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

查看全文 作　　者：Joshua [1,2]Foreman;Stuart [1,2]Keel;Myra B [1,2]McGuinness;Jonathan G [1,2]Crowston;Hugh R [3]Taylor;Mohamed [1,4]Dirani 高影响力作者 机构地区：[1]Centre for Eye Research Australia,the Royal Victorian Eye&Ear Hospital,Victoria 3002,Melbourne,Australia;[2]Ophthalmology,Department of Surgery,the University of Melbourne,Victoria 3010,Melbourne,Australia;[3]Indigenous Eye Health Unit,Melbourne School of Population and Global Health,the University of Melbourne,Victoria 3010,Melbourne,Australia;[4]Singapore Eye Research Institute,Singapore National Eye Centre,168751,Singapore高影响力机构 出　　处：《International Journal of Ophthalmology(English edition)》索引2020年第13卷第10期,共10页高影响力期刊 基　　金：Supported by Department of Health of the Australian Government,Novartis Australia and the Peggy and Leslie Cranbourne Foundation;The Principal Investigator,Dr Mohamed Dirani,is supported by an NHMRC Career Development Fellowship(No.1090466);supported by an Australian Postgraduate Award scholarship。 摘　　要：AIM:To determine the prevalence and associations of non-retinopathy ocular conditions among older Australian adults with diabetes.METHODS: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 Australia.Participants underwent a standardised questionnaire to ascertain diabetes history,and a clinical examination to identify eye disease.We 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 diabetes.RESULTS: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 diabetes.However,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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