Aharonian Karl, Krasner Henry, Martin Jeffrey, Batra Kavita, Yepremyan Meher
Department of Medical Education, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA.
Office of Research, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA.
Clin Ophthalmol. 2024 Oct 29;18:3083-3095. doi: 10.2147/OPTH.S476142. eCollection 2024.
Does weather affect the rate of developing rhegmatogenous retinal detachment (RRD)? This comprehensive review investigates the findings of the most recent studies on the relationship between RRD and climatic or seasonal factors.
An extensive search across PubMed, Embase, and Google Scholar databases resulted in 112 initial results, from which 18 studies published between 1980 and 2024 were selected. The selection criteria were based on the studies' relevance to our topic. We analyzed their methodology, geographic scope, and key findings. Data extraction encompassed study design, sample size, sex ratio, incidence rates, results, and identified limitations.
Eight studies found no statistically significant relationship between seasonal variations and the incidence of RRD. Conversely, seven studies reported an increased incidence of RRD during the summer months. Additionally, secondary analyses of factors, such as ambient temperature, atmospheric pressure, and daylight hours, showed varied and sometimes conflicting results. A summary of common limitations and biases was synthesized into a table, providing guidelines for future research exploring this topic.
This comprehensive review highlights the complex interaction between environmental factors and RRD incidence. The conflicting results across different studies suggest a need for further research in this area. Future studies should address the identified limitations and biases to provide a clearer understanding of the relationship between climate and RRD. By utilizing the guidelines from our review, future research could aim to minimize confounding factors and improve the robustness of their findings. Understanding these interactions can be used to develop preventive strategies and enhance clinical practices to reduce the burden of RRD.
天气是否会影响孔源性视网膜脱离（RRD）的发生几率？本综述研究了关于RRD与气候或季节因素之间关系的最新研究结果。
在PubMed、Embase和谷歌学术数据库中进行广泛检索，初步得到112项结果，从中选取了1980年至2024年间发表的18项研究。选择标准基于这些研究与我们主题的相关性。我们分析了它们的方法、地理范围和主要发现。数据提取包括研究设计、样本量、性别比例、发病率、结果以及识别出的局限性。
八项研究发现季节变化与RRD发病率之间无统计学显著关系。相反，七项研究报告称夏季RRD发病率有所增加。此外，对环境温度、大气压力和日照时长等因素的二次分析显示结果各异，有时甚至相互矛盾。将常见的局限性和偏差汇总成表格，为未来探索该主题的研究提供指导。
本综述强调了环境因素与RRD发病率之间的复杂相互作用。不同研究结果相互矛盾，表明该领域需要进一步研究。未来的研究应解决已识别出的局限性和偏差，以更清晰地了解气候与RRD之间的关系。通过利用我们综述中的指导方针，未来的研究可以旨在尽量减少混杂因素并提高研究结果的稳健性。了解这些相互作用可用于制定预防策略并改进临床实践，以减轻RRD的负担。
