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

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International Journal of Ophthalmology(English edition) 2020年第10期13卷 1642-1651页

作者： Joshua Foreman Stuart Keel Myra B McGuinness Jonathan G Crowston Hugh R Taylor mohamed dirani Centre for Eye Research Australia the Royal Victorian Eye&Ear HospitalVictoria 3002MelbourneAustralia Ophthalmology Department of Surgerythe University of MelbourneVictoria 3010MelbourneAustralia Indigenous Eye Health Unit Melbourne School of Population and Global Healththe University of MelbourneVictoria 3010MelbourneAustralia Singapore Eye Research Institute Singapore National Eye Centre168751Singapore

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,P<0.001 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,P<0.001,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.

关键词： retinopathy diabetes prevalence public health national survey cataract

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