50 岁及以上成年人白内障致盲和白内障手术后视觉效果的变化趋势:马来西亚全国眼科调查的结果

IF 2 Q2 OPHTHALMOLOGY
Mohamad Aziz Salowi, Nyi Nyi Naing, Norasyikin Mustafa, Wan Radziah Wan Nawang, Siti Nurhuda Sharudin, Nor Fariza Ngah
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引用次数: 0

摘要

背景/目的 要测量社区白内障致盲率,需要进行人口调查。我们于 2023 年在马来西亚的两个地区同时进行了调查,以估算未经治疗的白内障患病率,测量白内障手术后的视觉效果,并将结果与 2014 年的调查进行比较。方法 采用可避免失明快速评估技术,在东部和沙捞越行政区进行调查。调查采用多阶段群组抽样法,每个群组由 50 名 50 岁及以上的居民组成。白内障患病率是通过视力检查和眼部检查确定的。对接受过白内障手术的人的视力进行了测量,并将测量结果与上次调查进行了比较。结果 共有 9709 名 50 岁及以上的受试者接受了检查(东部地区和沙捞越地区的回复率分别为 94.5%和 96.2%)。与 2014 年的上一次调查相比,本次调查的白内障患病率在各级手术阈值(除东部地区单侧视力<6/60 和<6/18)均有所下降。在两个地区,视力良好(6/12)的白内障手术视觉效果百分比有所提高,视力不良(<6/60)的百分比有所降低。结论 两个地区的白内障发病率都有所下降,视觉效果也有所改善。这些良好的结果可归功于手术效果监测措施和 2014 年调查后不久实施的社区白内障计划。如有合理要求,可提供相关数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changing trend of cataract blindness and visual outcomes after cataract surgery in adults aged 50 years and older: findings from the national eye surveys in Malaysia
Background/aims Population surveys are required to measure the prevalence of cataract blindness in the community. We conducted simultaneous surveys in two regions in Malaysia in 2023 to estimate the prevalence of untreated cataract, measure the visual outcomes after cataract surgery and compare the results with the survey in 2014. Methods The surveys were done in Eastern and Sarawak administrative regions using the rapid assessment of avoidable blindness technique. It involved a multistage cluster sampling method, each cluster comprising 50 residents aged 50 years and older. The prevalence of cataract was determined through a visual acuity (VA) check and eye examination. The VA of those who had undergone cataract surgery was measured, and the findings were compared with the previous survey. Results A total of 9709 subjects, 50 years old and older, were examined (percentages of response were 94.5% and 96.2% for Eastern and Sarawak, respectively). Comparing the current to the previous survey in 2014, the prevalence of cataract at all levels of surgical thresholds (except unilateral VA <6/60 and <6/18 in the Eastern) was reduced. The percentages of cataract surgery visual outcomes with good VA (6/12) were improved, and those with poor VA (<6/60) were reduced in both regions. Conclusion There was a reduction in cataract prevalence and improved visual outcomes in both regions. These favourable results could be attributed to the surgical performance monitoring initiatives and the community cataract programme implemented soon after the survey in 2014. Data are available upon reasonable request.
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来源期刊
BMJ Open Ophthalmology
BMJ Open Ophthalmology OPHTHALMOLOGY-
CiteScore
3.40
自引率
4.20%
发文量
104
审稿时长
20 weeks
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