Ophthalmic epidemiology最新文献

{"title":"Association Between Cataract Diagnosis and Depressive Symptoms in Peruvian Adults Aged 50 Years and Older: Analysis of a Nationally Representative Survey.","authors":"Alicia Torres-Mera, Deysi A Saldaña-Amaya, Rodrigo Camacho-Neciosup, Mario J Valladares-Garrido, Virgilio E Failoc-Rojas","doi":"10.1080/09286586.2026.2749444","DOIUrl":"https://doi.org/10.1080/09286586.2026.2749444","url":null,"abstract":"<p><strong>Purpose: </strong>Cataract has been linked to depressive symptoms, yet the contribution of functional distance-vision impairment remains understudied in Latin America. We examined the association between cataract diagnosis(with and without distance-vision difficulty) and depressive symptoms among Peruvian adults aged ≥ 50 years who had undergone a prior ophthalmological evaluation.</p><p><strong>Methods: </strong>This cross-sectional study analyzed data from the 2018-2019 Survey of Peru. The analytic sample comprised adults aged ≥ 50 years who reported a lifetime ophthalmological evaluation and completed the PHQ-9 (<i>n</i> = 20,320). Depressive symptoms were defined as a PHQ-9 score ≥ 10. Analyses used complex-survey weights with the subpopulation option. Weighted chi-square and t tests, and Poisson regression estimating prevalence ratios (PR) with 95% confidence intervals (CI), were performed.</p><p><strong>Results: </strong>Depressive symptoms were present in 8.7% (95% CI, 7.6-9.8) of adults aged ≥ 50 years, and 14.5% (95% CI, 13.1-16.0) had a cataract diagnosis. Participants with cataract and distance-vision difficulty had a higher prevalence of depressive symptoms than those without cataract (adjusted PR, 1.68; 95% CI, 1.08-2.61); no association was found for cataract without distance-vision difficulty (adjusted PR, 1.03; 95% CI, 0.65-1.62). Higher wealth was protective: rich (adjusted PR, 0.65; 95% CI, 0.42-1.00) and very rich (adjusted PR, 0.51; 95% CI, 0.32-0.95) quintiles showed lower prevalence of depressive symptoms. Older age, female sex, diabetes, and lower education were independently associated with depressive symptoms.</p><p><strong>Conclusions: </strong>Among Peruvian adults aged ≥ 50 years with prior ophthalmological evaluation, cataract accompanied by distance-vision difficulty, but not cataract alone, is independently associated with depressive symptoms.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Retinal Age Gap with Socioeconomic Deprivation: A Cross-Sectional Analysis of a Large Diverse Urban Cohort.","authors":"Shubhank S Verma, Yujie Wang, Wenyi Hu, Zhuoting Zhu, Jugnoo Rahi, Zongyuan Ge, Mingguang He, Yukun Zhou, Pearse A Keane, Siegfried K Wagner","doi":"10.1080/09286586.2026.2739999","DOIUrl":"https://doi.org/10.1080/09286586.2026.2739999","url":null,"abstract":"<p><strong>Purpose: </strong>Socioeconomic deprivation is a profound determinant of health, driving systemic physiological dysregulation that may accelerate biological ageing. Retinal age gap (RAG) is a validated deep-learning-derived biomarker for accelerated ageing and systemic disease risk. This study investigates the relationship between socioeconomic deprivation and RAG in two large, distinct United Kingdom cohorts.</p><p><strong>Methods: </strong>We performed cross-sectional analysis within the UK Biobank (UKB) (<i>N</i> = 38,412) and the London-based AlzEye (<i>N</i> = 49,681) cohorts. Socioeconomic deprivation was defined using Townsend Index for UKB and Index of Multiple Deprivation (IMD) for AlzEye. RAG was generated from colour fundus photography using a pre-trained deep learning model. We applied linear regression modelling to examine associations between deprivation and RAG, sequentially adjusting for chronological age, sex, ethnicity, hypertension, and diabetes.</p><p><strong>Results: </strong>The AlzEye cohort was older, more diverse, and had more comorbidities compared to the UKB cohort. Modelled per decile of decreasing deprivation, there was significant association with decreased RAG in both UKB (-0.11 years per decile; 95% CI -0.13 to -0.10; <i>p</i> < 0.001) and AlzEye (-0.43 years per decile; 95% CI -0.46 to -0.39; <i>p</i> < 0.001). Following full adjustment, association remained significant in UKB (-0.04 years per decile; <i>p</i> < 0.001) but was attenuated and non-significant in AlzEye (-0.002 years per decile; <i>p</i> = 0.82).