Ophthalmic epidemiology最新文献

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Population-Level Associations Between Visual Impairment and Functional Difficulties in California. 加利福尼亚州视力障碍与功能障碍之间的人群关联。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-03-20 DOI: 10.1080/09286586.2024.2319243
Karissa M Wang, Anne L Coleman, Deyu Pan, Fei Yu, Victoria L Tseng
{"title":"Population-Level Associations Between Visual Impairment and Functional Difficulties in California.","authors":"Karissa M Wang, Anne L Coleman, Deyu Pan, Fei Yu, Victoria L Tseng","doi":"10.1080/09286586.2024.2319243","DOIUrl":"10.1080/09286586.2024.2319243","url":null,"abstract":"<p><strong>Purpose: </strong>The prevalence of visual impairment is increasing, and there is a need to understand the functional implications. Using the American Community Survey (ACS) data, this study examined the relationship between visual impairment and functional difficulties in California.</p><p><strong>Methods: </strong>Using the 2010-2014 and 2015-2019 ACS 5-year estimates from the U.S. Census, data were obtained for visual impairment and functional difficulties including hearing, cognitive, ambulatory, self-care, and independent living difficulties. The prevalence of vision impairment and each functional difficulty was calculated on the Medical Service Study Area (MSSA) level in California. Unadjusted and adjusted linear regression models were performed to estimate the association between visual impairment and each functional difficulty, adjusting for age, sex, race and ethnicity, education level, English-speaking ability, poverty status, health insurance status, and urbanity of residence location.</p><p><strong>Results: </strong>The prevalence of visual impairment in California was 2.3% (659,502 of 28,794,572) in 2010-2014 and 2.3% (709,353 of 30,231,767) in 2015-2019 among the population ≥ 18 years old. There were statistically significant associations between the prevalence of vision impairment and increased prevalence of all functional difficulties, with the most positive correlation observed with ambulatory difficulty (slope estimate 0.58 ± 0.072 for 2010-2014 and 0.78 ± 0.082 for 2015-2019 for ambulatory difficulty).</p><p><strong>Conclusions: </strong>There may be population-level impacts of functional consequences from vision impairment, suggesting the need for neighborhood-level investigation and policy-based interventions to address the burden of vision impairment on the population level.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"9-17"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140175815","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}
引用次数: 0
Influence of Smoking and Controlled Medical Conditions on the Risks of Branch Retinal Vein Occlusion in South Korea: A Population-Based Study. 韩国吸烟和受控疾病对视网膜分支静脉闭塞风险的影响:一项基于人群的研究。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-03-20 DOI: 10.1080/09286586.2024.2321902
Jung Hoo Lee, Seong Ho Kim, EunAh Kim
{"title":"Influence of Smoking and Controlled Medical Conditions on the Risks of Branch Retinal Vein Occlusion in South Korea: A Population-Based Study.","authors":"Jung Hoo Lee, Seong Ho Kim, EunAh Kim","doi":"10.1080/09286586.2024.2321902","DOIUrl":"10.1080/09286586.2024.2321902","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of controlled medical conditions and risk of lifetime smoking history on the prevalence of branch retinal vein occlusion (BRVO) based on the Korea National Health and Nutrition Survey (KNHANES) database from 2017-2021.</p><p><strong>Methods: </strong>The study population consisted of individuals aged ≥ 40 years who had completed ophthalmological questionnaires, underwent comprehensive ophthalmological examinations, and had at least one good-quality readable fundus photograph. Age, sex, hypertension status, diabetes status, dyslipidemia status, body mass index status, a history of chronic kidney disease (CKD), a lifetime smoking history of ≥ 100 cigarettes, and glaucoma were subjected to univariate and multivariate logistic regression analyses.</p><p><strong>Results: </strong>The estimated prevalence (± standard error) of RVO was 0.5% (±0.1%). Significant risk factors were one-year increase in age, female sex, hypertension (stage 1, controlled, uncontrolled, and undiagnosed hypertension), underweight, pre-obesity, history of CKD, lifetime smoking history of ≥ 100 cigarettes, and glaucoma. Controlled diabetes decreased the risk of BRVO by 55% (odds ratio [OR] = 0.45, 95% confidence interval [CI] = 0.22-0.89, <i>p</i> = 0.022) and controlled hyper-high-density-lipoprotein (HDL)-cholesterolemia decreased the risk by 69% (OR = 0.31, 95% CI = 0.13-0.76, <i>p</i> = 0.010).