Posterior fundus hemorrhages

• Verfasst von: Zhou, Jin Qiong [VerfasserIn]
• Verfasst von: Wang, Ya Xing [VerfasserIn]
• Verfasst von: Xu, Liang [VerfasserIn]
• Verfasst von: Zhao, Liang [VerfasserIn]
• Verfasst von: Wang, Shuang [VerfasserIn]
• Verfasst von: Xu, Jie [VerfasserIn]
• Verfasst von: You, Qi Sheng [VerfasserIn]
• Verfasst von: Yang, Hua [VerfasserIn]
• Verfasst von: Wei, Wen Bin [VerfasserIn]
• Verfasst von: Jonas, Jost B. [VerfasserIn]
• Titel: Posterior fundus hemorrhages
• Titelzusatz: frequency and associated factors: the Beijing eye ytudy
• Verf.angabe: Jin Qiong Zhou, Ya Xing Wang, Liang Xu, Liang Zhao, Shuang Wang, Jie Xu, Qi Sheng You, Hua Yang, Wen Bin Wei, Jost B. Jonas
• E-Jahr: 2019
• Jahr: June 2019
• Umfang: 10 S.
• Fussnoten: Gesehen am 18.11.2019
• Titel Quelle: Enthalten in: Retina
• Ort Quelle: Philadelphia, Pa. [u.a.] : Lippincott, Williams & Wilkins, 1981
• Jahr Quelle: 2019
• Band/Heft Quelle: 39(2019), 6, Seite 1206-1215
• ISSN Quelle: 1539-2864
• DOI: doi:10.1097/IAE.0000000000002122
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1682075109

Abstract

Purpose: To examine frequency and associations of retinal hemorrhages. - Methods: The population-based Beijing Eye Study included 3,468 individuals. Monoscopic fundus photographs were examined for hemorrhages. - Results: Retinal hemorrhages were detected in 515 eyes (429 individuals) (prevalence: 7.6%; 95% confidence interval [CI]: 7.0-8.0 per eye; 12.7%; 95% CI: 11.7-13.7 per person). Higher prevalence of retinal hemorrhages was correlated (multivariate analysis) with higher systolic blood pressure (P < 0.001; odds ratio: 1.02; 95% CI: 1.01-1.03), higher prevalence of diabetic retinopathy (P < 0.001; odds ratio: 121; 95% CI: 61-240), and higher prevalence of retinal vein occlusions (P < 0.001; odds ratio: 27; 95% CI: 17-42). Retinal hemorrhages were due to diabetic retinopathy (189 [36.7%] eyes), retinal vein occlusions (n = 65 [12.6%]), posterior vitreous detachment (n = 23 [4.5%]), glaucoma (n = 14 [2.7%]), exudative age-related macular degeneration (n = 8 [1.6%]), hypertensive retinopathy (n = 10 [1.9%]), and exudative myopic maculopathy (n = 1 [0.2%]). Retinal hemorrhages without evident ocular cause (“NOH”) were detected in 204 (3.0%) eyes (or 39.6% of all retinal hemorrhages). Higher prevalence of NOHs was correlated with higher systolic blood pressure (P < 0.001; odds ratio: 1.02; 95% CI: 1.01-1.03) after adjusting for blood glucose concentration and prevalence of cortical cataract. - Conclusion: In a population-based recruited cohort of individuals aged 50+ years, prevalence of any fundus hemorrhage was about 8% per eye and 13% per individual. Approximately 60% of the hemorrhages were due to ocular reasons, mainly diabetic retinopathy, retinal vein occlusions, and posterior vitreous detachment, whereas 40% of the bleedings were not evidently associated with ophthalmologic causes but strongly with elevated systolic blood pressure.