</p><p><strong>Conclusions: </strong>Socioeconomic deprivation is associated with accelerated retinal ageing, although influenced by cohort characteristics and underlying health status. Signal attenuation in AlzEye suggests comorbidities may mediate impact of deprivation on retinal ageing. Longitudinal research is required to disentangle complex interplay, ensuring equitable utility of oculomic biomarkers in precision medicine.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eye Care Needs Identified Through Community-Based Vision Screening in an Underserved Urban Population in Cleveland, Ohio.","authors":"Joyce W Kuo, Charles W Guo, Thomas L Steinemann","doi":"10.1080/09286586.2026.2748929","DOIUrl":"https://doi.org/10.1080/09286586.2026.2748929","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize vision screening findings, eye care utilization, referral need, and referral outcomes among underserved adults at community-based vision screening events in Cleveland, Ohio.</p><p><strong>Methods: </strong>This cross-sectional study analysed de-identified screening forms from 150 adults participating in community vision screenings in Cleveland. Screenings included visual acuity, confrontation visual fields, and self-reported medical and ocular histories. Participant characteristics were summarized descriptively overall and by referral status. Household income was estimated from ZIP codes using 2020-2024 American Community Survey data.</p><p><strong>Results: </strong>Median age was 48.5 years (IQR, 33-61); 54.7% were Black/African American and 44.0% were uninsured. Overall, 58.7% had not undergone an eye examination within 2 years or were uncertain when their last examination occurred. Distance visual acuity worse than 20/40 in the better-seeing eye was present in 16.0% of participants, near visual acuity worse than 20/40 in the better-seeing eye was present in 28.0%, and 13.7% had reduced peripheral visual fields. 119 participants (79.3%) were referred for follow-up eye care. Of 33 referred to Vision Care Outreach, 20 (60.6%) completed an appointment, 5 (15.2%) were directed to their insurance provider, and 8 (24.2%) could not be contacted.</p><p><strong>Conclusion: </strong>Community-based vision screening identified a high frequency of referral needs among this convenience sample of underserved adults. High rates of uninsurance, delayed eye care, and incomplete follow-up support integrating screening with accessible comprehensive eye care pathways. Limitations include the relatively small, single-city convenience sample and unavailable follow-up data for participants referred to MetroHealth Ophthalmology, limiting assessment of overall referral completion and generalizability.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Perceptions Towards Vision Screening Among Preschoolers' Mothers in Egypt: Effect of an Educational Intervention.","authors":"Omar Masoud, Samy El Omda, Sherine Hassan","doi":"10.1080/09286586.2026.2747700","DOIUrl":"https://doi.org/10.1080/09286586.2026.2747700","url":null,"abstract":"<p><strong>Purpose: </strong>As there is no vision screening program for preschoolers in Egypt, the responsibility of screening falls on the caregivers. The purpose of this study was to investigate knowledge and perceptions of mothers towards preschooler's vision screening and the effect of an educational intervention based on Health Belief Model (HBM).</p><p><strong>Methods: </strong>A pre-posttest study assessed baseline knowledge and HBM constructs (susceptibility, severity, benefits, barriers, and self-efficacy) among mothers (<i>n</i> = 323) attending four primary health care units via an interview questionnaire. An educational intervention (a face-to-face session followed by targeted messaging) was offered to 74 mothers, with 48 completing a 3-month posttest. Pre- and post-intervention scores were compared using Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>Baseline knowledge and self-efficacy regarding vision screening were inadequate, with particularly low awareness of asymptomatic vision problems. Primary perceived barriers included a lack of time and the misconception that preschoolers are too young for testing. Following the intervention, mothers demonstrated significant improvements in knowledge (<i>p</i> < 0.001), perceived susceptibility (<i>p</i> < 0.001), perceived severity (<i>p</i> = 0.030), perceived benefits (<i>p</i> = 0.001), and self-efficacy (<i>p</i> = 0.020). Notably, 56.3% (27/48) of the post-test cohort voluntarily sought clinical vision screening for their children within 3 months.