Risk Factors in Patients with Retinal Vein Branch Occlusion

Öz

Aim:Retinal vein occlusion is among the causes of preventable blindness. The most important risk factors are age and hypertension. The aim of our study was to determine the prevalence of venous occlusion and to determine risk factors in a large rural area.

Material and Methods: The patients who were admitted to the health centers in the rural areas of Eskişehir and who had retinal fundus photographs with non-mydriatic fundus camera were examined retrospectively. The data of about age, sex, systolic blood pressure (SBP), diastolic blood pressure (DBP), history of diabetes mellitus (DM) /hypertension (HT), smoking and alcohol use, medication and body mass index (BMI) were obtained from the questionnaire forms. Venous branch occlusion (VBO) diagnosis of the participants was investigated the relationship with the above factors. SPSS 15.0 and SigmaStat 3.5 were used for statistical analysis. The data were evaluated by Kolmogorov-Smirnov test for normal distribution. Chi-Square test was used to evaluate categorical variables (gender, smoking/alcohol use, presence of DM / HT), Mann Whitney U test was used to evaluate continuous variables (age, body mass index and blood pressure values). p<0.05 was considered statistically significant.

Results:Gender, age, presence of HT, SKB and DKB values were different between the two groups; No difference was observed between the two groups in terms of alcohol and smoking, DM and BMI.

Conclusion:Age and HT are the most important risk factors for VBO. As HT is a manageable variable, HT control is important for patient survival.

Anahtar Kelimeler

• Retina Branch Vein Occlusion,Hypertension,Body Mass Index,Smoking,Alcohol,Retina,Hypertensive retinopathy

Retinal Ven Dal Oklüzyonu Olan Hastalarda Risk Faktörleri

Öz

Amaç:Retinal ven oklüzyonu önlenebilir körlük nedenleri arasında yeralmaktadır. En önemli risk faktörleri yaş ve hipertansiyondur. Çalışmamızın amacı geniş bir kırsal kesimde ven oklüzyonu prevelansını saptama ve risk faktörlerini belirlemekti.

Gereç ve Yöntem: Eskişehir kırsal bölgesinde sağlık ocaklarına başvuran ve non-midriyatik fundus kamara ile retinal fundus fotoğrafları çekilebilen hastaların fotoğrafları retrospektif olarak incelendi. Ven dal oklüzyonu (VDO) saptanan hastaların yaş, cinsiyet, sistolik kan basıncı (SKB), diyastolik kan basıncı (DKB), diyabetes mellitus (DM) / hipertansiyon (HT) hikayesi, sigara ve alkol kullanımı, kullanılan ilaçların ve vücut kitle indeksinin (VKİ) yazılı olduğu anket formları değerlendirildi. Sonuçların istatistiksel analizi SPSS 15.0 ve SigmaStat 3.5 paket programları kullanılarak yapıldı. Verilerin normal dağılıma uygunlukları Kolmogorov-Smirnov testi ile değerlendirildi. Kategorik değişkenlerin (cinsiyet, sigara/alkol kullanımı, DM/HT varlığı) değerlendirilmesinde Ki-Kare testi, sürekli değişkenlerin (yaş, vücut kitle indeksi ve kan basıncı değerleri) değerlendirilmesinde Mann Whitney U testi kullanıldı. p<0.05 değeri istatistiksel olarak anlamlı kabul edildi.

Bulgular:Cinsiyet, yaş, HT varlığı, SKB, DKB değerleri iki grup arasında farklı iken; alkol ve sigara kullanımı, DM ve VKİ açısından iki grup arasında fark gözlenmemiştir.

Sonuç:Yaş ve HT VDO için en önemli risk faktörleridir. HT müdahale edilebilen bir değişken olduğundan, HT kontrolü hasta sağ kalımı açısından önemlidir.

Anahtar Kelimeler

• Retinal Ven Dal Oklüzyonu,Hipertansiyon,Vücut kitle endeksi,Sigara,Alkol,Retina,Hipertansif Retinopati

Kaynakça

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