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

Abstract 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 betw...

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Autores principales:	Nayera S. Mostafa, Radwa Nabil El Shereif, Ayat F. Manzour
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Heavy lifting Occupational lifting Retinal detachment Work factors Work environment Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/39836c77c80641c79a92a6aa0c382d84
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spelling	oai:doaj.org-article:39836c77c80641c79a92a6aa0c382d842021-11-21T12:03:19ZNeglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor10.1186/s42506-021-00091-02090-262Xhttps://doaj.org/article/39836c77c80641c79a92a6aa0c382d842021-11-01T00:00:00Zhttps://doi.org/10.1186/s42506-021-00091-0https://doaj.org/toc/2090-262XAbstract 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.Nayera S. MostafaRadwa Nabil El ShereifAyat F. ManzourSpringerOpenarticleHeavy liftingOccupational liftingRetinal detachmentWork factorsWork environmentArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENJournal of the Egyptian Public Health Association, Vol 96, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Heavy lifting Occupational lifting Retinal detachment Work factors Work environment Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Heavy lifting Occupational lifting Retinal detachment Work factors Work environment Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Nayera S. Mostafa Radwa Nabil El Shereif Ayat F. Manzour Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor
description	Abstract 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.
format	article
author	Nayera S. Mostafa Radwa Nabil El Shereif Ayat F. Manzour
author_facet	Nayera S. Mostafa Radwa Nabil El Shereif Ayat F. Manzour
author_sort	Nayera S. Mostafa
title	Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor
title_short	Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor
title_full	Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor
title_fullStr	Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor
title_full_unstemmed	Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor
title_sort	neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/39836c77c80641c79a92a6aa0c382d84
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Neglected cause of retinal detachment: a hospital-based case-control study on occupational heavy lifting as a risk factor

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