Prevalence and Risk Factors of Pterygium in a Southwestern Island of Japan: The Kumejima Study
Prevalence and Risk Factors of Pterygium in a Southwestern Island of Japan: The Kumejima Study
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DOI：
10.1016/j.ajo.2009.06.006
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发表时间：
2009-11-01
影响因子：
4.2
通讯作者：
Araie, Makoto
中科院分区：
文献类型：
--
作者：
Shiroma, Hiroki;Higa, Akiko;Araie, Makoto
目得：确定日本久米岛40岁以上人群翼状胬肉的患病率和危险因素。设计：横断面，基于人群的研究。方法：位于日本西南部的久米岛的所有居民（东经126度48英尺，北纬北方26度20英尺），结果：在4,632名居民中，有3,762人（81.2%）进行了眼科检查。15例受试者无法确定是否存在翼状胬肉。在3，747例合格受试者中，1，154例（30.8%; 95%置信区间[CI]，29.3%-32.3%）至少1只眼患有翼状胬肉，491例受试者（13.1%; 95% CI，12.1%-14.3%）双眼均患有翼状胬肉。在logistic回归分析中，（P < .001），男性（P = .024），远视屈光（P = .001），较低的眼内压（P = 0.002）和户外工作经验（P < .001）与翼状胬肉的高风险独立相关。在久米岛40岁及以上的日本成年人中，翼状胬肉的患病率为30.8%。年龄较大、男性、远视屈光、低眼压和户外工作史与翼状胬肉的高风险独立相关。(Am J Ophthalmol 2009;148：766-771. (C)2009年，Elsevier Inc.版权所有© 2016
PURPOSE: To determine the prevalence and risk factors for pterygium in a Japanese population aged 40 years or older on Kumejima Island, Japan.DESIGN: Cross-sectional, population-based study.METHODS: All residents of Kumejima Island, Japan, located in Southwestern Japan (Eastern longitude 126 degrees, 48 feet and Northern latitude 26 degrees, 20 feet), aged 40 years and older were asked to undergo a comprehensive questionnaire and ocular examination.RESULTS: Of the 4,632 residents, 3,762 (81.2%) underwent the examination. The presence of pterygium could not be determined in 15 subjects. Of the 3,747 eligible subjects, 1,154 (30.8%; 95% confidence interval [CI], 29.3% to 32.3%) had pterygium in at least 1 eye and 491 subjects (13.1%; 95% CI, 12.1% to 14.3%) had pterygium in both eyes. In the logistic regression analysis, older age (P < .001), male gender (P = .024), hyperopic refraction (P = .001), lower intraocular pressure (P = .002), and outdoor job experience (P < .001) were independently associated with a higher risk of pterygium.CONCLUSION: The prevalence of pterygium is 30.8% among adult Japanese aged 40 years and older in Kume, jima. Older age, male gender, hyperopic refraction, lower intraocular pressure, and outdoor job history were independently associated with a higher risk of pterygium. (Am J Ophthalmol 2009;148:766-771. (C) 2009 by Elsevier Inc. All rights reserved.)