Occupational lifting and rhegmatogenous retinal detachment: a follow-up study of Swedish conscripts

Farioli, Andrea; Kriebel, David; Mattioli, Stefano; Kjellberg, Katarina; Hemmingsson, Tomas

doi:10.1136/oemed-2016-104172

Cited by 6 publications

(18 citation statements)

References 33 publications

(24 reference statements)

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“…Inclusion criteria have been surgically treated rhegmatogenous retinal detachment, exclusion criteria were tractional, traumatic or exudative retinal detachment [8]. The highest overall incidence, thus in a limited group of study subjects, could be found in the retrospective study by Farioli et al [22] of a cohort of Swedish men conscripted for compulsory military service born between 1949 and 1951. It showed an incidence of 28 rhegmatogenous retinal detachment cases per 100,000 person-years.…”

Section: Discussionmentioning

confidence: 99%

“…A certain trend towards higher incidences in the male sex has been demonstrated in various studies [2-8, 10, 12-14, 16-18, 23, 24]. Other risk factors are family predisposition [6, 15, 19, 20], summer months [11] and heavy lifting in everyday working life [4, 22]. As for education and affluence, there are trends towards higher [4] but also lower income and education [12, 22] as potential risk factors.…”

Section: Introductionmentioning

confidence: 99%

“…Other risk factors are family predisposition [6, 15, 19, 20], summer months [11] and heavy lifting in everyday working life [4, 22]. As for education and affluence, there are trends towards higher [4] but also lower income and education [12, 22] as potential risk factors. Obesity has been found as a risk factor in one study [21], the right eye is described to be affected more often in some studies [2, 6].…”

Section: Introductionmentioning

confidence: 99%

“…The highest incidences are found in the 6th and 7th decades of life, one of the reasons might be the posterior vitreous detachment and vitreous liquefaction [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. A second peak exists in the third decade of life, being associated with myopia [1,[3][4][5][6][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

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Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

et al. 2020

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Purpose: To investigate the incidence of retinal detachment in the German population and assess potential risk factors. Methods: The Gutenberg Health Study is a population-based cohort study in Mainz, Germany including subjects (n=15.010) with an age range from 35 to 74 years at baseline. Participants underwent a comprehensive ophthalmologic examination including distant-corrected visual acuity, refraction and slit-lamp examination at baseline. A computer-assisted telephone interview was conducted after 2.5 and 5 years. The 5-year cumulative incidence of retinal detachment was computed for the study sample and stratified on age decades. Risk factors were analyzed using logistic regression including age, sex, spherical equivalent, pseudophakia and prior laser retinal therapy. Results: 13.416 participants (age 52.2 ±10.7 years, 48.8% female) were included in this analysis. 28 subjects had a retinal detachment in one eye, no subject had a retinal detachment in both eyes. The 5-year cumulative incidence of retinal detachment was 0.21% (95%-confidence interval: 0.14 – 0.31%), the incidence rate was 42/100.000 person-years. Risk factors were male sex (OR= 4.16, p=0.004), pseudophakia (OR=3.93, p=0.045) and myopia (OR=1.31 per diopter myopia, p<0.0001), but not prior retinal laser therapy or age. Conclusion: The incidence of retinal detachment in Germany at age 35 to 74 years is comparable to estimates from neighboring European countries. Risk factors are male sex, pseudophakia and myopia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

et al. 2020

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“…In addition, a case report was published in 2014, describing a healthy 27-year-old Turkish construction worker, who suffered from valsalva retinopathy after heavy cement bag lifting [22]. Long ago, it was proved that heavy lifting is accompanied by an increase in the [23]. A population-based study in Denmark also found no association between occupational heavy lifting and RD [24].…”

Section: Discussionmentioning

confidence: 99%

Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor

Mostafa

Shereif

Manzour

2021

J. Egypt. Public. Health. Assoc.

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Background Heavy lifting may lead to sudden increase in venous, intra-abdominal, and intraocular pressure which in turn may cause retinal detachment (RD). The epidemiological evidence for this association is still inconclusive. This study was carried out to investigate the relationship between occupational heavy lifting and RD. Methods A case-control study was carried out on 151 RD cases and 113 controls free of RD attending the ophthalmology outpatient clinic at Ain Shams University. Personal, medical, and occupational data were collected using interview questionnaires in addition to conducting full ophthalmologic examination. Results The mean age of study participants was 45.8 ± 9.1 years (46.8 ± 8.9, 44.4 ± 9.2 for RD cases and controls respectively). Statistically significant differences were found between cases and controls regarding years of working, occupational categories, frequency of occupational heavy lifting, non-work heavy lifting, history of head trauma, history of eye surgeries, and family history of RD. Multivariate logistic regression analysis showed that lifting (Odds ratio (OR) = 4.8, p < 0.0001), history of head trauma (OR = 3.3, p = 0.013), diabetes mellitus (DM) (OR = 4.96, p < 0.0001), and previous eye surgeries (OR = 3.5, p = 0.003) increased the risk of RD. Conclusion Occupational heavy lifting is associated with RD. Occupational categories, duration of lifting heavy objects during work and family history of RD had a significant effect on RD. An ergonomic approach should be adopted and practiced as it has a significant impact on reducing the risks of lifting and carrying heavy objects. The workplace’s design (including having appropriate mechanical aids available) is also of significant importance to reducing the risks. During the patient’s visit, ophthalmologists should consider and look for the occupational heavy lifting history as a potential risk factor of the patient’s symptoms.

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Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States

Ludwig

Vail

Al-Moujahed

et al. 2023

Sci Rep

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Myopia is a known risk factor for rhegmatogenous retinal detachment (RRD). Given global trends of increasing myopia, we aimed to determine the absolute risk (incidence rate) of RRD in non-myopes, myopes and high myopes in the United States over ten years. We performed a retrospective cohort study of 85,476,781 commercially insured patients enrolled in the Merative™ Marketscan® Research Database. The incidence rate of RRD in phakic patients in the United States was 39-fold higher in high myopes than non-myopes (868.83 per 100,000 person-years versus 22.44 per 100,000 person-years) and three-fold higher in myopes than non-myopes (67.51 per 100,000 person-years versus 22.44 per 100,000 person-years). The incidence rate was significantly higher in males in each category (P < 0.01). Combined, the incidence rate of RRD in phakic patients in the United States from 2007 to 2016 was 25.27 RRDs per 100,000 person-years, a rate higher than those in prior published studies in North America, South America, Europe, Asia, and Australia. The absolute risk of myopia and high myopia increased from 2007 to 2016. The risk of RRD in phakic high myopes rose with increasing age. Notably, the magnitude of increased risk of RRD in myopes varied substantially according to the minimum follow-up period in our models and should be accounted for when interpreting data analyses.

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Occupational lifting and rhegmatogenous retinal detachment: a follow-up study of Swedish conscripts

Abstract: Our study supports the hypothesis that heavy occupational lifting is a risk factor for RRD. Information on myopia degree and socioeconomic status is necessary when studying the association between occupational lifting and RRD.

Cited by 6 publications

References 33 publications

Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

Incidence of Retinal Detachment in Germany: Results from the Gutenberg Health Study

Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor

Epidemiology of rhegmatogenous retinal detachment in commercially insured myopes in the United States

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