The Fred Hollows Foundation New Zealand, Auckland, New Zealand.
Clin Exp Ophthalmol. 2011 Jul;39(5):449-55. doi: 10.1111/j.1442-9071.2010.02477.x. Epub 2011 Feb 1.
To characterize cataract and its surgery among adults aged ≥40 years in Fiji.
Population-based cross-sectional survey using multistage cluster random sampling.
1381 (= 73.0% participation); eight provinces on Viti Levu.
Interview-based questionnaire; visual acuity measured; autorefraction; dilated ocular examination.
Prevalence; predictors; surgical outcomes.
Being Indian (P = 0.001), elderly (P < 0.001), and previous/current smoker (P = 0.036) were predictive of at least one unoperated vision-impairing or operated cataract. Gender (P = 0.062) and diabetes (P = 0.384) were not. Unoperated cataract (predominantly nucleosclerosis) was the second most frequent (25.0%) cause of low vision (<6/18, ≥6/60) and commonest (71.1%) of blindness (<6/60). Ethnicity-gender-age-domicile adjusted and extrapolating to the Fiji population aged ≥40 years, prevalence of cataract-induced low vision and blindness were each 1.7% (95% confidence interval [CI] 1.0-2.4%). At least one eye of 4.6% and both of 1.8% participants had surgery (86.4% extracapsular). Gender (P = 0.213), age (P = 0.472) and rural/urban domicile (P = 0.895) were not predictors of surgery among those who required it in at least one eye. After intraocular lens surgery: 50.7% had pupillary posterior capsular opacification; mean spherical equivalent was -1.37 ± 1.95D (range, -6.38 to +2.25D); mean cylindrical error was 2.31 ± 1.75D (range, 0.0 to 8.75D); ≥N8 for 39.5%; ≥6/18 for 56.6%; <6/60 for 19.7%, with 2.6% no light perception. Ethnicity-gender-age-domicile adjusted and extrapolating to the Fiji population aged ≥40 years, Cataract Surgical Coverage (Person) was 47.5% (95%CI 29.2-65.8%) at <6/18, and 65.2% (95%CI 37.8-92.6%) at <6/60.
Fiji cataract services and outcomes compare favourably with those of neighbouring Papua New Guinea and Timor Leste.
描述斐济 40 岁及以上成年人的白内障及其手术情况。
采用多阶段聚类随机抽样的基于人群的横断面调查。
1381 人（参与率为 73.0%）；在维提莱武省的八个省。
基于访谈的问卷调查；视力测量；自动折射；散瞳眼部检查。
患病率；预测因素；手术结果。
印度人（P = 0.001）、老年人（P < 0.001）和既往/现在吸烟者（P = 0.036）是至少一只未经手术的视力受损或已手术的白内障的预测因素。性别（P = 0.062）和糖尿病（P = 0.384）不是。未经手术的白内障（主要为核硬化）是第二常见的低视力（<6/18，≥6/60）原因（25.0%），也是最常见的盲（<6/60）原因。经年龄、性别、种族和居住地调整，并外推至斐济≥40 岁人群，白内障引起的低视力和失明的患病率分别为 1.7%（95%置信区间[CI]为 1.0-2.4%）。4.6%的至少一只眼和 1.8%的参与者的两只眼均接受了手术（86.4%为囊外）。需要至少一只眼手术的患者中，性别（P = 0.213）、年龄（P = 0.472）和城乡居住地（P = 0.895）不是手术的预测因素。眼内晶状体手术后：50.7%的人出现瞳孔后囊混浊；平均球镜等效值为-1.37 ± 1.95D（范围：-6.38 至+2.25D）；平均圆柱镜误差为 2.31 ± 1.75D（范围：0.0 至 8.75D）；≥N8 的占 39.5%；≥6/18 的占 56.6%；<6/60 的占 19.7%，2.6%的人无光感。经年龄、性别、种族和居住地调整，并外推至斐济≥40 岁人群，<6/18 的白内障手术覆盖率（人）为 47.5%（95%CI 为 29.2-65.8%），<6/60 的白内障手术覆盖率为 65.2%（95%CI 为 37.8-92.6%）。
斐济白内障服务和结果与邻国巴布亚新几内亚和东帝汶相媲美。
Zotero 插件