al found significantly better outcomes in cataract surgery in more affluent individuals [6]. To the best of our knowledge, no previous study has yet determined the effect of social deprivation on the success rate and final visual acuity (VA) following RRD repair. We explored effect of ethnicity on surgical outcomes in RRD. The West Midlands region has the second highest ethnic variability in the United Kingdom (UK) according to the 2011 census and represents the ideal location for such a study [7]
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