</p><p><strong>Conclusion: </strong>This study, for the first time, reported the association between lifetime smoking history of ≥ 100 cigarettes and BRVO in Korea. The risk of BRVO was lower in participants with controlled diabetes and hypo-HDL-cholesterolemia.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"44-51"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140175814","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}
引用次数: 0
Quality of Refractive Error Care in Cambodia: An Unannounced Standardized Patient Study. 柬埔寨屈光不正护理的质量:一项突击性标准化患者研究。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-03-20 DOI: 10.1080/09286586.2024.2321890
Anthea Burnett, Ngy Meng, Do Seiha, Neath Kong, Seila Chea, Malis Dean, Piseth Horm, Kim San Meas, Beatrice Varga, Suit May Ho, Myra McGuinness, Ling Lee
{"title":"Quality of Refractive Error Care in Cambodia: An Unannounced Standardized Patient Study.","authors":"Anthea Burnett, Ngy Meng, Do Seiha, Neath Kong, Seila Chea, Malis Dean, Piseth Horm, Kim San Meas, Beatrice Varga, Suit May Ho, Myra McGuinness, Ling Lee","doi":"10.1080/09286586.2024.2321890","DOIUrl":"10.1080/09286586.2024.2321890","url":null,"abstract":"<p><strong>Purpose: </strong>Quality-of-care in refractive error services is essential, as it directly affects vision outcomes, wellbeing, educational attainment, and workforce participation. In Cambodia, uncorrected refractive error is a leading cause of mild and moderate vision impairment in adults. We evaluated the quality of refractive error care in Cambodia by estimating the proportion of prescribed and dispensed spectacles appropriate for people's refractive error needs and factors associated with spectacle quality.</p><p><strong>Methods: </strong>A cross-sectional protocol was employed with 18 Khmer-speaking adult participants observing testing procedures in 156 optical services across six provinces in 2022. A total of 496 dispensed spectacles were assessed against spectacle quality indicators.</p><p><strong>Results: </strong>The analysis revealed that 35.1% of dispensed spectacles were of optimal quality. The most common error observed in sub-optimal spectacles was the presence of horizontal prism outside of tolerance limits. The study also found that 44.0% of emmetrope visits involved unnecessary prescription spectacle recommendations, and 18.3% of written prescriptions did not correspond with dispensed spectacles. Sex differences were observed, with men predominantly providing refractive error care and women more likely to be unnecessarily recommended prescription spectacles.</p><p><strong>Conclusion: </strong>The findings highlight the importance of prioritizing quality-of-care in refractive error services. A key recommendation is to consider regulatory mechanisms to ensure optical services employ appropriately qualified staff. Additionally, efforts should be made to eliminate unnecessary prescriptions -- especially for emmetropes and females -- standardize written prescriptions, ensure consistent pupil distance measurements, reduce reliance on autorefraction, and address the gender imbalance in the refractive error workforce.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"25-33"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140175817","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}
引用次数: 0
Incidence and Association of Uveitis with COVID-19 Vaccination: A Systematic Review and Meta-Analysis. 葡萄膜炎的发病率及其与接种 COVID-19 疫苗的关系:系统回顾与元分析》。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-05-06 DOI: 10.1080/09286586.2024.2343714
Bijaya K Padhi, Parul Chawla Gupta, Nawal A Al Kaabi, Maha F Al-Subaie, Hayam A Alrasheed, Tarek Sulaiman, Ali A Rabaan, Mahalaqua Nazli Khatib, Shilpa Gaidhane, Quazi Syed Zahiruddin, Arkadiusz Dziedzic, Prakasini Satapathy, Najat J Fraj, Fatimah A Aldrazi, Neelima Kukreti, Sarvesh Rustagi, Hashem Abu Serhan