</p><p><strong>Conclusions: </strong>Targeted health education significantly improves parental health literacy and shifts risk perceptions. Utilizing theoretical frameworks like the HBM successfully motivates caregivers to seek preventive care, offering a scalable public health strategy in middle-income settings lacking compulsory pediatric screening programs.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Incidence of Glaucoma in Young Adult Glaucoma Suspects.","authors":"Rachel A Lieberman, Madison Cirillo, Justin Knapp, Nicole Barrows, Miranda Janvrin, Wendy Vaughan, Tracey P Koehlmoos","doi":"10.1080/09286586.2026.2739998","DOIUrl":"https://doi.org/10.1080/09286586.2026.2739998","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to determine the incidence of glaucoma in glaucoma suspects under age 40 who were followed over a 13-year period within a healthcare system.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using healthcare claims from the U.S. Military Health System Data Repository between fiscal years 2006 and 2007. The study identified 9,783 military health system beneficiaries aged 18-39 diagnosed as glaucoma suspects. Patients were then followed for 13 years. The primary outcome investigated the incidence of glaucoma. A multivariable logistic regression model was conducted to assess demographic risk factors for glaucoma. Secondary outcomes compared mean differences in follow-up visits by demographic factors using a multivariable N-Way ANOVA and post hoc Bonferroni test.</p><p><strong>Results: </strong>8.9% (872) of glaucoma suspects developed glaucoma within 13 years. When compared to White patients, Black patients had a higher risk of developing glaucoma (aOR = 2.38, CI 2.00-2.82). Patients aged 25-29 had a lower risk of glaucoma (aOR = 0.54, CI 0.43-0.67) than patients aged 30-39. Patients had an average of 7.11 follow-up visits. Significant differences were found between follow-up visits by race (F(4) = [6.0], <i>p</i> = <.0001), sponsor status (F(1) = [12.39], <i>p</i> = <.0001, patient sex (F(1) = [11.30], <i>p</i> = <.0008), and rank (F(4) = [14.28], <i>p</i> = <.0001).</p><p><strong>Conclusion: </strong>The incidence of glaucoma was 8.9% in young adult glaucoma suspects who were followed over a 13-year period within a single healthcare system. Additional research is needed to determine evidence-based, cost-effective monitoring protocols for adults diagnosed with suspect glaucoma.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Location of Death for Individuals with Primary Ocular Cancer in the United States.","authors":"Rochan Ramesh, Rohit Mantena, Urvish Jain, Bhav Jain, Anthony Rios, Edward Christopher Dee, Geoffrey Tabin","doi":"10.1080/09286586.2026.2741242","DOIUrl":"https://doi.org/10.1080/09286586.2026.2741242","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals with ocular cancer (OC) face unique end-of-life (EOL) challenges, including potential vision loss and poor prognosis. Place of death significantly impacts the quality of EOL care, and most patients express a preference for dying at home. Understanding where patients with OC die is crucial for assessing care quality and equity.</p><p><strong>Methods: </strong>Participants included all 5,196 US decedents from 2003 to 2020 whose underlying cause of death was listed as ocular cancer (ICD-10 codes C69.0-C69.9).</p><p><strong>Results: </strong>Of the 5,196 decedents with OC, 2,824 (54.3%) died at home, 912 (17.6%) in hospitals, 607 (11.7%) in nursing facilities, 523 (10%) in hospice, and 330 (6.4%) in outpatient or emergency department facilities. Compared to patients aged 64 or younger, patients aged 85 or older were significantly less likely to die in a hospital (OR: 0.32 [95% CI: 0.24-0.43]) and at home (OR: 0.67 [95% CI: 0.56-0.80]), but markedly more likely to die in a nursing facility (OR: 8.30 [95% CI: 6.27-10.99]). Significant racial disparities were found; compared to White patients, Black (OR: 2.75 [95% CI: 1.93-3.90]), Asian (OR: 2.56 [1.57-4.17]), and Hispanic (OR: 1.90 [1.42-2.55]), patients were all significantly more likely to die in a hospital. Black patients were also less likely to die at home (OR: 0.59 [95% CI: 0.42-0.83]).</p><p><strong>Conclusions: </strong>Significant sociodemographic disparities exist in the location of death for patients with OC, particularly by age and race. Patients from racial and ethnic minority groups are disproportionately more likely to die in hospitals and less likely to die at home, suggesting potential inequities in access to preferred EOL care.