METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
方法:这是一项在阿加汗大学医院进行的为期10年的回顾性观察研究,卡拉奇,巴基斯坦。所有在2009年1月至2018年12月期间因视网膜撕裂或高危视网膜变性(如晶格变性)接受激光视网膜固定术的连续患者均纳入本研究。数据收集自患者档案。排除有视网膜脱离病史或治疗史的索引眼。使用结构化的形式来收集信息。描述性统计用于探讨性别与激光视网膜固定术之间的关系。
结果:我们通过我院的编码系统确定了12,457名患者,这些患者从2009年1月至2018年12月接受了各种激光手术。钇铝石榴石(YAG)激光器,激光周边虹膜切开术(PI),激光小梁成形术均被排除.本研究共审查了3,472名患者的档案,其中958例患者符合纳入标准.男性人数较多(n=515,53.87%)。平均年龄为43.99±15.37岁。对于探索性分析,参与者分为5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%的患者行双侧激光视网膜固定术;24.79%和27.13%的患者行右眼和左眼单侧激光视网膜固定术,分别。
结论:在我们的队列研究中,激光视网膜固定术在男性比女性更常见.该比率与一般人群中视网膜撕裂和视网膜脱离的患病率无显著差异,男性优势略高。在我们的研究中,我们没有发现接受激光视网膜固定术的患者存在明显的性别偏见的证据。