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Relationship between diabetes mellitus and cataract in Hungary

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International Journal of Ophthalmology(English edition) 2020年第5期13卷 788-793页

作者： Anita Pék Dorottya Szabó Gábor LászlóSándor Gábor Tóth András Papp Zoltán Zsolt Nagy hans limburg János Németh Department of Ophthalmology Semmelweis UniversityMária u.39.Budapest 1085Hungary Department of Ophthalmology Petz Aladár HospitalVasvári Pál u.2-4.Győr 9023Hungary Health Information Services Nijenburg 32LC1613 Grootebroekthe Netherlands

AIM:To examine the coexistence of diabetes mellitus(DM)and cataract in *** effects of DM on the cataract surgical results were also in the focus of ***:Statistical data analysis of the results of the Rapid Assessment of Avoidable Blindness with Diabetic Retinopathy(RAAB+DR)module conducted in Hungary in *** cross-sectional,population-based,national survey included 3523 people aged 50 years and *** of the survey were examined *** acuity,main cause for visual impairment(using direct and indirect ophthalmoscopes),in case of best corrected visual acuity(BCVA)≤0.5 and blood glucose level(random test with glucometer)were ***:The prevalence of cataract was 23.4%,and DM was 20.0%.The occurrence of cataract steadily increased with *** the examined participants with DM,the prevalence of cataract was significantly(P=0.012)higher(+35%)than that in non-diabetic subjects(29.5%vs 21.8%).Following aging(OR=15.2%,P<0.001),DM proved to be the most independent influencing risk factor(OR=49.9%,P<0.001).The presence of DM was neither an influencing factor for complications of cataract surgery,nor for postoperative visual ***:DM appears to be one of the main risk factors for developing *** risk factors,such as age,sex and environment also play an influencing *** does not seem to affect the occurrence of cataract surgical complications.

关键词： cataract diabetes mellitus Rapid Assessment of Avoidable Blindness

Uncorrected refractive errors are important causes of avoidable visual impairment in Hungary: re-evaluation of two existing national data sets

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International Journal of Ophthalmology(English edition) 2023年第6期16卷 955-961页

作者： János Németh TennóDaiki Gábor LászlóSándor Hajnalka Keve Dorottya Szabó Gábor Tóth Gergely Dankovics István Barna hans limburg Zoltán Zsolt Nagy Department of Ophthalmology Semmelweis UniversityBudapest 1085Hungary Department of Media and Education Informatics Eötvös Loránd UniversityBudapest 1117Hungary Department of Ophthalmology Petz Aladár HospitalGyör 9024Hungary Comprehensive Health Test Program of Hungary Szentendre 2000Hungary Department of Internal Medicine and Oncology Semmelweis UniversityBudapest 1083Hungary Health Information Services Grootebroek 1613The Netherlands

·AIM: To review existing data for the prevalence of corrected, uncorrected, and inadequately corrected refractive errors and spectacle wear in Hungary.·METHODS: Data from two nationwide cross-sectional studies were analysed. The Rapid Assessment of Avoidable Blindness study collected population-based representative national data on the prevalence of visual impairment due to uncorrected refractive errors and spectacle coverage in 3523 people aged ≥50y(Group I). The Comprehensive Health Test Program of Hungary provided data on the use of spectacles in 80 290 people aged ≥18y(Group Ⅱ).·RESULTS: In Group I, almost half of the survey population showed refractive errors for distant vision, about 10% of which were uncorrected(3.2% of all male participants and 5.0% of females). The distance spectacle coverage was 90.7%(91.9% in males;90.2% in females). The proportion of inadequate distance spectacles was found to be 33.1%. Uncorrected presbyopia was found in 15.7% of participants. In all age groups(Group Ⅱ), 65.4% of females and 56.0% of males used distance spectacles,and approximately 28.9% of these spectacles were found to be inappropriate for dioptric power(with 0.5 dioptres or more). The prevalence of inaccurate distance spectacles was significantly higher in older age groups(71y and above) in both sexes.·CONCLUSION: According to this population-based data, uncorrected refractive errors are not rare in Hungary. Despite recent national initiatives, fur ther steps are required to reduce uncorrected refractive errors and associated negative effects on vision, such as avoidable visual impairment.

关键词： refractive errors uncorrected refractive errors spectacle wear inaccurate spectacles visual impairment

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可避免盲的快速评估方法

实用防盲技术 2006年第4期1卷 16-18页

作者： hans limburg 世界卫生组织/国际眼健康中心

由世界卫生组织(WHO)和国际眼健康中心(InternationalCentreforEyeHealth,ICEH)开发和支持的可避免盲的快速评估方法软件(Rapid Assessment for Avoidable Blindness,RAAB)已经在许多国家实施,取得满意效果。

关键词：白内障手术评估方法患病率术后视力屈光不正手术并发症覆盖率主要原因视力表青光眼

The Prevalence of Blindness, Visual Impairment and Cataract Surgery in Tuoketuo and Shangdu Counties, Inner Mongolia, China

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Open Journal of Ophthalmology 2015年第1期5卷 23-30页

