Incidence of cataract surgery from 1980 through 2004: 25-year population-based study

Jay C. Erie, Keith H. Baratz, David O. Hodge, Cathy D. Schleck, James P. Burke

Research output: Contribution to journalArticlepeer-review

78 Scopus citations


Purpose: To estimate sex- and age-specific incidence rates of cataract surgery in a defined United States population and evaluate the change in incidence over time. Setting: Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. Methods: Rochester Epidemiology Project databases were used to identify all incident cataract surgeries in Olmsted County, Minnesota, residents during the 25-year period from January 1, 1980, through December 31, 2004. Annual incidence rates for each sex and 10-year age group were calculated and adjusted to the 2000 U.S. white population. Change in incidence over time was assessed by fitting generalized linear models assuming a Poisson error structure. Results: During the study period, 10 245 cataract extractions were performed in 7141 residents of all ages. Overall, the age-adjusted cataract surgery incident rate per 100 000 residents was 548 (95% confidence interval [CI], 534-561) for women, 462 (95% CI, 447-478) for men, and 511 (95% CI, 501-521) for all residents. The incidence of cataract surgery increased 500% among women and 467% among men during the study period (P<.001). Overall, the incidence of cataract surgery was highest in residents 70 years and older (3538 surgeries [95% CI, 3322-3764] per 100 000 residents). Conclusions: This population-based study found a substantial increase in incident cataract surgery among Olmsted County residents during the 25-year study period. The rate of cataract surgery increased in a nearly linear fashion during a period when phacoemulsification replaced extracapsular cataract extraction in the community.

Original languageEnglish (US)
Pages (from-to)1273-1277
Number of pages5
JournalJournal of Cataract and Refractive Surgery
Issue number7
StatePublished - Jul 2007

ASJC Scopus subject areas

  • General Medicine


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