Occupational Lifting Tasks and Retinal Detachment in Non-Myopics and Myopics: Extended Analysis of a Case-Control Study.
- Author:
Stefano MATTIOLI
1
;
Stefania CURTI
;
Rocco DE FAZIO
;
Robin MT COOKE
;
Francesca ZANARDI
;
Roberta BONFIGLIOLI
;
Andrea FARIOLI
;
Francesco S VIOLANTE
Author Information
1. Section of Occupational Medicine, Department of Internal Medicine, Geriatrics and Nephrology, University of Bologna, Bologna, Italy. andrea_farioli@yahoo.it
- Publication Type:Original Article
- Keywords:
Retinal detachment;
Lifting;
Occupational exposure;
Occupational diseases;
Case-control studies
- MeSH:
Case-Control Studies;
Eye;
Intraocular Pressure;
Lifting;
Logistic Models;
Occupational Diseases;
Occupational Exposure;
Odds Ratio;
Retinal Detachment;
Retinaldehyde;
Risk Factors;
Weights and Measures
- From:Safety and Health at Work
2012;3(1):52-57
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Lifting heavy weights involves the Valsalva manoeuvre, which leads to intraocular pressure spikes. We used data from a case-control study to further investigate the hypothesis that occupational lifting is a risk factor for retinal detachment. METHODS: The study population included 48 cases (patients operated for retinal detachment) and 84 controls (outpatients attending an eye clinic). The odds ratios (OR) of idiopathic retinal detachment were estimated with a logistic regression model (adjusted for age, sex and body mass index). Three indexes were used to examine exposure to lifting; 1) maximum load lifted, 2) average weekly lifting, 3) lifelong cumulative lifting. RESULTS: For all indexes, the most exposed subjects showed an increased risk of retinal detachment compared with the unexposed (index 1: OR 3.57, 95% confidence interval [CI] 1.21-10.48; index 2: OR 3.24, 95% CI 1.32-7.97; index 3: OR 2.23, 95% CI 1.27-8.74) and dose-response relationships were apparent. CONCLUSION: These results reinforce the hypothesis that heavy occupational lifting may be a relevant risk factor for retinal detachment.
