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加拿大眼的流行:来自2016-2019年加拿大健康测量调查的结果

Ya-Ping Jin¹, Kiko Zi Yi Huang², Qingqing K Zhao³

¹Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Institute of Medical Science, University of Toronto, Toronto, ON, Canada.

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie

|September 23, 2024

概括

在40-79岁的加拿大人中,青光眼的患病率在定义的基础上从0.7%到10.3%不等. 显著的16.3%是青光眼疑似的,近40%的确定的青光眼病例未被诊断出来.

科学领域:

眼科医生眼科眼科
公共卫生公共卫生
流行病学流行病学

背景情况:

玻璃眼是全球不可逆转的失明的主要原因.
准确的流行数据对于加拿大的公共卫生规划和资源分配至关重要.

研究的目的:

为了估计加拿大40-79岁的成年人中青光眼的患病率.
确定有风险的子组,并评估人们对这种疾病的认识.

主要方法:

一项采用加拿大健康测量调查 (2016-2019) 数据的跨部门调查.
包括自我报告,视神经垂直杯与磁盘比率 (CDR),频率翻倍技术周边测量 (FDT) 和眼内压力 (IOP) 测量.
根据自我报告,CDR≥0.7,FDT失败或药物使用定义的青光眼;明确的青光眼和青光眼疑似患者进一步分类.

主要成果:

青光眼的患病率有所不同:自我报告为2.5%,CDR≥0.7为3.0%,FDT失败为10.3%.
确定的青光眼患病率为0.7%,而16.3%被归类为青光眼疑似患病.
在被怀疑患有青光眼的患者中,44.4%患有眼高血压 (OHT),而37.5%的确诊青光眼患者不知道自己的病情.

结论:

加拿大的青光眼患病率因使用的诊断标准而有很大差异.
在40-79岁的加拿大人口中,很大一部分人被怀疑患有青光眼或未被确诊的明确青光眼.
调查结果强调加拿大需要加强对玻璃眼瘤的查和宣传计划.

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