Provisus Eye Clinic, 112 Redzinska str., 42-209 Czestochowa, Poland.
Department of Ophthalmology and Visual Rehabilitation, Medical University of Lodz, 113 Zeromskiego str., 90-549 Lodz, Poland.
Int J Environ Res Public Health. 2018 Jan 8;15(1):90. doi: 10.3390/ijerph15010090.
: To investigate the distribution of refractive errors and their characteristics in older adults from a Polish population. : The study design was a cross-sectional study. A total of 1107 men and women were interviewed and underwent detailed ophthalmic examinations, 998 subjects underwent refraction. Myopia was defined as spherical equivalent (SER) refraction ≤-0.5 dioptres (D) and hyperopia was defined as SER ≥+0.5 dioptres (D). : Among those who were refracted the distribution of myopia and hyperopia was 24.1% (95% CI 21.4-26.7) and 37.5% (95% CI 34.5-40.5), respectively. Myopia decreased from 28.7% in subjects aged 35-59 years to 19.3% in those aged 60 years or older and hyperopia increased from 21.8% at 35-59 years of age to 53.3% in subjects aged ≥60 years. Multiple regression analysis showed decreasing age (OR 0.98, 95% CI 0.96-1.00), female gender (OR 1.87, 95% CI 1.18-2.95) and presence of cataract (OR 2.40, 95% CI 1.24-4.63) were independent risk factors associated with myopia. : The distribution of refractive errors found in our study is similar to those reported in other Caucasian populations and differs from Asian populations. Myopia was positively associated with younger age, female gender and presence of cataract.
: 研究目的:探讨波兰人群中老年人群屈光不正的分布及其特征。: 研究设计:本研究为横断面研究。共对 1107 名男性和女性进行了访谈和详细的眼科检查,其中 998 名受试者接受了屈光检查。近视定义为等效球镜(SER)屈光度≤-0.5 屈光度(D),远视定义为 SER≥+0.5 屈光度(D)。: 在接受屈光检查的人群中,近视和远视的分布分别为 24.1%(95%CI 21.4-26.7)和 37.5%(95%CI 34.5-40.5)。近视从 35-59 岁人群的 28.7%降至 60 岁或以上人群的 19.3%,远视从 35-59 岁人群的 21.8%增加至 60 岁及以上人群的 53.3%。多元回归分析显示,年龄减小(OR 0.98,95%CI 0.96-1.00)、女性(OR 1.87,95%CI 1.18-2.95)和白内障的存在(OR 2.40,95%CI 1.24-4.63)是与近视相关的独立危险因素。: 我们研究中发现的屈光不正分布与其他白种人群相似,与亚洲人群不同。近视与年龄较小、女性和白内障的存在呈正相关。