{"title":"Incidence and Association of Uveitis with COVID-19 Vaccination: A Systematic Review and Meta-Analysis.","authors":"Bijaya K Padhi, Parul Chawla Gupta, Nawal A Al Kaabi, Maha F Al-Subaie, Hayam A Alrasheed, Tarek Sulaiman, Ali A Rabaan, Mahalaqua Nazli Khatib, Shilpa Gaidhane, Quazi Syed Zahiruddin, Arkadiusz Dziedzic, Prakasini Satapathy, Najat J Fraj, Fatimah A Aldrazi, Neelima Kukreti, Sarvesh Rustagi, Hashem Abu Serhan","doi":"10.1080/09286586.2024.2343714","DOIUrl":"10.1080/09286586.2024.2343714","url":null,"abstract":"<p><strong>Purpose: </strong>In the wake of the COVID-19 pandemic, vaccines have been pivotal in curbing disease spread and severity. However, concerns over post-vaccination adverse events, including uveitis, an inflammatory ocular condition, have been noted. This systematic review and meta-analysis aimed to evaluate the incidence and association of uveitis following COVID-19 vaccination.</p><p><strong>Methods: </strong>A literature search was performed across several databases on October 21, 2023. Human studies examining the incidence of uveitis post-COVID-19 vaccination were included. The Newcastle-Ottawa Scale was used for quality appraisal of the included studies. Meta-analysis was performed to assess the overall incidence of uveitis and the relative risk of developing the condition post-vaccination. All statistical analyses were performed using R software version 4.3.</p><p><strong>Results: </strong>Six studies involving over 2 billion vaccine doses were included. The overall incidence of uveitis was 0.016% (95% CI: 0.010 to 0.026). No significant association was found between vaccination and the onset of uveitis (Relative Risk: 1.45 (95% CI: 0.82 to 2.57, <i>p</i> = 0.12) from four studies. The evidence quality was rated very low due to the limited number of studies and imprecision.</p><p><strong>Conclusion: </strong>This analysis indicates a low incidence of uveitis following COVID-19 vaccination and no significant association with the vaccine. The findings are constrained by the small number of studies and low certainty of evidence, underscoring the need for further research. Comprehensive and longitudinal studies are necessary to confirm these findings and reinforce public confidence in COVID-19 vaccination programs.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"112-120"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866950","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}
引用次数: 0
Colombian Ocular Diseases Epidemiology Study (CODES): Prevalence Incidence, and Sociodemographic Characterization of Vision Impairment (2015-2019), A Nationwide Study. 哥伦比亚眼科疾病流行病学研究(CODES):一项全国性研究:视力障碍的流行率、发病率和社会人口特征(2015-2019 年)》。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-05-06 DOI: 10.1080/09286586.2024.2338820
Germán Mejía-Salgado, Carlos Cifuentes-González, Doménico Barraquer-López, Juan Sebastián Pineda-Sierra, Camilo Andrés Rodríguez-Rodríguez, Paola Saboya-Galindo, Danna Lesley-Cruz, Alejandra de-la-Torre
{"title":"Colombian Ocular Diseases Epidemiology Study (CODES): Prevalence Incidence, and Sociodemographic Characterization of Vision Impairment (2015-2019), A Nationwide Study.","authors":"Germán Mejía-Salgado, Carlos Cifuentes-González, Doménico Barraquer-López, Juan Sebastián Pineda-Sierra, Camilo Andrés Rodríguez-Rodríguez, Paola Saboya-Galindo, Danna Lesley-Cruz, Alejandra de-la-Torre","doi":"10.1080/09286586.2024.2338820","DOIUrl":"10.1080/09286586.2024.2338820","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the prevalence, incidence, and sociodemographic characterization of moderate to severe vision impairment (MSVI) and blindness in Colombia based on the National Health Registry Integrated Social Protection Information System (SISPRO) Database.</p><p><strong>Methods: </strong>We performed a nationwide population-based study using SISPRO and the International Classification of Diseases. Total and new cases were identified to calculate the prevalence and incidence per 100,000 inhabitants of MSVI and blindness between 2015 and 2019. Blindness was defined as a best-corrected visual acuity (BCVA) of less than 20/400 in the better-seeing eye. Meanwhile, MSVI is a BCVA from 20/70 to equal or better than 20/400 in the better-seeing eye. An ANOVA test was performed to identify age differences. A conditional autoregressive model was also employed to depict standardized morbidity rate maps.</p><p><strong>Results: </strong>From the 50 million inhabitants, the average prevalence and incidence of MSVI were 13.94 and 13.34 between 2015 and 2019, respectively, while for blindness, they were 4.03 and 3.53. Females accounted for most reported cases, and there was a notable shift towards individuals over 50 years (<i>p</i> < 0.001). Valle del Cauca was the region with the most cases reported and the greatest disease burden.