Cataracts among Adults Aged 30 to 49 Years: A 10-Year Study from 1995 to 2004 in Korea
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Purpose: To investigate the long-term characteristics of cataracts among adults aged 30 to 49 years in Korean over a span of 10 years. Methods: Subjects between the ages of 30 to 49 years who underwent cataract surgery at St. Mary’s Hospital from 1995 to 2004 (n = 976) were included. Patients with a history of ocular trauma, uveitis, other ocular or systemic diseases, and congenital cataracts were excluded. Additional information including type of lens opacity, urban/rural region, and pre- and postoperative visual acuities were analyzed. Lens opacity grading was conducted using Lens Opacity Classification System III. The Cochran-Armitage proportion trend test was used to analyze vision changes with the passage of time. Results: Among the patients who had undergone cataract surgeries, 8.8% (976 / 11,111) met the inclusion criteria. The mean age was 41.7 ± 5.45 years. Gender breakdown of the patient population included 79.0% male and 21.0% female. In terms of home environment, 60.9% were from an urban region and 39.1% from a rural region. Opacity type included anterior polar (AP), posterior subcapsular (PSC), AP and PSC, cortical, and nuclear in 35.7%, 35.1%, 7.0%, 6.0%, and 5.4% of patients, respectively. At a 2-month postoperative follow-up appointment, 92.7% of patients showed a best-corrected visual acuity of more than 20 / 40. Conclusions: Predominance of AP and PSC opacities as well as male patients was observed in this study population.
Abstract
Purpose: To investigate the long-term characteristics of cataracts among adults aged 30 to 49 years in Korean over a span of 10 years. Methods: Subjects between the ages of 30 to 49 years who underwent cataract surgery at St. Mary’s Hospital from 1995 to 2004 (n = 976) were included. Patients with a history of ocular trauma, uveitis, other ocular or systemic diseases, and congenital cataracts were excluded. Additional information including type of lens opacity, urban/rural region, and pre- and postoperative visual acuities were analyzed. Lens opacity grading was conducted using Lens Opacity Classification System III. The Cochran-Armitage proportion trend test was used to analyze vision changes with the passage of time. Results: Among the patients who had undergone cataract surgeries, 8.8% (976 / 11,111) met the inclusion criteria. The mean age was 41.7 ± 5.45 years. Gender breakdown of the patient population included 79.0% male and 21.0% female. In terms of home environment, 60.9% were from an urban region and 39.1% from a rural region. Opacity type included anterior polar (AP), posterior subcapsular (PSC), AP and PSC, cortical, and nuclear in 35.7%, 35.1%, 7.0%, 6.0%, and 5.4% of patients, respectively. At a 2-month postoperative follow-up appointment, 92.7% of patients showed a best-corrected visual acuity of more than 20 / 40. Conclusions: Predominance of AP and PSC opacities as well as male patients was observed in this study population.
