Hussain Syed Zohaib Maroof, Jeeva Irfan, Siddiqui M A Rehman
Ear, Nose and Throat, Leicester Royal Infirmary, Leicester, GBR.
Ophthalmology, Aga Khan University Hospital, Karachi, PAK.
Cureus. 2023 May 30;15(5):e39714. doi: 10.7759/cureus.39714. eCollection 2023 May.
To explore the relationship of gender with laser retinopexy for retinal breaks in the Pakistani population.
This was a 10-year retrospective observational study conducted at Aga Khan University Hospital, Karachi, Pakistan. All consecutive patients who underwent laser retinopexy between January 2009 and December 2018 for a retinal tear or high-risk retinal degeneration (such as lattice degeneration) were included in this study. Data were collected from patients' files. Index eyes with a history of or treatment for retinal detachment were excluded. A structured pro forma was used to collect information. Descriptive statistics were used to explore the relationship between gender and laser retinopexy.
We identified 12,457 patients through the coding system of our hospital who underwent various laser procedures from January 2009 to December 2018. Yttrium aluminium garnet (YAG) laser, laser peripheral iridotomy (PI), and laser trabeculoplasty procedures were all excluded. A total of 3,472 patients' files were reviewed for this study, out of which 958 patients met the inclusion criteria. Males accounted for a higher number (n=515, 53.87%). The mean age was 43.99±15.37 years. For exploratory analysis, participants were divided into five age groups: <30 years (24.16%); 31-40 years (16.59%); 41-50 years (19.45%); 51-60 years (26.40%); and >60 years (13.49%). Bilateral laser retinopexy was performed in 48.12% of patients; 24.79% and 27.13% of patients underwent unilateral laser retinopexy for the right and left eyes, respectively.
In our cohort study, laser retinopexy was more commonly performed in men than in women. The ratio was not significantly different from the prevalence of retinal tears and retinal detachment in the general population, which has a slightly higher male preponderance. We did not find evidence of significant gender bias among patients who underwent laser retinopexy in our study.
探讨巴基斯坦人群中性别与视网膜裂孔激光视网膜凝固术之间的关系。
这是一项在巴基斯坦卡拉奇阿迦汗大学医院进行的为期10年的回顾性观察研究。纳入2009年1月至2018年12月期间因视网膜裂孔或高危视网膜变性（如格子样变性）而接受激光视网膜凝固术的所有连续患者。数据从患者病历中收集。排除有视网膜脱离病史或接受过视网膜脱离治疗的索引眼。使用结构化表格收集信息。采用描述性统计方法探讨性别与激光视网膜凝固术之间的关系。
通过我院编码系统，我们确定了2009年1月至2018年12月期间接受各种激光手术的12457例患者。钇铝石榴石（YAG）激光、激光周边虹膜切开术（PI）和激光小梁成形术均被排除。本研究共查阅了3472例患者的病历，其中958例患者符合纳入标准。男性患者数量较多（n = 515，53.87%）。平均年龄为43.99±15.37岁。为进行探索性分析，参与者被分为五个年龄组：<30岁（24.16%）；31 - 40岁（16.59%）；41 - 50岁（19.45%）；51 - 60岁（26.40%）；>60岁（13.49%）。48.12%的患者接受了双侧激光视网膜凝固术；分别有24.79%和27.13%的患者接受了右眼和左眼的单侧激光视网膜凝固术。
在我们的队列研究中，男性接受激光视网膜凝固术的比例高于女性。该比例与一般人群中视网膜裂孔和视网膜脱离的患病率无显著差异，一般人群中男性患病率略高。在我们的研究中，未发现接受激光视网膜凝固术的患者存在明显性别偏见的证据。