</p><p><strong>Conclusion: </strong>This is the first nationwide population-based study describing the prevalence, incidence, and sociodemographic characterization of blindness and MSVI in Colombia. In recent years, there has been an increased number of cases, prevalence, and incidence, with females over 50 particularly affected. This research provides insight into the country's vision impairment epidemiology landscape and contributes to formulating public health policies to improve eye health care.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"87-94"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855751","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}
引用次数: 0
Self-reported Visual Difficulty, Age-related Eye Disease, and Neuropsychiatric Outcomes in Older Adults. 老年人自我报告的视力困难、老年性眼疾和神经精神方面的结果。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-05-08 DOI: 10.1080/09286586.2024.2343725
Ali G Hamedani, Allison W Willis, Gui-Shuang Ying
{"title":"Self-reported Visual Difficulty, Age-related Eye Disease, and Neuropsychiatric Outcomes in Older Adults.","authors":"Ali G Hamedani, Allison W Willis, Gui-Shuang Ying","doi":"10.1080/09286586.2024.2343725","DOIUrl":"10.1080/09286586.2024.2343725","url":null,"abstract":"<p><strong>Purpose: </strong>Self-reported visual difficulty is consistently associated with dementia and other neuropsychiatric outcomes, but studies of specific age-related eye diseases have yielded conflicting results.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using data from The National Health and Aging Trends Study, an ongoing nationally representative survey of older U.S. adults (<i>n</i> = 10,089). All subjects are screened for self-reported visual difficulty annually. Using linked Medicare claims data, we identified subjects with age-related macular degeneration (AMD), primary open-angle glaucoma (POAG), diabetic retinopathy, and cataract. For each condition, controls with complete Medicare eligibility and at least one eye care encounter were selected. We used semiparametric discrete time proportional hazards models to measure associations with incident dementia, and generalized estimating equations to examine longitudinal associations with depression, anxiety, and hallucinations, adjusting for baseline demographics and time-varying comorbidities.</p><p><strong>Results: </strong>Self-reported visual difficulty was associated with dementia (HR 1.16, 95% CI: 1.00-1.34), depression (OR 1.14, 95% CI: 1.04-1.26), anxiety (OR 1.17, 95% CI: 1.06-1.29), and hallucinations (OR 1.54, 95% CI: 1.29-1.84). Diabetic retinopathy was associated with depression (OR 1.31, 95% CI: 1.05-1.64), and cataracts were associated with a lower risk of depression (OR 0.84, 95% CI: 0.74-0.95) and anxiety (OR 0.86, 95% CI: 0.75-0.99). There were no other associations between age-related eye disease and neuropsychiatric outcomes.</p><p><strong>Conclusion: </strong>Self-reported visual difficulty is associated with dementia and other neuropsychiatric outcomes to a greater degree than age-related eye disease. These findings highlight the distinction between self-reported vision and clinically diagnosed eye disease with regard to health outcomes in older adults.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"103-111"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Colombian Ocular Diseases Epidemiology Study (CODES): Prevalence and Sociodemographic Characterization of Refractive Errors in Colombian Eye Care Consultations. 哥伦比亚眼科疾病流行病学研究(CODES):哥伦比亚眼科咨询中屈光不正的流行率和社会人口特征。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-03-25 DOI: 10.1080/09286586.2024.2330386
Germán Mejía-Salgado, Carlos Cifuentes-González, Laura Zarate-Pinzón, Luisa Fernanda Peña-Pulgar, William Rojas-Carabali, David Valdés-Arias, Danna Lesley Cruz, Alejandra de-la-Torre
