Comparison study of two diagnostic and grading systems for conjunctivochalasis

作     者：ZHANG Xing-ru ZOU Hai-dong LI Qing-song ZHOU Huan-ming LIU Bin HAN Zhu-mei XIANG Min-hong ZHANG Zheng-yong WANG Han-min 

作者机构：Department of Ophthalmology Putuo Hospital Shanghai TraditionalMedicine University Shanghai 200062 China Department of Ophthalmology Liqun Hospital Shanghai 200333China Department of Ophthalmology Shanghai First People's HospitalAffiliated to Shanghai Jiao Tong University Shanghai 200080 China Department of Ophthalmology Shanghai Eye DiseasesPrevention & Treatment Center Shanghai 200040 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2013年第126卷第16期

页      面：3118-3123页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

基　　金：supported by a grant from Shanghai Putuo Technology Committee Fund for Independent Innovative Studies 

主　　题：conjunctivochalasis diagnosis grading system 

摘      要：Background Different diagnostic and grading systems of conjunctivochalasis have resulted in apparent disparity between the prevalence rates of recent population-based *** study aimed to investigate the disparity between 4-level system cited from Meller and Tseng in 1998 （abbreviated here as Meller＇s system） and 5-level system modified from Meller＇s system cited from Zhang and associates （abbreviated here as Zhang＇s system） regarding the diagnosis and the patients＇ preferences for the treatment of conjunctivochalasis in the general *** A total of 546 senile residents living in the Guiyangyuan community of Shanghai,China,participated in the *** diagnostic criteria for conjunctivochalasis were based on two diagnostic grading systems：Meller＇s system and Zhang＇s system,which was modified from Meller＇s *** participants＇ preference regarding medical treatment for conjunctivochalasis was determined according to the response to a *** year later,a follow-up interview determines whether the patient had undergone surgery for *** With Meller＇s system,398 participants were confirmed as having conjunctivochalasis,and the prevalence rate was 72.89％.According to Zhang＇s system,only 213 participants were diagnosed as having conjunctivochalasis,and the prevalence rate was 39.01％.A total of 109 eyes underwent medical treatment or surgery for conjunctivochalasis in the following year,including eight eyes that were diagnosed as grade Ⅱ and 101 eyes that were diagnosed as grade Ⅲ according to Meller＇s system and five eyes that were diagnosed as grade Ⅰ,55 eyes that were diagnosed as grade Ⅱ,31 eyes that were diagnosed as grade Ⅲ,and 18 eyes that were diagnosed as grade Ⅳ according to Zhang＇s *** Diagnoses of conjunctivochalasis using Zhang＇s system are more consistent with patient requests and the medical treatment strategies used than diagnoses made using Meller＇s system.