Possible association between heavy computer users and glaucomatous visual field abnormalities: a cross sectional study in Japanese workers
Possible association between heavy computer users and glaucomatous visual field abnormalities: a cross sectional study in Japanese workers
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大量使用电脑与青光眼视野异常之间可能存在的关联：一项针对日本工人的横断面研究
DOI：
10.1136/jech.2003.018127
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发表时间：
2004
影响因子：
6.3
通讯作者：
Minoru Sugita
中科院分区：
文献类型：
--
作者：
M. Tatemichi;T. Nakano;Katsutoshi Tanaka;T. Hayashi;T. Nawa;T. Miyamoto;H. Hiro;Minoru Sugita
研究目的：研究电脑使用与视野异常（VFA）之间的关系，并评估重度电脑使用者是否增加了青光眼的风险。设计：横断面多中心研究。研究对象和观察程序：随机选取日本工人10202人（平均（SD）年龄43.2（9.8）岁），除进行一般体格检查外，还采用倍频技术（FDT-VFA）筛查VFA。他们的电脑使用情况和屈光不正情况分别通过问卷调查和访谈获得。主要结果：FDT检测结果显示，FDT- vfa阳性522例，阴性8602例。关于FDT-VFA的风险，计算机使用与屈光不正之间存在显著的相互作用（p = 0.004）。在分层分析中，有屈光不正的重度计算机用户与FDT-VFA呈显著正相关(优势比（OR) = 1.74, 95%可信区间（CI） 1.28 ~ 2.37），而没有屈光不正的计算机用户则无显著正相关。165名眼科诊断为青光眼的受试者与2918名对照者的比较显示，重度电脑使用者伴有屈光不正的青光眼的OR为1.82 （95% CI 1.06 ~ 3.12）。在165例青光眼患者中，有141例屈光不正，尤其是近视（136例，96.4%）。结论：尽管本研究存在局限性，例如其横断面设计，但有屈光不正的重度电脑使用者似乎有增加的FDT-VFA风险。青光眼可能与潜在疾病有关，近视是FDT-VFA的危险因素。
Study objective: To study the association between computer use and visual field abnormalities (VFA) and to assess whether heavy computer users have an increased risk of glaucoma. Design: Cross sectional multicentre study. Subjects and observation procedures: A total of 10 202 randomly selected Japanese workers (mean (SD) age 43.2 (9.8) years) were screened for VFA using the frequency doubling technology perimetry (FDT-VFA), in addition to undergoing a general medical check up, and then ophthalmologically examined. Information about their computer use and refractive errors was obtained from a questionnaire and interview, respectively. Main results: As a result of FDT test, 522 and 8602 subjects were positive and negative for FDT-VFA, respectively. A significant (p = 0.004) interaction was found between computer use and refractive errors regarding the risk of FDT-VFA. In stratified analysis, heavy computer users with refractive errors showed a significant positive association with FDT-VFA (odds ratio (OR) = 1.74, 95% confidence interval (CI) 1.28 to 2.37), while those without refractive errors did not. Comparison of 165 subjects with an ophthalmological diagnosis of glaucoma and 2918 controls showed that the OR for glaucoma of heavy computer users with refractive errors was 1.82 (95% CI 1.06 to 3.12). Of 165 subjects with glaucoma, 141 had refractive errors, especially myopia (96.4%, 136 of 141). Conclusions: Although there are limitations to this study, such as its cross sectional design, heavy computer users with refractive errors seem to have an increased risk of FDT-VFA. Glaucoma might be involved in an underlying disease and myopia in a risk factor for FDT-VFA.
影响因子：
5
作者：
TIELSCH, JM;KATZ, J;SOMMER, A
通讯作者：
SOMMER, A