■为了调查患病率,相关因素,在以成年日本人群为基础的队列中,近视和散光的眼间差异。
■来自东北医学Megabank组织眼科研究(ToMMo眼科研究)的4282名参与者接受了全面的眼部检查以及广泛的生理测试和生活方式问卷。获得球面当量(SE)和圆柱功率作为折射参数。高度近视的年龄和性别分层患病率(SE<-5D),近视(SE<-0.5D),远视(SE>0.5D),散光(气缸功率<-0.5D),计算屈光参差(SE差>1D)。进行多变量分析以确定屈光不正(RE)的相关因素。还研究了RE的眼间差异的分布和相关因素。
■高度近视的年龄调整患病率,近视,远视,散光,屈光参差为15.9%,63.5%,14.7%,51.1%,和14.7%,分别。近视和高度近视在年轻年龄组中更为普遍,而散光在年龄较大的人群中更为普遍。年龄,教育,血压,眼内压,角膜厚度与近视屈光度显著相关。年龄,性别,眼内压,角膜厚度与散光有关。年龄较大与违规散光有关。年纪大了,近视,和更长的教育时间与SERE的眼间差异显着相关。
■这项研究表明,日本年轻人的近视患病率很高,这可能是由世代相传造成的。这项研究还证实了年龄和教育程度对RE的患病率和眼间差异的影响。
UNASSIGNED: To investigate the prevalence, associated factors, and inter-eye differences of myopia and astigmatism in an adult Japanese population-based cohort.
UNASSIGNED: A total of 4282 participants from the Tohoku Medical Megabank Organization Eye
Study (ToMMo Eye
Study) underwent comprehensive ocular examinations as well as extensive physiological tests and a lifestyle questionnaire. The spherical equivalent (SE) and cylinder power were obtained as refractive parameters. The age- and gender-stratified prevalences of high myopia (SE < -5D), myopia (SE < -0.5D), hyperopia (SE > 0.5D), astigmatism (cylinder power < -0.5D), and
anisometropia (SE difference >1D) were calculated. Multivariable analyses were performed to identify associated factors for refractive error (RE). Distribution and associated factors of the inter-eye difference in RE were also investigated.
UNASSIGNED: The age-adjusted prevalence of high myopia, myopia, hyperopia, astigmatism, and
anisometropia was 15.9%, 63.5%, 14.7%, 51.1%, and 14.7%, respectively. Both myopia and high myopia were more prevalent in the younger age group, while astigmatism was more prevalent in the older age group. Age, education, blood pressure, intraocular pressure, and corneal thickness are significantly associated with myopic refraction. Age, gender, intraocular pressure, and corneal thickness are correlated with astigmatism. Older age was associated with against-the-rule astigmatism. Older age, myopia, and longer education showed a significant correlation with large inter-eye differences in SERE.
UNASSIGNED: This
study demonstrated the high prevalence of myopia in young Japanese, which may be caused by a generational shift. This study also confirmed the influence of age and education on both the prevalence and inter-eye differences of RE.