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与孔源性视网膜脱离相关的危险因素。

Risk Factors Associated With Rhegmatogenous Retinal Detachment.

作者信息

Shahid Arslan, Iqbal Kashif, Iqbal Saad M, Ghaffar Zia, Tariq Moneeb, Jehanzeb Tahir Mohammad, Rahman Fawad U, Raheem Usama, Butt Jawad B, Abbas Kiran

机构信息

Department of Ophthalmology, Layton Rehmatullah Benevolent Trust Free Eye Hospital, Lahore, PAK.

Department of Ophthalmology, Nawaz Sharif Medical College, Gujrat, PAK.

出版信息

Cureus. 2022 Mar 15;14(3):e23201. doi: 10.7759/cureus.23201. eCollection 2022 Mar.

Abstract

Background Even though significant improvements have been made in the field of ophthalmology, retinal detachment is still an ever-increasing issue in both developing and developed countries. The present study evaluated the risk factors of rhegmatogenous retinal detachment (RRD). Methodology A cross-sectional study was conducted at a tertiary care center between June 2020 and March 2021. A total of 100 patients diagnosed with RRD were enrolled in the study. Patients with inconclusive diagnoses and multiple comorbidities were excluded from the study. A detailed history was taken, including previous surgery and ocular trauma or infections. A comprehensive ocular examination was conducted by an experienced ophthalmologist, including a dilated fundus examination. The causes and type of RRD were documented. Results In the study, a majority of the patients were males, with a mean age of 37.84 (18.29) years and a range of 5-74 years. The majority of those with total RRD were males, i.e., 37%; however, the difference was statistically insignificant (p=0.476). The study revealed that most of the RRD were diagnosed in patients <45 years of age; however, the difference was not statistically significant (p<0.227). The most frequent cause of RRD was lattice degeneration. While 23% of patients with RRD had a history of ocular trauma, uncomplicated phaco was detected in 17 cases. It was found that patients aged less than 45 years more frequently reported ocular trauma as the cause of RRD (p=0.004). Similarly, the cause of RRD was also significantly associated with the type of RRD (p=0.001). Conclusion The present study concludes that lattice degeneration, ocular trauma, uncomplicated, and complicated phaco are the main predisposing factors associated with RRD. Furthermore, the majority of the patients were males in their late thirties. Age, gender, and eye involvement were not significantly associated with the type of RRD.

摘要

背景 尽管眼科领域已取得显著进展,但视网膜脱离在发展中国家和发达国家仍是一个日益严重的问题。本研究评估了孔源性视网膜脱离(RRD)的危险因素。

方法 于2020年6月至2021年3月在一家三级医疗中心进行了一项横断面研究。共有100例被诊断为RRD的患者纳入研究。诊断不明确和有多种合并症的患者被排除在研究之外。记录了详细病史,包括既往手术史以及眼外伤或感染情况。由经验丰富的眼科医生进行全面的眼部检查,包括散瞳眼底检查。记录RRD的病因和类型。

结果 在本研究中,大多数患者为男性,平均年龄为37.84(18.29)岁,年龄范围为5至74岁。大部分完全性RRD患者为男性,即37%;然而,差异无统计学意义(p = 0.476)。研究显示,大多数RRD患者在45岁以下被诊断;然而,差异无统计学意义(p < 0.227)。RRD最常见的病因是格子样变性。23%的RRD患者有眼外伤史,17例检测到无并发症的白内障超声乳化手术。发现45岁以下的患者更常报告眼外伤是RRD的病因(p = 0.004)。同样,RRD的病因也与RRD的类型显著相关(p = 0.001)。

结论 本研究得出结论,格子样变性、眼外伤、无并发症和有并发症的白内障超声乳化手术是与RRD相关的主要易感因素。此外,大多数患者为三十多岁的男性。年龄、性别和患眼与RRD的类型无显著关联。

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