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Table of Contents - WOC 2012

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FP-EPI-MO 406 (4)<br />

Prevalence and Associations <strong>of</strong> Cataract in a Rural Chinese Adult<br />

Population: The Handan Eye Study<br />

Duan Xinrong (1) , Liang Yuanbo (1) , Wang Ningli (1) , Wong Tien Yin (2) , Friedman<br />

David S. (3)<br />

1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University<br />

2. Singapore National Eye Centre<br />

3. Wilmer Eye Institute, Johns Hopkins University<br />

Purpose: To estimate the prevalence and risk factors <strong>of</strong> cataract in a populationbased<br />

Chinese sample.<br />

Methods: Eligible residents underwent a comprehensive ophthalmic<br />

examination including assessment <strong>of</strong> cataract using the slit lamp-based Lens<br />

Opacities Classification System ¢ó.<br />

Results: Of the 7,557 eligible subjects, 6,830 took part in the study (90.4%<br />

response rate). Of the 6,544 participants (95.8%) who provided lens data, the<br />

prevalence <strong>of</strong> any cataract surgery in at least one eye was 0.8%. The ageadjusted<br />

(to year 2000 China national census) prevalence <strong>of</strong> any cataract or<br />

cataract surgery was 24.7% in participants aged 40+ years. Cortical cataract<br />

was the most common (12.3%, based on one randomly selected eye data),<br />

followed by mixed (3.2%), nuclear (1.7%), and PSC (0.2%). The prevalence <strong>of</strong><br />

all types <strong>of</strong> cataract increased with age (P < 0.001). Visual impairment (best<br />

corrected visual acuity < 20/60) was 21% or 12% in PSC or mixed opacities<br />

in the better seeing eye. Myopia was positively associated with all types <strong>of</strong><br />

cataract; diabetes was positively associated with any cataract and PSC only<br />

cataracts.<br />

Conclusions: Cataract affects 24.7% <strong>of</strong> the population 40+ years living in rural<br />

China, with a low surgical rate. Risk factors include myopia and diabetes.<br />

FP-EPI-MO 406 (5)<br />

Prevalence <strong>of</strong> Cataract Surgery and Postoperative Visual Outcome in<br />

Rural Central India. The Central India Eye and Medical Study<br />

Jonas Jost (1) , Nangia Vinay (2) , Gupta Rajesh (2) , Khare Anshu (2) ,<br />

Sinha Anjit (2)<br />

1. Department <strong>of</strong> Ophthalmology, University Heidelberg<br />

2. Suraj Eye Institute<br />

Purpose: To determine the prevalence <strong>of</strong> cataract surgery and the postoperative<br />

visual outcome in rural Central India.<br />

Methods: The population-based Central India Eye and Medical Study included<br />

4711 subjects (age: 30+ years) in rural Central India.<br />

Results: 318 (3.4%) eyes had undergone cataract surgery (prevalence:<br />

5.0±0.3%). Prevalence <strong>of</strong> cataract surgery was significantly associated with<br />

age (P

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