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Socioeconomic and Clinical Factors of Complex Cataract Surgery in Academic Medical Centers.","authors":"Anushree Aneja, Joshua D Stein, Yang Li, Chris A Andrews, Shikha Marwah, Adovich S Rivera, Xueqing Zhou, Azraa S Chaudhury, Alaa Mohamedali, Gabriella S Danziger, Richa Shah, Arun Ahuja, Charlesnika T Evans, Abel N Kho, Paul J Bryar, Dustin D French","doi":"10.1080/09286586.2026.2738402","DOIUrl":"https://doi.org/10.1080/09286586.2026.2738402","url":null,"abstract":"<p><strong>Purpose: </strong>Cataract surgery is the most common surgical procedure in the United States and can be coded as routine or complex, with the latter defined as employing devices or techniques not routinely employed in routine surgery, elevating risk of adverse outcomes. The study aimed to determine whether socioeconomic factors are associated with the need for complex cataract surgery after controlling for known clinical factors associated with routine versus complex surgery.</p><p><strong>Methods: </strong>Patients 18 years of age and over in the Sight Outcomes and Reseach Collaborative with one or more cataract surgeries across 16 U.S. medical centers from 2010 to 2023. Multivariable logistic regression models were used, with the first model examining key covariates and the first eye or cataract surgery, and the second model examining covariates on the second eye (bilateral) or cataract surgery, if applicable, while accounting for the first eye (as routine or complex).</p><p><strong>Results: </strong>Factors associated with increased odds of complex surgery in both the first and second procedures were male sex, increasing age, worse vision, increased cataract density, Black and Asian race, diabetes, pseudoexfoliation syndrome, intraoperative floppy iris syndrome, and the use of alpha-1 blockers and miotic agents. Additionally, receipt of complex surgery in the second eye (bilateral) was significantly associated with increased odds if the first eye was also a complex surgery.</p><p><strong>Conclusions: </strong>Several socioeconomic factors remained significant after adjusting for known clinical factors associated with complex cataract surgery. Findings may inform the development of enhanced risk assessment to identify patients at elevated risk for complex surgery.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Season, Weather, and Intraocular Pressure: A Monocentric Retrospective Analysis from 2016 to 2021.","authors":"Cornelius Wiedenmann, Daniel Böhringer, Thomas Reinhard, Jan Luebke","doi":"10.1080/09286586.2026.2664545","DOIUrl":"10.1080/09286586.2026.2664545","url":null,"abstract":"<p><strong>Purpose: </strong>We investigate the relationship between intraocular pressure (IOP) and environmental factors, such as daily mean temperature, daily cumulative sunshine duration, and daily mean atmospheric pressure.</p><p><strong>Methods: </strong>We reviewed all IOP measurements of out-patients using non-contact tonometry that had been recorded between 2016 and 2021 (<i>N</i> = 199,804) in the Eye Center, University Hospital Freiburg, Germany. IOP values below 5 and above 30 mm Hg were excluded. No other exclusion criteria are applied. Analysis of variance was performed to assess seasonal variations in IOP. We fitted a multiple linear regression model to analyse the respective influences of age on the time of measurement, daily mean temperature, daily cumulative sunshine duration, daily mean atmospheric pressure, and time of day at measurement on IOP. We also performed cross-correlations to check for periodicity and time-lag between IOP and the aforementioned environmental factors.</p><p><strong>Results: </strong>IOP was highest in January (15.0 ± 3.8 mm Hg) and lowest in July (14.6 ± 3.6 mm Hg). Cross-correlation and Fourier analysis support annual periodicity and a seasonal pattern of IOP. Multiple linear regressions revealed a significant negative correlation between daily mean temperature, age at measurement, and total sunshine duration of the preceding 10 days before measurement with IOP. Atmospheric pressure and time at measurement missed statistical significance.</p><p><strong>Conclusions: </strong>We observed an annual periodic IOP variation with an amplitude of ≈0.4 mm Hg. The variation is most likely attributable to a direct effect of environmental temperature and secondly to biological factors triggered by sunshine exposure over the preceding 10 days or secondary behavioral changes.