Patient Awareness of Cataract and Age-related Macular Degeneration among the Korean Elderly: A Population-based Study
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Purpose: Age-related eye disease is often considered part of natural aging. Lack of awareness of eye conditionscan result in missed treatment. We investigated the rates of awareness of cataract and age-relatedmacular degeneration, the most common age-related eye-diseases, and the associated factors among elderlyKoreans. Methods: We identified 7,403 study subjects (≥40 years old) with cataract or age-related macular degenerationbased on ophthalmic examination results during the 5th Korean National Health and Nutrition ExaminationSurvey conducted between 2010 and 2012. We assessed whether patients were aware of their eye conditionbased on a previous diagnosis by a physician. Results: The average awareness rate over the 3-year study period was 23.69% in subjects with cataract and1.45% in subjects with age-related macular degeneration. Logistic regression analysis showed that patientswith cataract were more likely to recognize their condition if they had myopia (odds ratio, 2.08), hyperopia(odds ratio, 1.33), family history of eye disease (odds ratio, 1.44), or a past eye examination (odds ratio, 4.07-29.10). The presence of diabetes mellitus was also a significant predictor of patient awareness of cataract(odds ratio, 1.88). Conclusions: Poor patient recognition of eye disease among the Korean elderly highlights the seriousness ofthis potential public health problem in our aging society. Pre-existing eye-related conditions and diabeteswere significant predictors of awareness; therefore, patients in frequent contact with their doctors have agreater chance of detecting eye disease.
Abstract
Purpose: Age-related eye disease is often considered part of natural aging. Lack of awareness of eye conditionscan result in missed treatment. We investigated the rates of awareness of cataract and age-relatedmacular degeneration, the most common age-related eye-diseases, and the associated factors among elderlyKoreans. Methods: We identified 7,403 study subjects (≥40 years old) with cataract or age-related macular degenerationbased on ophthalmic examination results during the 5th Korean National Health and Nutrition ExaminationSurvey conducted between 2010 and 2012. We assessed whether patients were aware of their eye conditionbased on a previous diagnosis by a physician. Results: The average awareness rate over the 3-year study period was 23.69% in subjects with cataract and1.45% in subjects with age-related macular degeneration. Logistic regression analysis showed that patientswith cataract were more likely to recognize their condition if they had myopia (odds ratio, 2.08), hyperopia(odds ratio, 1.33), family history of eye disease (odds ratio, 1.44), or a past eye examination (odds ratio, 4.07-29.10). The presence of diabetes mellitus was also a significant predictor of patient awareness of cataract(odds ratio, 1.88). Conclusions: Poor patient recognition of eye disease among the Korean elderly highlights the seriousness ofthis potential public health problem in our aging society. Pre-existing eye-related conditions and diabeteswere significant predictors of awareness; therefore, patients in frequent contact with their doctors have agreater chance of detecting eye disease.
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