Kim Jun Sik, Kim Min, Kim Sun Woong
Department of Ophthalmology, Yonsei University Wonju College of Medicine, Wonju, South Korea.
Department of Ophthalmology, Yonsei University College of Medicine, Seoul, South Korea.
Clin Exp Ophthalmol. 2022 Dec;50(9):1047-1056. doi: 10.1111/ceo.14164. Epub 2022 Oct 2.
To determine the prevalence and risk factors of epiretinal membrane (ERM) utilising spectral-domain optical coherence tomography (SD-OCT).
We investigated data from the 2017 to 2018 Korea National Health and Nutrition Examination Survey. Individuals aged ≥40 years with readable fundus photographs and SD-OCT results were included. ERM was diagnosed by fundus photography and OCT. The following data was collected: demographics, health interview, health examination, and nutritional survey results. The prevalence of ERM was estimated and risk factors for ERM were analysed.
A total of 6807 participants were finally included. Adjusted prevalence of ERM was 7.0% (95% confidence interval, 6.3%-7.8%). Multivariate logistic regression analysis revealed that age ≥ 50 years (p < 0.001 for all age groups), history of cataract surgery (p < 0.001), well-controlled hypertension (p = 0.006), and diabetic retinopathy (p = 0.041) were risk factors for ERM.
The estimated prevalence of ERM was 7.0%, which was higher than that of previous reports using fundus photography only in an East Asian population. Possible risk factors for ERM were older age, history of cataract surgery, hypertension, and diabetic retinopathy.
利用频域光学相干断层扫描（SD - OCT）确定视网膜前膜（ERM）的患病率及危险因素。
我们调查了2017年至2018年韩国国民健康与营养检查调查的数据。纳入年龄≥40岁且有可读眼底照片和SD - OCT结果的个体。通过眼底照相和OCT诊断ERM。收集以下数据：人口统计学、健康访谈、健康检查和营养调查结果。估计ERM的患病率并分析ERM的危险因素。
最终共纳入6807名参与者。ERM的校正患病率为7.0%（95%置信区间，6.3% - 7.8%）。多因素逻辑回归分析显示，年龄≥50岁（所有年龄组p < 0.001）、白内障手术史（p < 0.001）、血压控制良好（p = 0.006）和糖尿病视网膜病变（p = 0.041）是ERM的危险因素。
ERM的估计患病率为7.0%，高于此前仅使用眼底照相在东亚人群中的报告患病率。ERM可能的危险因素为年龄较大、白内障手术史、高血压和糖尿病视网膜病变。