作者： Baixiang Xiao Jinglin Yi hans limburg Guiseng Zhang Richard Le Mesurier Andreas Müller Nathan Congdon Beatrice Iezzi Affiliated Eye Hospital of Nanchang University Nanchang City China Zhongshan Ophthalmic Center Guangzhou City China London School of Hygiene & Tropical Medicine London United Kingdom Inner Mongolia Red Cross Chaoju Eye Hospital Hohhot China The Fred Hollows Foundation Sydney Australia World Health Organization Western Pacific Regional Office Manila Philippines

Aim: A population-based survey was conducted in Tuoketuo and Shangdu Counties in Inner Mongolia Autonomous Region, China, in the Autumn of 2010, to assess the prevalence and causes of blindness and visual impairment of people aged 50 years and over. Methods: Random cluster sampling was used to select 82 clusters of 50 residents in the 2 counties. Each survey team included an ophthalmologist, a nurse and a coordinator, who went to door to door in each cluster to identify eligible people. A torch, direct ophthalmoscope and portable slit lamp were used for eye examination. Visual acuity (VA) was tested for each eye of every subject. Those with VA below 6/18 in either eye were examined and causes identified. Results: The survey identified a prevalence of blindness in people aged 50+ in Tuoketuo of 1.2% (95% Confidence Interval: 0.7% - 1.7%) and in Shangdu of 1.4% (95% CI: 1.0% - 1.9%). Cataract was identified as the leading cause of blindness (BL) and severe visual impairment (SVI), and uncorrected refractive errors were the major causes of moderate visual impairment (MVI) in both counties. Over two thirds of blindness, SVI and MVI were identified as avoidable. Conclusions: The prevalence of blindness in people aged 50+ in Tuoketuo and Shangdu was low compared to other studies conducted in China [1] [2]. The prevalence of blindness of people aged 50 years and over could be reduced by up to two thirds through better eye services in the two study areas.

关键词： RAAB Prevalence of Blindness Cataract Cataract Surgical Coverage Survey Inner Mongolia China

Cataract blindness in Hungary

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International Journal of Ophthalmology(English edition) 2020年第3期13卷 438-444页

作者： Gábor L.Sándor Gábor Tóth Dorottya Szabó Irén Szalai Regina Lukács Anita Pék Georgina Z.Tóth András Papp Zoltán Z.Nagy hans limburg János Németh Department of Ophthalmology Semmelweis UniversityBudapest 1085Hungary Department of Ophthalmology Flór Ferenc HospitalKistarcsa 2143Hungary Department of Ophthalmology Petz Aladár HospitalGyor 9024Hungary Faculty of Health Sciences Semmelweis UniversityBudapest 1088Hungary Health Information Services Grootebroek 1613The Netherlands

AIM:To estimate the prevalence of blindness and visual impairment resulting from cataract in the population aged≥50 y in Hungary,and to assess the cataract surgical ***:A rapid assessment of avoidable blindness(RAAB)was conducted.A total of 3523 eligible people were randomly selected and *** participant underwent surgery for cataract was interviewed with regard to the year,place,and costs of the *** with obvious cataract were asked why they had not yet undergone surgery(barriers to surgery).RESULTS:An estimated 12514 people were bilaterally blind;the visual acuity(VA)in 19293 people was<6/60,and the VA in 73962 people was<6/18 in the better eye due to *** estimated 77933 eyes are blind;98067 eyes had a VA of<6/60,and an estimated 277493 eyes had a VA of<6/18 due to *** all cataract surgeries were conducted in government *** age-and sexadjusted cataract surgical coverage with VA<3/60 in eyes was 90.0%.The rate of good visual outcome after surgery was 79.5%.Ocular comorbidity was the main cause of poor outcome(78.1%),followed by late complications(such as posterior capsule opacification)(17.2%),inadequate optical correction(3.1%),and surgical complications(1.6%).The main barrier to surgery in people with bilateral cataract and VA of<6/60 was‘need not felt’.CONCLUSION:The prevalence of visual impairment resulting from cataract is slightly higher than *** quality of the cataract surgical service seems adequate in ***,the number of cataract operations per year should continue to increase due to the increasing patient demands and the aging population.

关键词： cataract prevalence blindness visual impairment rapid assessment of avoidable blindness

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快速评估可避免盲(RAAB)

实用防盲技术 2008年第4期3卷 40-42页

作者： Hannah Kuper Sarah Polack hans limburg 顾永昊

对大规模人群中盲率的评估能够为政府及各级医疗机构制定相应政策提供依据，一般采用各种流行病学调查方法进行，国际眼保健中心（International Center for EyeHealth，ICEH）推荐了一种在人群中快速筛查可避免盲的方法（Rapid Assessm... 详细信息

对大规模人群中盲率的评估能够为政府及各级医疗机构制定相应政策提供依据，一般采用各种流行病学调查方法进行，国际眼保健中心（International Center for EyeHealth，ICEH）推荐了一种在人群中快速筛查可避免盲的方法（Rapid Assessment of Avoidable Blindness，RAAB），本文对该方法进行简要的介绍，希望能对我国防盲治盲工作有所帮助，软件和相关材料可直接在ICEH网站下载。

关键词：治盲工作快速评估医疗机构流行病学保健中心快速筛查人群