Xu Zhao, Wang Li-Ming, Feng Qiang, Zhang Dan-Dan, Tuerdimaimaiti Ayiguzaili, Guo Ru-Ru, Sun Jing, Dong Li-Jie, Wei Rui-Hua, Liu Ai-Hua
Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China.
Ophthalmology Department of People's Hospital of Hotan District, Hotan 848199, Xinjiang Uygur Autonomous Region, China.
Int J Ophthalmol. 2024 Jun 18;17(6):1058-1065. doi: 10.18240/ijo.2024.06.10. eCollection 2024.
To analyze and compare the differences among ocular biometric parameters in Han and Uyghur populations undergoing cataract surgery.
In this hospital-based prospective study, 410 patients undergoing cataract surgery (226 Han patients in Tianjin and 184 Uyghur patients in Xinjiang) were enrolled. The differences in axial length (AL), anterior chamber depth (ACD), keratometry [steep K (Ks) and flat K (Kf)], and corneal astigmatism (CA) measured using IOL Master 700 were compared between Han and Uyghur patients.
The average age of Han patients was higher than that of Uyghur patients (70.22±8.54 63.04±9.56y, <0.001). After adjusting for age factors, Han patients had longer AL (23.51±1.05 22.86±0.92 mm, <0.001), deeper ACD (3.06±0.44 2.97±0.37 mm, =0.001), greater Kf (43.95±1.40 43.42±1.69 D, =0.001), steeper Ks (45.00±1.47 44.26±1.71 D, =0.001), and higher CA (1.04±0.68 0.79±0.65, =0.025) than Uyghur patients. Intra-ethnic male patients had longer AL, deeper ACD, and lower keratometry than female patients; however, CA between the sexes was almost similar. In the correlation analysis, we observed a positive correlation between AL and ACD in patients of both ethnicities ( =0.48, =0.44, <0.001), while AL was negatively correlated with Kf ( =-0.42, =-0.64, <0.001) and Ks ( =-0.38, =-0.66, <0.001). Additionally, Kf was positively correlated with Ks ( =0.89, =0.93, <0.001).
There are differences in ocular biometric parameters between individuals of Han ethnicity in Tianjin and those of Uyghur ethnicity in Xinjiang undergoing cataract surgery. These ethnic variances can enhance our understanding of ocular diseases related to these parameters and provide guidance for surgical procedures.
分析并比较接受白内障手术的汉族和维吾尔族人群眼部生物测量参数的差异。
在这项基于医院的前瞻性研究中,纳入了410例接受白内障手术的患者(天津的226例汉族患者和新疆的184例维吾尔族患者)。比较汉族和维吾尔族患者使用IOL Master 700测量的眼轴长度(AL)、前房深度(ACD)、角膜曲率计测量值[陡峭角膜曲率(Ks)和平坦角膜曲率(Kf)]以及角膜散光(CA)之间的差异。
汉族患者的平均年龄高于维吾尔族患者(70.22±8.54岁对63.04±9.56岁,P<0.001)。在调整年龄因素后,汉族患者的AL更长(23.51±1.05对22.86±0.92mm,P<0.001),ACD更深(3.06±0.44对2.97±0.37mm,P=0.001),Kf更大(43.95±1.40对43.42±1.69D,P=0.001),Ks更陡峭(45.00±1.47对44.26±1.71D,P=0.001),CA更高(1.04±0.68对0.79±0.65,P=0.025)。族内男性患者的AL更长,ACD更深,角膜曲率更低;然而,两性之间的CA几乎相似。在相关性分析中,我们观察到两个民族患者的AL和ACD之间呈正相关(汉族r=0.48,维吾尔族r=0.44,P<0.001),而AL与Kf呈负相关(汉族r=-0.42,维吾尔族r=-0.64,P<0.001)以及与Ks呈负相关(汉族r=-0.38,维吾尔族r=-0.66,P<0.001)。此外,Kf与Ks呈正相关(汉族r=0.89,维吾尔族r=0.93,P<0.001)。
天津汉族和新疆维吾尔族接受白内障手术的个体之间眼部生物测量参数存在差异。这些种族差异有助于我们加深对与这些参数相关的眼部疾病的理解,并为手术操作提供指导。