在加利福尼亚州的医疗保险受益者中,视会增加玻璃眼风险
Martin Ramirez1, Ying Zheng2, Victoria L Tseng2
1David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
American journal of ophthalmology
|December 19, 2025
概括
,包括,垂直,等向性和异向性,显著增加了老年人发展初级开角青光眼 (POAG) 和正常张力青光眼 (NTG) 的几率. 需要进一步的研究来理解这些关联.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
背景情况:
- ,一种眼睛不对齐的疾病,影响着相当一部分人群.
- 玻璃眼,不可逆转的失明的主要原因,包括各种亚型,包括初级开角玻璃眼 (POAG) 和正常张力玻璃眼 (NTG).
研究的目的:
- 调查加利福尼亚医疗保险受益人之间不同类型的偏和玻璃眼之间的关系.
- 量化眼与POAG和NTG的流行率之间的关联.
主要方法:
- 一项横截面研究分析了2019年65岁及以上的加利福尼亚医疗保险受益人,其中包括A和B部分.
- 使用国际疾病分类第十次修订 (ICD-10) 代码识别了子症亚型 (,垂直,等向性,异向性) 和青光眼亚型 (POAG,NTG).
- 多变量后勤回归模型调整为人口因素,折射误差和系统性疾病负担 (查尔森并发症指数).
主要成果:
- 该研究包括超过270万受益者,其中8%患有青光眼,1%患有.
- 性偏与78%的POAG几率增加和175%的NTG几率增加有关.
- 垂直偏,等向性和外向性也与POAG和NTG的几率增加有显著的关联,POAG的几率比率为1.80至2.70,NTG的几率比率为2.75至3.03.
结论:
- 所有已识别的偏子类型都与研究的医疗保险人群中POAG和NTG的更高几率有显著的关联.
- 这些发现突出了眼睛对齐障碍和青光眼的发展之间的潜在联系.
- 需要进一步的研究来阐明潜在的机制,并为患有斜视症的人提供青光眼查和管理策略.
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