Prevalence and associations of non-retinopathy ocular conditions among older Australians with self-reported diabetes:The National Eye Health Survey

作     者：Joshua Foreman Stuart Keel Myra B McGuinness Jonathan G Crowston Hugh R Taylor Mohamed Dirani 

作者机构：Centre for Eye Research Australiathe Royal Victorian Eye&Ear HospitalVictoria 3002MelbourneAustralia OphthalmologyDepartment of Surgerythe University of MelbourneVictoria 3010MelbourneAustralia Indigenous Eye Health UnitMelbourne School of Population and Global Healththe University of MelbourneVictoria 3010MelbourneAustralia Singapore Eye Research InstituteSingapore National Eye Centre168751Singapore 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2020年第13卷第10期

页      面：1642-1651页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100212[医学-眼科学] 10[医学] 

基　　金：Supported by Department of Health of the Australian Government,Novartis Australia and the Peggy and Leslie Cranbourne Foundation The Principal Investigator,Dr Mohamed Dirani,is supported by an NHMRC Career Development Fellowship(No.1090466) supported by an Australian Postgraduate Award scholarship 

主　　题：retinopathy diabetes prevalence public health national survey cataract 

摘      要：AIM:To determine the prevalence and associations of non-retinopathy ocular conditions among older Australian adults with ***:Multistage random-cluster sampling was used to select 3098 non-indigenous Australians aged 50 y or older(46.4%male)and 1738 indigenous Australians aged 40 y or older(41.1%male)from all levels of geographic remoteness in *** underwent a standardised questionnaire to ascertain diabetes history,and a clinical examination to identify eye *** determined the prevalence of uncorrected refractive error,visually significant cataract,cataract surgery,age-related macular degeneration,glaucoma,ocular hypertension,retinal vein occlusion and epiretinal membrane among those with and without self-reported ***:Participants with self-reported diabetes had a higher prevalence of cataract surgery than those without diabetes(28.8%vs 16.9%,OR 1.78,95%CI:1.35-2.34 among non-indigenous Australians,and 11.3%vs 5.2%,OR 1.62,95%CI:1.22-2.14 among indigenous Australians).Diabetic retinopathy(DR)increased the odds of cataract surgery among self-reported diabetic indigenous and nonindigenous Australians(OR 1.89,P=0.004 and OR 2.33,P0.001 respectively).Having diabetes for≥20 y and having vision-threatening DR increased the odds of cataract surgery among indigenous Australians with diabetes(OR 3.73,P=0.001 and 7.58,P0.001,respectively).CONCLUSION:Most non-retinopathy ocular conditions are not associated with self-reported ***,to account for Australia’s worsening diabetes epidemic,interventions to reduce the impact of diabetes-related blindness should include increased cataract surgery services.