Prevalence and characteristics of peripheral myopic retinopathy in Guangzhou office workers
Prevalence and characteristics of peripheral myopic retinopathy in Guangzhou office workers
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广州市上班族周围性近视视网膜病变患病率及特点
DOI：
10.18240/ijo.2018.08.22
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发表时间：
2018-08-18
影响因子：
1.4
通讯作者：
Zhang, Shao-Chong
中科院分区：
文献类型：
--
作者：
Zhang, Ting;Wei, Yan-Tao;Zhang, Shao-Chong
目的：确定周围性近视视网膜病变的患病率和特点在广州办公室workers.METHODS样本：广州中国办公室工作在不同部门和单位的广州供电局，中国，在2016年的横断面研究。近视性视网膜病变的记录和分析与扫描激光检眼镜和裂隙灯显微镜结合三镜接触透镜。结果：在总数，1910眼955名受试者（508名女性和447名男性），年龄在21- 59岁;这些眼睛的69.6%是近视。近视组年龄较小，裸眼视力和最佳矫正视力较远视组和正视组差（P< 0.001）。近视组眼轴长（AL）、等效球镜（SE）、视神经新月形（Crescent）均明显大于远视组和正视组。近视眼尤其是高度近视眼视网膜18改变的发生率最高（49.4%，P< 0.001）[白无压（43.8%，P< 0.001），格子样变性（4.5%，P= 0.044）]。Logistic回归证实，任何近视（OR：3.41，P< 0.001）[轻度近视（OR：1.93，P= 0.001），中度近视（OR：3.64，P< 0.001），高度近视（OR：10.58，P< 0.001）]，更大的AL（OR：1.55，P< 0.001），SE明显高于对照组（OR：0.77，P< 0.001）增加周边视网膜病变的风险。近视相关的视网膜改变与更大的AL、更高的SE和近视呈正相关。
AIM: To determine the prevalence and characteristics of peripheral myopic retinopathy among a sample of Guangzhou office workers.METHODS: A cross-sectional study of Guangzhou Chinese office works in different departments and units of the Guangzhou Power Supply Bureau, China, in 2016. Myopic retinopathy was recorded and analyzed with a scanning laser ophthalmoscope and by slit-lamp microscopy combined with a three-mirror contact lens.RESULTS: In total, 1910 eyes of 955 subjects (508 females and 447 males) aged 21-59y were included; 69.6% of these eyes were myopic. The myopia group had a younger age and worse uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA) when compared with hyperopia and emmetropia groups (P< 0.001). The axial length (AL) was significantly longer, the spherical equivalent (SE) was more serious, and the optic nerve crescent was significantly larger in subjects with myopia than with hyperopia and emmetropia. Subjects with myopia, and especially high myopia, had the highest frequency of myopic retinal 18 changes (49.4%, P< 0.001) [white-without-pressure (43.8%, P< 0.001), lattice degeneration (4.5%, P= 0.044)] among the three groups. Logistic regression confirmed that any myopia (OR: 3.41, P< 0.001) [mild myopia (OR: 1.93, P= 0.001), moderate myopia (OR: 3.64, P< 0.001), and high myopia (OR: 10.58, P< 0.001)], a greater AL (OR: 1.55, P< 0.001) and a much higher SE (OR: 0.77, P< 0.001) increased the risk for peripheral retinal changes.CONCLUSION: Myopia-related retinal changes are positively associated with greater AL, higher SE, and myopia.