在生命最初二十年未接触电子设备的老年白内障患者中，眼轴长度与受教育程度之间的关联。

Association between axial length and level of education in elderly patients with cataracts unexposed to electronic devices in the first two decades of life.

作者信息

Reis Roberto Dos, Lira Rodrigo Pessoa Cavalcanti, Mélega Mathias Violante, Cordeiro Gabriel Guerra, Nascimento Mauricio Abujamra, Alves Mônica, Arieta Carlos Eduardo Leite

机构信息

Ophthalmology Department, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.

Ophthalmology Department, Center of Medical Sciences, Universidade Federal de Pernambuco, Recife, PE, Brazil.

出版信息

Arq Bras Oftalmol. 2022 Jul 15;86(6). doi: 10.5935/0004-2749.2021-0294.

DOI:10.5935/0004-2749.2021-0294

PMID:35857980

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11826706/

Abstract

PURPOSE

To determine whether the axial length is associated with the education level in elderly patients with cataracts who were not exposed to electronic devices in the first two decades of life.

METHODS

This cross-sectional study was conducted in elderly patients with cataracts in Campinas, Brazil. Patients were divided into 2 groups: Group 1 included those who completed, at most, elementary school (including the illiterate and those who partially or totally attended elementary school), which corresponded to 12 years of schooling; Group 2 included, at least, high school graduates (including those who completed high school and those who partially or fully attended university). The sample was selected randomly with stratification for sex and age. The main outcome was the axial length.

RESULTS

The sample consisted of 472 elderly patients (236 per group) who underwent cataract surgery. There were 272 (57.6%) men and 200 (42.4%) women; the distribution was symmetrical between the two groups. The median age (IQR; range) was 66 (12; 50-89) years. The median axial length (IQR; range) was 22.82 (1.51; 20.34-28.71) mm in Group 1 and 23.32 (1.45; 20.51-31.34) mm in Group 2 (p<0.001).

CONCLUSION

A greater axial length was associated with a higher level of education in elderly patients with cataracts, suggesting that myopization is related to an increase in activities requiring near-vision even before exposure to electronic devices.

摘要

目的

确定在生命的前二十年未接触电子设备的老年白内障患者中，眼轴长度是否与教育水平相关。

方法

这项横断面研究在巴西坎皮纳斯的老年白内障患者中进行。患者分为两组：第1组包括至多完成小学学业的患者（包括文盲以及部分或全部上过小学的人），相当于接受了12年的学校教育；第2组包括至少是高中毕业生的患者（包括完成高中学业的人和部分或全部上过大学的人）。样本按性别和年龄分层随机选取。主要观察指标为眼轴长度。

结果

样本包括472例接受白内障手术的老年患者（每组236例）。有272名男性（57.6%）和200名女性（42.4%）；两组间分布对称。中位年龄（四分位间距；范围）为66（12；50 - 89）岁。第1组的中位眼轴长度（四分位间距；范围）为22.82（1.51；20.34 - 28.71）mm，第2组为23.32（1.45；20.51 - 31.34）mm（p<0.001）。