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Community-based study of cataracts among type 2 diabetics in Kinmen

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Abstract

The purpose of this study was to assess the prevalence and risk factors of each type of cataract among type 2 diabetics in Kinmen, Taiwan. There were 971 type 2 diabetics ascertained from a community-based mass screening between 1991 and 1993. In 1999, a total of 578 (59.5%) patients with type 2 diabetes were examined with an eye screening performed by two senior ophthalmologists using a 45-degree thin slit-lamp biomicroscopy and ophthalmoscopy to examine the lens after dilating the pupils. The overall prevalence, including subjects with or without surgery, was 31.0% (179/578, 95% CI: 27.3–34.7%), and had a statistically significant difference for gender (χ2=8.78, p = 0.003) and age (χ2-trend = 11.89, p < 0.0001). Based on multiple logistic regression, the significant risk factors of all types of cataracts were age (OR = 1.16, 95% CI: 1.12–1.20), lower diastolic blood pressure (DBP) at baseline (OR = 0.47, 95% CI: 0.25–0.88), and higher triglyceride at baseline (OR = 2.19, 95% CI: 1.07–4.45). In conclusion, our results found that in addition to age, lower DBP and higher triglyceride at baseline may increase the risk of prevalent cataracts in type 2 diabetics.

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References

  1. B Thylefors AD Negrel R Pararajasegaram et al. (1995) ArticleTitleGlobal data on blindness Bull World Health Organ 73 115–121 Occurrence Handle7704921

    PubMed  Google Scholar 

  2. D Balasubramanian (1997) ArticleTitleCataract – Where do we stand? Ind J Ophthalmol 45 5–6

    Google Scholar 

  3. EP Steinberg JM Tielsch OD Schein et al. (1994) ArticleTitleThe VF-14: An index of functional impairement in patients with cataract Arch Ophthalmol 112 630–638 Occurrence Handle8185520

    PubMed  Google Scholar 

  4. SKL Seah TY Wong PJ Foster et al. (2002) ArticleTitlePrevalence of lens opacity in Chinese residents of Singapore: The Tanjong Pagar Survey Ophthalmology 109 2058–2064 Occurrence Handle12414415

    PubMed  Google Scholar 

  5. SY Tsai WM Hsu CY Cheng et al. (2003) ArticleTitleEpidemiologic study of age-related cataracts among an elderly Chinese population in Shihpai, Taiwan Ophthalmology 110 1089–1095 Occurrence Handle12799231

    PubMed  Google Scholar 

  6. CY Cheng JH Liu SJ Chen et al. (2000) ArticleTitlePopulation-based study on prevalence and risk factors of age-related cataracts in Peitou, Taiwan Chin Med J (Taipei) 63 641–648

    Google Scholar 

  7. R Klein BEK Klein SE Moss (1984) ArticleTitleVisual impairment in diabetes Ophthalmology 91 1–8

    Google Scholar 

  8. F Ederer R Hiller HR Taylor (1981) ArticleTitleSenile lens changes and diabetes in two population studies Am J Ophthalmol 91 381–395 Occurrence Handle7211996

    PubMed  Google Scholar 

  9. BEK Klein R Klein MS Moss (1985) ArticleTitlePrevalence of cataracts in a population-based study of persons with diabetes mellitus Ophthalmology 92 1191–1196 Occurrence Handle4058882

    PubMed  Google Scholar 

  10. P Chou MJ Liao HS Kuo et al. (1994) ArticleTitleA population survey on the prevalence of diabetes in Kin-Hu, Kinmen Diabetes Care 17 1055–1058 Occurrence Handle7988306

    PubMed  Google Scholar 

  11. World Health Organization. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications: Report of a WHO Consultation. Part 1. Diagnosis and Classification of Diabetes Mellitus. Geneva, World Health Organization, 1999.

  12. IM Stratton AI Alder HA W Neil et al. (2000) ArticleTitleAssociation of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): Prospective observational study Br Med J 321 405–411

    Google Scholar 

  13. Early Treatment Diabetic Retinopathy Study Research Group. Early photocoagulation for diabetic retinopathy. ETDRS Report Number 9. Ophthalmology 1991; 98: 766–785.

