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Prevalence and Associations of Epiretinal Membranes in a Rural Chinese Adult Population: The Handan Eye Study

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机构： [1]Beijing Tongren Eye Center, Beijing Tongren Hospital,Capital Medical University, Beijing Ophthalmology and Visual SciencesKey Lab, Beijing, China [2]Handan Eye Hospital, Hebei Province,China [3]Wilmer Eye Institute, Johns Hopkins University, Baltimore,Maryland [4]Department of International Health, Johns HopkinsBloomberg School of Public Health, Baltimore, Maryland [5]Centrefor Eye Research Australia, University of Melbourne, Melbourne, Australia [6]Centre for Vision Research, University of Sydney, Sydney,Australia [7]Department of Epidemiology and Biostatistics, School ofPublic Health, Peking University, Beijing, China [8]Singapore EyeResearch Institute, Singapore National Eye Centre, Singapore [9]Department of Ophthalmology, Yong Loo Lin School of Medicine,National University of Singapore, Singapore

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PURPOSE. To determine the prevalence and association of epiretinal membranes (ERMs), as assessed by retinal photography and optical coherence tomography (OCT), in a Chinese population. METHODS. The Handan Eye Study is a population-based study of eye disease in rural Chinese aged 30+ years. Eligible residents underwent a detailed ophthalmic examination including retinal photography and Stratus OCT. ERMs were defined by a combination of retinal photographs and OCT and classified as cellophane macular reflex (CMR) or preretinal macular fibrosis (PMF) based on retinal photographs characteristics. RESULTS. Of the 6830 persons examined, 6565 (96.1%) had gradable retinal photographs and/or OCT. The mean age was 51.7 +/- 11.6 years. ERMs were present in 3.4% (95% CI: 2.9% +/- 3.8%) of participants, bilateral in 20.3% of the cases. CMR was present in 2.2% and PMF in 0.7%, and ERMs were unclassified in 0.5% (detected by OCT only). ERM prevalence was similar in women and men (3.6% vs. 3.1%), strongly associated with increasing age (P for trend < 0.001). After adjustment for age and sex, primary ERM was associated positively with myopia (OR: 1.58, 95% CI: 1.12- 2.23) and inversely with current smoking (OR: 0.61, 95% CI: 0.38 - 0.97, versus never smoked). Best corrected visual acuity was significantly worse in eyes with primary ERMs (mean LogMAR score lower by 0.07, 95% CI: 0.05-0.10) than eyes without ERMs, after adjustment for age, sex, and lens status. CONCLUSIONS. ERMs affect 3.4% of the population 30+ years of age and living in rural China. Idiopathic ERMs were associated with myopia, decreased visual acuity, and inversely associated with smoking. (Invest Ophthalmol Vis Sci. 2009;50:2018-2023) DOI:10.1167/iovs.08-2624

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出版当年[2008]版：

大类 | 2 区

医学

小类 | 2 区眼科学

最新[2025]版：

大类 | 2 区医学

小类 | 2 区眼科学

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出版当年[2007]版：

Q1 OPHTHALMOLOGY

最新[2024]版：

Q1 OPHTHALMOLOGY

影响因子： 4.7 最新[2024版] 4.9 最新五年平均 3.528 出版当年[2007版] 3.832 出版当年五年平均 3.766 出版前一年[2006版] 3.582 出版后一年[2008版]

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第一作者机构： [1]Beijing Tongren Eye Center, Beijing Tongren Hospital,Capital Medical University, Beijing Ophthalmology and Visual SciencesKey Lab, Beijing, China

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通讯机构： [1]Beijing Tongren Eye Center, Beijing Tongren Hospital,Capital Medical University, Beijing Ophthalmology and Visual SciencesKey Lab, Beijing, China [*1]Beijing Tongren Eye Center,Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Sciences Key Lab, No. 1 Dongjiao Min Xiang, DongchengDistrict, Beijing 100730, China

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