Prevalence and Risk Factors of Fundus Pathology in Patients with Type 2 Diabetes in a Northeastern Chinese Cohort.

IF 1.7 4区医学 Q3 OPHTHALMOLOGY

Ophthalmic epidemiology Pub Date : 2024-08-01 Epub Date: 2023-09-19 DOI:10.1080/09286586.2023.2260855

Wei Lin, Dong Li, Liang Wen, Yu Wang, Zhong Lin, Fenghua Wang, Yuanbo Liang

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引用次数: 0

Abstract

Purpose: To assess the prevalence of and risk factors for fundus pathology in patients with type 2 diabetes mellitus (T2DM) in a cohort from northeastern China.

Methods: Patients were included from the Fushun Diabetic Retinopathy Cohort Study. Patients aged ≥ 30 years with T2DM were recruited between July 2012 and May 2013. Fundus pathology included retinal vascular occlusion (RVO), age-related macular degeneration (AMD), macular pathology, pathologic myopia (PM) and glaucomatous optic atrophy (GOA).

Results: A Total of 1998 patients with gradable fundus photographs were included in this study, of whom 388 (19.42%) had fundus pathology regardless of whether they had diabetic retinopathy (DR). There were 187 (9.36%) patients with AMD, 97 (4.85%) with GOA, 67 (3.35%) with macular pathology, 35 (1.75%) with PM and 23 (1.15%) with RVO. Advanced age was significantly associated with AMD (odds ratio (OR), 95% confidence interval (CI): 1.03, 1.01-1.05), macular pathology (OR, 95% CI: 1.06, 1.03-1.09) and GOA (OR, 95% CI: 1.06, 1.04-1.09). A wider central retinal arteriolar equivalent was protective against PM (OR, 95% CI: 0.78, 0.66-0.92). Wider central retinal venular equivalent was a protective factor for PM (OR, 95% CI: 0.75, 0.68-0.82) and GOA (OR, 95% CI: 0.93, 0.87-0.99).

Conclusions: One-fifth of these patients in northeast China with T2DM had fundus pathology regardless of whether they had DR, indicating the importance of early screening and long-term follow-up.

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中国东北地区2型糖尿病患者眼底病理学的患病率和危险因素。

目的：评估中国东北地区2型糖尿病（T2DM）患者眼底病理的患病率和危险因素。方法：纳入抚顺糖尿病视网膜病变队列研究。老年患者 ≥ 30 2012年7月至2013年5月招募了2型糖尿病患者。眼底病理包括视网膜血管闭塞（RVO）、年龄相关性黄斑变性（AMD）、黄斑病理、病理性近视（PM）和青光眼性视神经萎缩（GOA）。AMD患者187例（9.36%），GOA患者97例（4.85%），黄斑病变患者67例（3.35%），PM患者35例（1.75%），RVO患者23例（1.15%）。高龄与AMD显著相关（比值比（OR）、95%置信区间（CI）：1.03,1.01-1.05），黄斑病变（OR，95%CI:1.06，1.03-1.09）和GOA（OR，95%CI:1.06,1.04-1.09）。更宽的视网膜中央小动脉当量对PM具有保护作用（OR，95%CI:0.78，0.66-0.92T2DM无论是否有DR，都有眼底病理，这表明早期筛查和长期随访的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ophthalmic epidemiology 医学-眼科学

CiteScore

3.70

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.