  14. LT Chylack SuffixJr JK Wolfe DM Singer et al. (1993) ArticleTitleThe Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group Arch Ophthalmol 111 831–836 Occurrence Handle8512486

    PubMed  Google Scholar 

  15. SK West CT Valmadrid (1995) ArticleTitleEpidemiology of risk factors for age-related cataract Surv Ophthalmol 39 323–334 Occurrence Handle7725232

    PubMed  Google Scholar 

  16. O Donma E YoruLmaz H Pekel et al. (2002) ArticleTitleBlood and lens lipid peroxidation and antioxidant status in normal individuals, senile and diabetic cataractous patients Curr Eye Res 25 9–16 Occurrence Handle12518238

    PubMed  Google Scholar 

  17. CE Jahn M Janke H Winowski et al. (1986) ArticleTitleIdentification of metabolic risk factors for posterior subcapsular cataract Ophthalmic Res 18 112–116 Occurrence Handle3737111

    PubMed  Google Scholar 

  18. R Hiller RD Sperduto GF Reed et al. (2003) ArticleTitleSerum lipids and age-related lens opacities: A longitudinal investigation The Framingham Studies. Ophthalmology 110 578–583

    Google Scholar 

  19. BEK Klein R Klein KE Lee (1998) ArticleTitleDiabetes, cardiovascular disease, selected cardiovascular disease risk factors, and the 5-year incidence of age-related cataract and progression of lens opacities: The Beaver Dam Eye Study Am J Ophthalmol 126 782–790 Occurrence Handle9860001

    PubMed  Google Scholar 

  20. S Miglior F Bergamini L Migliavacca et al. (1989) ArticleTitleMetabolic and social risk factors in a cataractous population A case–control study. Dev Ophthalmol 17 158–164

    Google Scholar 

  21. RG Marks WE Hale LL Perkins et al. (1988) ArticleTitleCataracts in Dunedin program participants: An evaluation of risk factors J Cataract Refract Surg 14 58–63 Occurrence Handle3339549

    PubMed  Google Scholar 

  22. K Tsutsumi Y Inoue C Yoshida (1999) ArticleTitleAcceleration of development of diabetic cataract by hyperlipidemia and low high-density lipoprotein in rats Biol Pharm Bull 22 37–41 Occurrence Handle9989659

    PubMed  Google Scholar 

  23. O Donma E Yorulmaz H Pekel et al. (2002) ArticleTitleBlood and lens lipid peroxidation and antioxidant status in normal individuals, senile and diabetic cataractous patients Curr Eye Res. 25 9–16 Occurrence Handle12518238

    PubMed  Google Scholar 

  24. D Ozmen I Mutaf B Ozmen et al. (1997) ArticleTitleLens lipid peroxides and glutathione concentrations in diabetic cataract Ann Clin Biochem 34 190–192 Occurrence Handle9133255

    PubMed  Google Scholar 

  25. BEK Klein R Klein SC Jensen et al. (1995) ArticleTitleHypertension and lens opacities from the Beaver Dam Eye Study Am J Ophthalmol 119 640–646 Occurrence Handle7733190

    PubMed  Google Scholar 

  26. A Tavani E Negri C La Vecchia (1995) ArticleTitleSelected diseases and risk of cataract in women A case-control study from northern Italy. Ann Epidemiol 5 234–238

    Google Scholar 

  27. MC Leske LT Chylack Q He et al. (1998) ArticleTitleRisk factors for nuclear opalescence in a longitudinal study Am J Epidemiol 147 36–41 Occurrence Handle9440396

    PubMed  Google Scholar 

  28. DA Schaumberg RJ Glynn WG Christen et al. (2001) ArticleTitleA prospective study of blood pressure and risk of cataract in men Ann Epidemiol 11 104–110 Occurrence Handle11164126

    PubMed  Google Scholar 

  29. TT Chen O Hockwin R Dobbs et al. (1988) ArticleTitleCataract and health status: A case–control study Ophthalmic Res 20 1–9 Occurrence Handle3380521

    PubMed  Google Scholar 

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Correspondence to Pesus Chou.

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Tung, TH., Liu, JH., Lee, FL. et al. Community-based study of cataracts among type 2 diabetics in Kinmen. Eur J Epidemiol 20, 435–441 (2005). https://doi.org/10.1007/s10654-004-7537-9

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