참고문헌 (32)
- Hu TS, "Age-related cataract in the Tibet Eye Study", Arch Ophthalmol, 107, pp.666~669 (1989)
- Seah SK, "Prevalence of lens opacity in Chinese residents of Singapore : the tanjong pagar survey", Ophthalmology, 109, pp.2058~2064 (2002)
- West SK, "Racial differences in lens opacities : the Salisbury Eye Evaluation(SEE)project", Am J Epidemiol, 148, pp.1033~1039 (1998)
- Leske MC, "Prevalence of lens opacities in the Barbados Eye Study", Arch Ophthalmol, 115, pp.105~111 (1997)
- Sperduto RD, "The prevalence of nuclear, cortical, and posterior subcapsular lens opacities in a general population sample", Ophthalmology, 91, pp.815~818 (1984)
- Adamsons I, "Prevalence of lens opacities in surgical and general populations", Arch Ophthalmol, 109, pp.993~997 (1991)
- Klein BE, "Prevalence of age-related lens opacities in a population. The Beaver Dam Eye Study", Ophthalmology, 99, pp.546~552 (1992)
- Mitchell P, "Prevalence of cataract in Australia : the Blue Mountains eye study", Ophthalmology, 104, pp.581~588 (1997)
- Xu L, "Prevalence and risk factors of lens opacities in urban and rural Chinese in Beijing", Ophthalmology, 113, pp.747~755 (2006)
- Tsai SY, "Epidemiologic study of age-related cataracts among an elderly Chinese population in Shih-Pai, Taiwan", Ophthalmology, 110, pp.1089~1095 (2003)
- Husain R, "Prevalence of cataract in rural Indonesia", Ophthalmology, 112, pp.1255~1262 (2005)
- 송기준, "선별검사자료를 이용한 백내장 유병률의 추정", 대한안과학회지, 48(6), pp.768~773 (2007), 대한안과학회
- Kyung-Chul Yoon, "Prevalence of Eye Diseases in South Korea: Data from the Korea National Health and Nutrition Examination Survey 2008-2009", Korean Journal of Ophthalmology, 25(6), pp.421~433 (2011), 대한안과학회
- Zetterstrom C, "Cataracts in children", J Cataract Refract Surg, 31, pp.824~840 (2005)
- Jain IS, "Congenital cataract : etiology and morphology", J Pediatr Ophthalmol Strabismus, 20, pp.238~242 (1983)
- Bardelli AM, "Congenital and developmental cataracts and multimalformation syndromes", Ophthalmic Paediatr Genet, 10, pp.293~298 (1989)
- Cassidy L, "Congenital cataract and multisystem disorders", Eye, 13(3), pp.464~473 (1999)
- Sachdev N, "Anomalous bilateral lateral rectus muscles and anterior polar cataract with dysmorphic features", J AAPOS, 13, pp.319~321 (2009)
- Melamed J, "Ocular manifestations of congenital toxoplasmosis", Eye, 24, pp.528~534 (2010)
- Sharan S, "Congenital rubella cataract: a timely reminder in the new millennium?", Clin Experiment Ophthalmol, 34, pp.83~84 (2006)
- Chylack LT Jr, "The lens opacities classification system III : the Longitudinal Study of Cataract Study Group", Arch Ophthalmol, 111, pp.831~836 (1993)
- Hyojin Kim, "The Prevalence and Demographic Characteristics of Anterior Polar Cataract in a HospitalBased Study in Korea", Korean Journal of Ophthalmology, 22(2), pp.77~80 (2008), 대한안과학회
- 김효진, "전극부 백내장의 역학과 위험 인자에 관한 연구", 대한안과학회지, 44(3), pp.12~612 (2003), 대한안과학회
- Majima K, "Histopathological and cell biological analyses of the formation mechanism of anterior polar cataract", Ophthalmologica, 213, pp.34~39 (1999)
- Hess R, "Vision through cataracts", Invest Ophthalmol Vis Sci, 17, pp.428~435 (1978)
- Cinotti AA, "Evaluation of indications for cataract surgery", Ophthalmic Surg, 10, pp.25~31 (1979)
- Jaffe NS, "Glare and contrast : indications for cataract surgery", J Cataract Refract Surg, 12, pp.372~375 (1986)
- Koch DD, "Glare and contrast sensitivity testing in cataract patients", J Cataract Refract Surg, 15, pp.158~164 (1989)
- Neumann AC, "The relationship between cataract type and glare disability as measured by the Miller-Nadler glare tester", J Cataract Refract Surg, 14, pp.40~45 (1988)
- Stifter E, "Impairment of visual acuity and reading performance and the relationship with cataract type and density", Invest Ophthalmol Vis Sci, 46, pp.2071~2075 (2005)
- Stifter E, "Functional vision with cataracts of different morphologies : comparative study", J Cataract Refract Surg, 30, pp.1883~1891 (2004)
- McCarty CA, "The epidemiology of cataract in Australia", Am J Ophthalmol, 128, pp.446~465 (1999)
