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在伊朗老年人群中,使用光谱域光学连贯性断层扫描对视网膜膜的流行病学

Hassan Hashemi, Payam Nabovati¹, Mohammadreza Aghamirsalim²

¹Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Optometry and vision science : official publication of the American Academy of Optometry

|January 10, 2025

概括

在伊朗老年人中,原发性视网膜的患病率为4.7%. 风险因素包括后部玻璃体脱落,年龄和糖尿病的相互作用,以及较低的教育水平.

科学领域:

眼科医生眼科眼科
流行病学流行病学

背景情况:

视网膜 (ERM) 影响临床管理和疾病的理解.
缺乏关于ERM的流行病学数据,特别是来自非洲和中东的数据.

研究的目的:

在伊朗老年人群中确定视网膜膜 (ERM) 的患病率和危险因素.
利用光谱域光学连贯性断层扫描 (OCT) 进行准确的ERM诊断.

主要方法:

在伊朗德黑兰,对1298名60岁以上的个人进行了基于人口的研究.
包括视力敏度,折射,裂纹灯生物显微镜和OCT成像.
由视网膜专家使用 Spectralis OCT.诊断的 ERM.

主要成果:

ERM的流行率为6.0%,主要ERM为4.7%,次要ERM为10.1%.
初级ERM的主要危险因素包括后部玻璃体脱落 (OR 2.89),以及年龄与糖尿病之间的相互作用 (OR 1.09).
在初级ERM流行率和教育年数 (OR 0.91) 之间观察到显著的反向关系.

结论:

在德黑兰老年人口中,初级ERM的患病率低于之前报告的水平.
后部玻璃体脱落,年龄与糖尿病的相互作用,以及较低的教育程度是主要ERM的风险因素.

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