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"503-511"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Coffee and Tea Consumption and Biological Age Acceleration: Evidence from the UK Biobank Study.","authors":"Ruiye Chen, Mayinuer Yusufu, Jiahao Liu, Haoyue Yi, Xianwen Shang, Zongyuan Ge, Wei Wang, Mingguang He, Zhuoting Zhu","doi":"10.1080/09286586.2026.2647970","DOIUrl":"10.1080/09286586.2026.2647970","url":null,"abstract":"<p><strong>Objective: </strong>To investigate associations between coffee and tea consumption with accelerated ageing indexed by retinal age gap.</p><p><strong>Methods: </strong>The average daily coffee and tea consumption over the past year was obtained using a touchscreen questionnaire. The retinal age gap, the difference between the predicted retinal age and the chronological age, was used as the indicator of accelerated ageing. Linear regression models were applied to examine the associations of coffee and tea consumption with retinal age gap. Restricted cubic spline (RCS) model was utilized to explore potential non-linear associations between coffee and tea consumption (cups/day) with retinal age gaps.</p><p><strong>Results: </strong>This study included 35,740 participants with a mean age of 56.8 ± 8.03 years, including 19,902 (55.7%) males. Among the participants, 7693 (21.5%) were non-coffee drinkers, and 5164 (14.4%) were non-tea drinkers. After adjusting for demographic covariates, multilinear models found that coffee consumption was not associated with retinal age gaps. However, after these adjustments, tea consumption was associated with a smaller retinal age gap (β = -0.03, 95% CI = -0.04~-0.01, <i>p</i> = 0.006), particularly in those who consumed > 4 cups of tea per day (β = -0.22,95% CI = -0.36~-0.08, <i>p</i> = 0.003). No non-linear regressions between coffee or tea with retinal age gaps were observed in RCS models (P non-linear = 0.329 for coffee, P non-linear = 0.273 for tea; respectively).</p><p><strong>Conclusions: </strong>Our study identified a significant inverse association between tea consumption and the retinal age gap. This finding suggests that tea intake is a dietary factor linked to biological aging process indexed by retinal age gaps.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"495-502"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic Development, COVID-19, and Visual Health in Chinese Youth: A 30-Year Trend and Frontier Analysis of the Burden of Blindness Due to Refractive Error.","authors":"Yihan Zhang, Qixuan Tang, Shenyu Wang, Jiaying Liu, He Li, Zhaohuai Li, Wenru Su","doi":"10.1080/09286586.2026.2678906","DOIUrl":"10.1080/09286586.2026.2678906","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate long-term trends of refractive error-related blindness in Chinese children and adolescents (1990-2021) and project future trajectories to 2035, assessing impacts of COVID-19 and socioeconomic development.</p><p><strong>Methods: </strong>Retrospective and predictive analysis using Global Burden of Disease (GBD) 2021 data. Primary outcomes were age-specific prevalence and DALY rates in youth (<20 years). Secondary outcomes included age-standardized rates, EAPCs, decomposition components, and projections via BAPC and ARIMA models.</p><p><strong>Results: </strong>Refractive error-related blindness affected 26.97 million individuals in China (1990-2021), including nearly 3 million youth. Primary outcomes showed consistent increases in age-specific prevalence (0-14 years: +15.0%; 15-19 years: +16.8%). Secondary analyses revealed declining age-standardized rates (ASPR EAPC: -0.18%), with population aging as the dominant driver (83.4-93.0%). During COVID-19, adolescent prevalence declined sharply (-10.61%). ARIMA projections suggest a turning point, with youth prevalence expected to decline by 30.5-36.3% by 2036. Global analysis revealed >10-fold variation in adolescent burden across countries.</p><p><strong>Conclusion: </strong>Despite declining age-standardized rates, rising youth prevalence demands targeted interventions. Encouraging projections suggest delayed policy impacts, while COVID-19 disruptions highlight health system vulnerabilities. Prioritizing early screening and adolescent-focused strategies remains critical.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"565-576"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}