Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
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Prevalence of Myopia in 19-Year-Old Men in Gyeongsangnam-do, Ulsan and Busan in 2002

2002년 부산, 울산 및 경상남도 19세 남자의 근시 유병률

Lee, Sang-Joon;Kim, Jung-Min;Yu, Byeng-Chul;Urm, Sang-Hwa;Ahn, Ki-Su;Lee, Yong-Hwan;Kim, Shin-Dong
이상준;김정민;유병철;엄상화;안기수;이용환;김신동

  • Published : 2009.09.15
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Abstract

Purpose: To investigate the prevalence of myopia and its influencing factors in an epidemiologic study of conscripts living in Gyeongsangnam-do, Ulsan and Busan. Methods: A cross-sectional study was conducted in 19-year-old conscripts in Gyeongsangnam-do, Ulsan and Busan. Health checkup data of the conscripts were collected and analyzed along with subjective visual acuity, noncycloplegic autorefraction test, biometric data, and social factors such as education level and residence area. Myopia and high myopia were defined as having a refractive error of more than -0.5D, -6.0D, respectively. To analyze the social and biometric effects, we classified social factors into three groups and biometric factors into five groups. The estimated myopic prevalence was calculated adding excluded conscripts who scored under 0.5 on the subjective visual acuity test and missed autorefraction data. Data analysis was performed with descriptive analysis and the chi square test for trends using the Statistical Package for the Social Sciences (SPSS) version 14.0K. Results: From 66,917 eligible conscripts, 50,243 were analyzed. The prevalence of myopia and high myopia in 19-year-old men in Gyeongsangnam-do, Ulsan and Busan were 45.60% (95% CI: 45.17$\sim$46.03) and 11.50% (95% CI: 11.23$\sim$11.77). The estimated myopic prevalence using 66,917 eligible conscripts was 54.31% (95% CI: 53.88$\sim$54.74). Conclusions: The prevalence of myopia and high myopia and the estimated prevalence of myopia in 19–year-old men in Gyeongsangnam-do, Ulsan and Busan were 45.60%, 11.50% and 54.31%, respectively.

목적: 부산, 울산 및 경남지역 19세 남자의 근시 및 고도근시 유병률을 추정하고 거주지역, 학력수준, 신장, 체중 등의 영향을 분석하였다. 대상과 방법: 2002년 1월에서 12월까지 부산, 울산, 경남지역에 거주하는 징병신체검사자 중 시력이 0.8 이하인 사람 50,243명에게 시행된 자동굴절검사 결과를 분석대상으로 하였다. 굴절이상이 -0.5D 이상이면 근시로, -6.0D 이상이면 고도근시로 정의하였으며 거주지역, 학력수준, 신장, 체중 등에 따라 표준화하여 유병률을 비교하고 굴절검사 누락자를 활용하여 추정 유병률을 계산하였다. 결과: 조사대상자의 근시 유병률과 고도근시 유병률은 각각 45.60% (95% CI: 45.17$\sim$46.03), 11.50% (95% CI: 11.23$\sim$11.77)로 나타났으며 1차 시력검사 결과 0.5 이하이면서 2차 굴절검사를 시행하지 않은 자 9,575명을 고려한 추정 근시 유병률은 54.31% (95% CI: 53.88$\sim$ 54.74)이었다. 결론: 부산, 울산 및 경남지역 만19세 남성의 근시 유병률은 45.60%, 추정 근시 유병률은 54.31%, 고도근시 유병률은 11.50%로 나타났다.