{"title":"Colombian Ocular Diseases Epidemiology Study (CODES): Prevalence and Sociodemographic Characterization of Refractive Errors in Colombian Eye Care Consultations.","authors":"Germán Mejía-Salgado, Carlos Cifuentes-González, Laura Zarate-Pinzón, Luisa Fernanda Peña-Pulgar, William Rojas-Carabali, David Valdés-Arias, Danna Lesley Cruz, Alejandra de-la-Torre","doi":"10.1080/09286586.2024.2330386","DOIUrl":"10.1080/09286586.2024.2330386","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate the prevalence and demographic characteristics of uncorrected refractive errors (URE) in people who attended eye care consultations in Colombia between 2015 and 2019, using the National Health Registry data.</p><p><strong>Methods: </strong>We identified ICD codes for myopia (H-52.1), degenerative myopia (H-44.2), hyperopia (H-52.0), and astigmatism (H-52.2) from the Integrated Social Protection Information System. Crude prevalence rates by age and sex were calculated for the population attending eye care services during these years. Additionally, we developed a standardized morbidity map across county departments.</p><p><strong>Results: </strong>In Colombia, the prevalence of URE among eye care consultations was 30.26%, increasing from 30.39% in 2015 to 35.14% in 2019. Of the 1,579,778 cases analyzed, 60.9% were females. Astigmatism emerged as the most prevalent URE, predominantly seen in individuals under 40 years old. Myopia showed the highest prevalence in the 10-30 age group, whereas hyperopia was most prevalent in the first decade of life. Geographically, the Andean region recorded most of URE cases, while more remote areas have seen a rising morbidity risk in recent years.</p><p><strong>Conclusions: </strong>The rising trend of URE in Colombia and its demographic and geographical variations underscores the urgent need for health professionals and government authorities to acknowledge and address this issue. This study provides crucial insights into the refractive error landscape across the country, highlighting the necessity for prevention programs specifically designed to cater to the country's unique needs.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"52-60"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140288611","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}
引用次数: 0
Diagnostic Utility of Swept-Source OCT-Based Biometry and Fundus Photographs Compared to Spectral Domain OCT in Center-Involving Diabetic Macular Edema. 基于扫源 OCT 的生物测量和眼底照片与光谱域 OCT 相比在中心型糖尿病黄斑水肿中的诊断效用。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-05-06 DOI: 10.1080/09286586.2024.2338824
S Sanjana Chouhan, Vidya Neelamegam, Keerthana Raghu, R Janani Surya, Jothi Balaji Janarthanam, Chetan Rao, Ayushi Mohapatra, Rajiv Raman
{"title":"Diagnostic Utility of Swept-Source OCT-Based Biometry and Fundus Photographs Compared to Spectral Domain OCT in Center-Involving Diabetic Macular Edema.","authors":"S Sanjana Chouhan, Vidya Neelamegam, Keerthana Raghu, R Janani Surya, Jothi Balaji Janarthanam, Chetan Rao, Ayushi Mohapatra, Rajiv Raman","doi":"10.1080/09286586.2024.2338824","DOIUrl":"10.1080/09286586.2024.2338824","url":null,"abstract":"<p><strong>Purpose: </strong>This study was aimed to evaluate the agreement between the swept-source optical coherence tomography (SS-OCT)-based biometry, fundus photographs, and their combination, in comparison to the gold standard spectral-domain optical coherence tomography (SD-OCT) for the detection of center-involving diabetic macular edema (CI-DME).</p><p><strong>Methods: </strong>We conducted a retrospective cross-sectional study involving 55 subjects (78 eyes) diagnosed with diabetic macular edema (DME) detected clinically and on SD-OCT (Carl Zeiss Meditec AG). Post-mydriatic 45-degree color fundus photograph (Crystal-Vue NFC-700), 1 mm macular scan obtained from SS-OCT-based biometry (IOL-Master 700), and macula cube scan obtained from SD-OCT was used to detect and grade DME into CI-DME and NCI-DME.</p><p><strong>Results: </strong>Our findings revealed that SS-OCT-based biometry was noted to have a high sensitivity of 1 (0.94-1.00) and a specificity of 0.63 (0.31-0.89) in detecting CI-DME compared to the gold standard (SD-OCT). When combined with data from fundus photographs, specificity decreased to 0.32 (0.15-0.53). Fundus photographs alone exhibited a low sensitivity of 0.52 (0.38-0.64) and a specificity of 0.45 (0.16-0.76) in CI-DME detection.</p><p><strong>Conclusion: </strong>In conclusion, SS-OCT-based biometry can be used as an effective tool for the detection of CI-DME in diabetic patients undergoing cataract surgery and can serve as a screening tool in centers without SD-OCT facilities.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"95-102"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862163","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}
