Prevalence and Risk Factors for Rhegmatogenous Retinal Detachment in Patients Admitted at Eye Ward, Maharaj Nakhon Chiang Mai Hospital
ความชุกและปัจจัยเสี่ยงต่อการเกิดจอตาลอกชนิดที่มีรูฉีกขาดของจอตาในผู้ป่วยที่เข้ารับการรักษาที่หอผู้ป่วยจักษุ โรงพยาบาลมหาราชนครเชียงใหม่
Keywords:
prevalence, risk factors, rhegmatogenous retinal detachmentAbstract
This retrospective descriptive study aimed to examine the prevalence and risk factors of rhegmatogenous retinal detachment (RRD) in patients admitted to the ophthalmology ward at Maharaj Nakorn Chiang Mai Hospital. The sample consisted of 360 patients diagnosed with retinal detachment between January 1, 2022, and December 31, 2022. Data analysis employed descriptive and inferential statistics, including the chi-square test, Fisher's exact test, and logistic regression, to determine risk ratios for various factors at a 95% confidence interval.
Results showed that the prevalence of RRD was approximately three times higher than that of non-RRD types. Factors significantly associated with RRD occurrence included gender, age, alcohol, diabetes, diabetic retinopathy, myopia, eye surgery, and eye injury. Smoking and cancer were not statistically significantly associated with RRD occurrence. Patients with a history of intraocular surgery were 5.20 times more likely to develop RRD than those without such a history (95% CI = 1.39–18.82). Interestingly, smoking was significantly associated with a decreased chance of RRD by 0.13 times (95% CI = -3.83 to -0.26). The study findings highlight the need for surveillance and education for patients with RRD risk factors, especially those with a history of eye surgery, myopia, diabetes, and eye injury. Furthermore, the study suggests that additional research should be conducted to explore the relationship between smoking and RRD occurrence. This research provides valuable insights into the prevalence and risk factors of RRD, which can inform clinical practice and patient education strategies. The unexpected finding regarding smoking's potential protective effect against RRD warrants further investigation to understand the underlying mechanisms and confirm this association in larger, more diverse populations.
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