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印度与角膜不透明相关的失明和视力障碍的负担
Vivek Gupta1, Praveen Vashist2, Sukumara Sarath2
1Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India drvivek.gupta@gmail.com.
The British journal of ophthalmology
|January 30, 2025
概括
在印度,角膜不透明导致严重的失明和视力损伤,特别是在老年人中. 识别流行病学风险对于有效的眼睛健康规划和干预策略至关重要.
科学领域:
- 眼科和公共卫生.
- 视力障碍的流行病学
背景情况:
- 在全球范围内,角膜不透明 (CO) 是可避免失明和视力损伤 (VI) 的重要原因.
- 了解目前印度CO相关VI的负担和流行病学决定因素对于公共卫生倡议至关重要.
研究的目的:
- 确定印度因角膜不透明而导致的失明和VI的全国性流行和负担.
- 确定与印度人口不同年龄组的角膜不透明相关的关键流行病学因素.
主要方法:
- 一个全国性的,横截面的,基于人口的调查,使用可避免失明的快速评估 (RAAB) V.6方法.
- 数据来自37个地区的85,135名50岁以上的参与者和13,695名0-49岁的参与者.
- 使用国际疾病分类 - - 温和/早期VI (EVI),中度至重度VI (MSVI) 和失明的11个值来估计VI的患病率和负担.
主要成果:
- 由于CO造成的可避免失明的患病率在≥50岁的人群中为17.1/10,000,在0-49岁的人群中为3.39/10,000.
- 累计可避免的MSVI或CO导致的失明影响26.9/10,000 (≥50岁) 和8.32/10,000 (0-49岁).
- 与CO相关的MSVI或失明的更高患病率与年龄增长和较低的教育水平有关;在东北部地区观察到更低的患病率.
结论:
- 角膜不透明造成印度严重的失明和视力障碍,不成比例地影响老年人群.
- 鉴定的流行病学风险因素为国家眼睛健康计划中的干预措施优先考虑提供了基础.
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