引用次数: 0
Prevalence and Risk Factors of Age-Related Macular Degeneration in South Korea: Korea National Health and Nutrition Examination Survey. 韩国老年性黄斑变性的患病率和风险因素:韩国国民健康与营养调查》。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-03-20 DOI: 10.1080/09286586.2024.2321892
Mi Yeon Song, Yeji Kim, Kyungdo Han, Jae Hui Kim
{"title":"Prevalence and Risk Factors of Age-Related Macular Degeneration in South Korea: Korea National Health and Nutrition Examination Survey.","authors":"Mi Yeon Song, Yeji Kim, Kyungdo Han, Jae Hui Kim","doi":"10.1080/09286586.2024.2321892","DOIUrl":"10.1080/09286586.2024.2321892","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the prevalence and risk factors of age-related macular degeneration (AMD) in the Korean population.</p><p><strong>Methods: </strong>In this cross-sectional study based on the Korea National Health and Nutrition Examination Survey (2017-2020) data 13,737 participants aged ≥ 40 years with assessable fundus images were included. The prevalence and risk factors of AMD were evaluated. The prevalence of early AMD, geographic atrophy (GA), and neovascular AMD were also assessed. Logistic regression analyses were used to identify risk factors.</p><p><strong>Results: </strong>The prevalence (95% confidence interval [CI]) of AMD was 13.94% (13.15-14.72). The prevalence (95% CI) of early AMD, GA, and neovascular AMD was 13.07% (12.29-13.85), 0.26% (0.17-0.35), and 0.61% (0.47-0.75), respectively. The prevalence increased with age; it was 3.61%, 11.33%, 20.31%, 31.37%, and 33.98% in participants in their 40s, 50s, 60s, 70s, and ≥ 80 years, respectively. In multivariate analysis, AMD was positively associated with older age (<i>p</i> < 0.001; odds ratio [OR], 1.08; 95% CI, 1.07-1.09), male sex (<i>p</i> = 0.014; OR, 1.27; 95% CI, 1.05-1.53), and lower degree of education (<i>p</i> < 0.001; OR, 1.36 (for junior high school graduates); 95% CI, 1.12-1.65).</p><p><strong>Conclusions: </strong>AMD was detected in approximately one-third of individuals aged ≥ 70 years, thus indicating that AMD is a common disease among older Koreans. Regular fundus examinations in populations with risk factors for AMD as well as education on methods to prevent or delay AMD progression, such as the Mediterranean diet, are necessary.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"34-43"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140175816","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}
引用次数: 0
Improving Access to Eye Care Through Community Health Screenings Using Artificial Intelligence. 利用人工智能通过社区健康筛查改善眼科保健的可及性。
IF 1.7 4区 医学
Ophthalmic epidemiology Pub Date : 2025-02-01 Epub Date: 2024-02-21 DOI: 10.1080/09286586.2024.2317838
Bhakti Panchal, Samuel Asanad, Rana Malek, Kashif Munir, Lisa S Schocket
{"title":"Improving Access to Eye Care Through Community Health Screenings Using Artificial Intelligence.","authors":"Bhakti Panchal, Samuel Asanad, Rana Malek, Kashif Munir, Lisa S Schocket","doi":"10.1080/09286586.2024.2317838","DOIUrl":"10.1080/09286586.2024.2317838","url":null,"abstract":"<p><strong>Purpose: </strong>To the best of our knowledge, implementation of artificial intelligence (AI)-based vision screening in community health fair settings has not been previously studied. This prospective cohort study explored the incorporation of AI in a community health fair setting to improve access to eyecare.</p><p><strong>Methods: </strong>Vision screening was implemented during a community health fair event using an AI-based non-mydriatic fundus camera. In addition, a questionnaire was provided to survey the various barriers to eyecare and assess eye health literacy.</p><p><strong>Results: </strong>A total of 53 individuals were screened at this event. Notably, about 88% of participants had follow-up appointments scheduled accordingly with an approximate 62% attendance rate. The most reported barrier to eyecare was lack of health insurance followed by transportation.</p><p><strong>Conclusion: </strong>The addition of AI-based vision screening in community health fairs may ultimately help improve access to eye care.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"121-123"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913167","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}
引用次数: 0
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