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      Rhegmatogenous Retinal Detachment and Solar Radiation in Northwestern Spain

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          Abstract

          Objective: The aim of this study was to investigate the association between rhegmatogenous retinal detachment (RRD) and solar radiation in northwestern Spain. Methods: All RRD cases in Pontevedra from 2008 and 2014 were retrospectively analyzed. Climatological data from 4 weather stations in the area were collected. The association between RRD incidence and solar radiation was investigated. Results: A total of 256 RRD cases were identified. There was a seasonal variation in the incidence of RRD with a maximum number of incident cases observed in June and July and a minimum number of cases observed in January and December. An association was found between RRD incidence and solar radiation both monthly ( p = 0.004) and bimonthly ( p = 0.057). The right eye was more frequently affected than the left eye ( p = 0.035). RD cases other than rhegmatogenous showed neither seasonality nor association with radiation. Conclusions: Solar radiation may play a role in RRD genesis in our area. Laterality could be related to the amount of radiation reaching each eye.

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          Most cited references31

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          Is Open Access

          The impact of skin colour on human photobiological responses

          Summary Terrestrial solar ultraviolet radiation (UVR) exerts both beneficial and adverse effects on human skin. Epidemiological studies show a lower incidence of skin cancer in people with pigmented skins compared to fair skins. This is attributed to photoprotection by epidermal melanin, as is the poorer vitamin D status of those with darker skins. We summarize a wide range of photobiological responses across different skin colours including DNA damage and immunosuppression. Some studies show the generally modest photoprotective properties of melanin, but others show little or no effect. DNA photodamage initiates non‐melanoma skin cancer and is reduced by a factor of about 3 in pigmented skin compared with white skin. This suggests that if such a modest reduction in DNA damage can result in the significantly lower skin cancer incidence in black skin, the use of sunscreen protection might be extremely beneficial for susceptible population. Many contradictory results may be explained by protocol differences, including differences in UVR spectra and exposure protocols. We recommend that skin type comparisons be done with solar‐simulated radiation and standard erythema doses or physical doses (J/m2) rather than those based solely on clinical endpoints such as minimal erythema dose (MED).
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            Risk Factors for Idiopathic Rhegmatogenous Retinal Detachment

            (1993)
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              • Article: not found

              Epidemiology of rhegmatogenous retinal detachment in a Finnish population.

              During a -4 year period, 1978-1981, 310 eyes of 301 patients living in the district of the Helsinki University Central Hospital were examined for rhegmatogenous detachment of the retina. This corresponds to an annual incidence of 6.9 per 100 000 mean population. The mean age of the patients was 54.2 years, and the sex distribution corresponded with that in the general population. The right eye was significantly (P less than 0.05) more often affected than the left eye. 78% of the eyes were phakic, and 22% were aphakic. The corresponding annual incidences were 5.4 for phakic and 1.5 for aphakic detachment per 100 000 mean population. Myopia was found in 51% of the phakic and in 24% of the aphakic eyes. The estimated annual incidence of rhegmatogenous detachment in the myopic population was more than 3 times that in the non-myopic population. The annual incidence of traumatic rhegmatogenous retinal detachment was 0.8 per 100 000 mean population. There were significant (P less than 0.005) seasonal variations in the occurrence of retinal detachment.
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                Author and article information

                Journal
                OPH
                Ophthalmologica
                10.1159/issn.0030-3755
                Ophthalmologica
                S. Karger AG
                0030-3755
                1423-0267
                2020
                January 2020
                17 October 2019
                : 243
                : 1
                : 51-57
                Affiliations
                [_a] aOphthalmology Department, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain
                [_b] bComputational Mathematics, IDENER, Seville, Spain
                [_c] cOphthalmology Department, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain
                [_d] dClinical Epidemiology Unit, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain
                Author notes
                *Carlos Sevillano Torrado, Ophthalmology Department, Complexo Hospitalario Universitario de, Pontevedra, Loureiro Crespo, 2, ES–36003 Pontevedra (Spain), E-Mail carlossevillanotorrado@gmail.com or seviojos@hotmail.com
                Author information
                https://orcid.org/0000-0001-8689-3580
                Article
                503070 Ophthalmologica 2020;243:51–57
                10.1159/000503070
                31622971
                d953e26a-7d0d-4894-a27b-f66e69563f66
                © 2019 S. Karger AG, Basel

                Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                History
                : 21 January 2019
                : 02 September 2019
                Page count
                Figures: 5, Tables: 1, Pages: 7
                Categories
                Research Article

                Vision sciences,Ophthalmology & Optometry,Pathology
                Epidemiology,Incidence,Spain,Solar radiation,Retinal detachment,Seasonal variation

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