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Epidemiological Characteristics And Prognostic Factors Of Rhegmatogenous Retinal Detachment

Posted on:2022-06-11Degree:MasterType:Thesis
Country:ChinaCandidate:F C LiaoFull Text:PDF
GTID:2504306335490054Subject:Ophthalmology
Abstract/Summary:PDF Full Text Request
BackgroundRhegmatogenous retinal detachment(RRD)is a serious clinical disease and one of the main causes of vision loss and blindness in our clinical work.If appropriate treatment is not taken,the affected eye may lose vision permanently.There have been similar studies in some areas of China,but no relevant investigation on the epidemiological characteristics of Rhegmatogenous retinal detachment in Guangdong Province and Foshan City has been conducted in recent years.Objective1.To conduct an epidemiological survey of perforated retinal detachment and to investigate its population,retinal and breaks characteristics.2.To review the preoperative and postoperative clinical data of our previous rhegmatogenous retinal detachment patients and analyze the related factors of rhegmatogenous retinal detachment,so as to provide some help for clinical work and medical care of rhegmatogenous retinal detachment.Method1.The characteristics of the retina and the tears in the eyes of 390 patients with rhegmatogenous retinal detachment admitted to the ophthalmology center of our hospital from July 2018 to June 2020 were collected,and the characteristics were summarized and analyzed.2.A total of 390 patients with rhegmatogenous retinal detachment admitted to the Ophthalmology Center of our hospital from July 2018 to June 2020 were retrospectively analyzed in terms of surgical methods,preoperative best corrected visual acuity,postoperative best corrected visual acuity,refractive status,preoperative PVR grade and macular retinal status,and statistical analysis was performed.Result1.There were 390 cases of rhegmatogenous retinal detachment(390 eyes).Right eye 207 cases,left eye 183 cases.There were 234 males and 156 females,and the male-to-female ratio was 1.5:1.The youngest age was 14 years old,the most was 83 years old,and the average age was 50.42+14.29 years old.The peak of the onset was observed between 51 and 70 years old,and the most highest peak was between 51 and 60 years old.When the patients were non-myopic,the mean age was(56.99±11,14)years old.The peak of the onset was observed between 50 and 70 years old.When the patients were myopic,the mean age was(44.32±14.20)years old.The age of onset was approximately bimodal,and the peak of onset was as early as 30 years old.1.2.The most common type of retinal tears was horseshoe tears.The most common retinal tears is a single tear.The most common type was superior temporal break.3.There was a statistically significant difference between the overall preoperative and postoperative best corrected visual acuity.Preoperative duration of disease was negatively correlated with preoperative and postoperative best corrected visual acuity.Preoperative visual acuity was positively correlated with postoperative best corrected visual acuity.The result of Single-facator correlation demonstrated that preoperative best corrected visual acuity,preoperative PVR grade,preoperative macular retinal status are the factors that affect the best corrected visual acuity.The result of Single-facator correlation demonstrated that there was no significant correlation between the gender and age of the patients and the best corrected visual acuity.Conclusion2.The morbidity of rhegmatogenous retinal detachment is the highest in middle aged and elderly people.Males account for a greater proportion of patients with rhegmatogenous retinal detachment.Myopia can lead to an earlier peak of onset.3.The most common type of primary foramen was horseshoe foramen,and the most common type was superior temporal break.3.The influencing factors of the best corrected visual acuity after retinal detachment reduction were course,preoperative best corrected visual acuity,preoperative PVR grade and preoperative macular retinal status...
Keywords/Search Tags:rhegmatogenous retinal detachment, epidemiology, prognostic factor
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