Karadeniz Technical University Faculty of Medicine, Department of Ophthalmology, Trabzon, Turkey.
Turk J Ophthalmol. 2020 Apr 29;50(2):94-98. doi: 10.4274/tjo.galenos.2019.59140.
To assess seasonal variations in the incidence of rhegmatogenous retinal detachment (RRD) in the Eastern Black Sea region of Turkey.
Patients presenting due to primary RRD to a university hospital operating as a reference clinic in the region between 2011 and 2018 were evaluated retrospectively. Patients' ages, sex, affected eye, and presentation times were recorded. Years were divided into months, quarters, seasons, and half-year periods, and these periods were analyzed in terms of differences in patient numbers.
Two hundred eighty-one eyes of 276 patients meeting the study criteria were included. The patients' mean age was 60.2 years, and the male:female ratio was 1.35:1. Right and left eye rates were similar. Detachments were most common (49.4%) in the upper temporal quadrant. Eighty-nine patients (31.6%) had undergone uncomplicated phacoemulsification surgery a mean 2.7 years previously. The mean annual case number was 35.13±5.43, and no statistically significant variation was determined in case numbers by year (p=0.558). Analysis of all years revealed a monthly mean case number of 23.42±4.4, with the highest number of cases, 29 (10.3%), being seen in September and the lowest number, 13 (4.7%), in December. No statistically significant monthly variation was determined (p=0.613). Similarly, no statistically significant variation was observed in case numbers analyzed by quarter, season, or half-year (p>0.05).
The incidence of cases of uncomplicated RRD does not exhibit seasonal variation in our region. We also think that since 31.6% had a history of cataract surgery, patients undergoing phacoemulsification surgery, even if uncomplicated, should be periodically assessed for detachment.
评估土耳其东部黑海地区孔源性视网膜脱离(RRD)发病率的季节性变化。
对 2011 年至 2018 年期间在该地区一家作为参考诊所运作的大学医院因原发性 RRD 就诊的患者进行回顾性评估。记录患者的年龄、性别、受累眼和就诊时间。将年份分为月份、季度、季节和半年期,并分析患者人数的差异。
符合研究标准的 276 名患者的 281 只眼被纳入研究。患者的平均年龄为 60.2 岁,男女比例为 1.35:1。右眼和左眼的发生率相似。脱离最常见(49.4%)于上颞象限。89 名患者(31.6%)在 2.7 年前曾行单纯超声乳化白内障吸除术。平均年病例数为 35.13±5.43,各年病例数无统计学差异(p=0.558)。对所有年份进行分析,月平均病例数为 23.42±4.4,9 月病例数最高(29 例,10.3%),12 月病例数最低(13 例,4.7%)。无统计学差异(p=0.613)。同样,按季度、季节或半年分析病例数无统计学差异(p>0.05)。
在我们的地区,单纯性 RRD 病例的发生率没有季节性变化。我们还认为,由于 31.6%的患者有白内障手术史,即使手术顺利,行超声乳化白内障吸除术的患者也应定期评估是否发生脱离。