Keywords

References

  1. Saw SM, Katz J, Scheih OD, et al. Epidemiology of myopia. Epidemiol Rev 1996;18:175-87 https://doi.org/10.1093/oxfordjournals.epirev.a017924
  2. Saw SM, Tong L, Chua WH, et al. Incidence and progress of myopia in Singaporean school childern. Invest Ophthalmol Vis Sci 2005;46:51-7 https://doi.org/10.1167/iovs.04-0565
  3. Seet B, Wong TY, Tan DT, et al. Myopia in Singapore:taking a public health approach. Br J Ophthalmol 2001;85:521-26 https://doi.org/10.1136/bjo.85.5.521
  4. Wong TY, Foster PJ, Hee J, et al. Prevalence and risk factors for refractive errors in adult Chinese in Singapore. Invest Ophthal mol Vis Sci 2000;41:2486-94
  5. He M, Zeng J, Liu Y, et al. Refractive error and impairment in urban children in southern China. Invest Ophthalmol Vis Sci 2004;45:793-9 https://doi.org/10.1167/iovs.03-1051
  6. peroduto RD, Shigel D, Robert J, Rowland M. Prevalence of myopia in the United States. Arch Ophthalmol 1983;101:405-7 https://doi.org/10.1001/archopht.1983.01040010405011
  7. Vitale S, Cotch MF, Sperduto RD. Prevalence of visual impairment in United States. JAMA 2006;295:2158-63 https://doi.org/10.1001/jama.295.18.2158
  8. Wensor M, McCarty CA, Taylor HR. Prevalence and risk factors of myopia in Victoria, Australia. Arch Ophthalmol 1999;117: 658-63 https://doi.org/10.1001/archopht.117.5.658
  9. Lu P, Chen X, Zhang W, et al. Prevalence of ocular disease in Tibetian primary school children. Can J Ophthalmol 2008;43: 95-9 https://doi.org/10.3129/I07-194
  10. Naidoo KS, Raghunandan A, Mashige KP, et al. Refractive error and visual impairment in African children in South Africa. Invest Ophthalmol Vis Sci 2003;44:3764-70 https://doi.org/10.1167/iovs.03-0283
  11. Eye disease case-control study group. Risk factors for idiopathic rhegmatogenous retinal detachment. AM J Epidemiol 1993;139: 749-59
  12. Mitchell P, Hourihan F, Sandbach J, Wang JJ. The relationship between glaucoma and myopia:the Blue Mountains Eye Study. Ophthalmology 1999;106:2010-5 https://doi.org/10.1016/S0161-6420(99)90416-5
  13. Buch H, Vinding T, La Cour M, et al. Prevalence and causes of visual impairment and blindness among 9980 Scandinavian adults: the Copenhagen City Eye Study. Ophthalmology 2004;111:53-61 https://doi.org/10.1016/j.ophtha.2003.05.010
  14. Javitt JC, Chiang YP. The socioeconomic aspect of laser refractive surgery. Arch Ophthalmol 1994;112:1526-30 https://doi.org/10.1001/archopht.1994.01090240032022
  15. Kim DS. Refraction in young adult. J Korean Ophthalmol Soc 1983;24:711-5
  16. Kim JC. A statistical analysis of the ocular status of young adults in Seoul. J Korean Ophthalmol Soc 1985;26:1055-61
  17. Kim JC, Koo BS. A study of prevailing feature and causes of myopia and visual impairment in urban school children. J Korean Ophthalmol Soc 1988;29:165-81
  18. Kang JE, Jun RM, Lee HJ, et al. Distribution of refractive error and quantified optometric values in urban elementary fourth graders in Korea. J Korean Ophthalmol Soc 2004;45:1141-9
  19. Kang SH, Kim PS, Choi DG. Prevalence of myopia in 19-years old Korean male: the relationship between the prevalence and education or urbanization. J Korean Ophthalmol Soc 2004;45: 2082-7
  20. Lam DS, Fan DS, Lam RF, et al. The effect of parental history of myopia on children's eye size and growth :results of a longitudinal study. Invest Ophthalmol Vis Sci 2008;49:873-6 https://doi.org/10.1167/iovs.06-1097
  21. Hui J, Peck L, Howland HC. Correlations between familial refractive error and children's non-cycloplegic refractions. Vision Res 1995;35:1353-8 https://doi.org/10.1016/0042-6989(94)00224-A
  22. Sorsby A, Fraser GR. Statistical note on the comparison of ocular refraction twins. J Med Genet 1964;55:47-9
  23. Hammond CJ, Snieder H, Gilbert CE, Spector TD. Genes and environment in refractive error: the twin eye study. Invest Ophthalmol Vis Sci 2001;42:1232-6
  24. Parssinen O, Lyyra AL. Myopia and myopic progression among schoolchildren: a three-year follow-up study. Invest Ophthalmol Vis Sci 1993;34:1329-35
  25. Saw SM, Chua WH, Hong CY, et al. Nearwork in early-onset myopia. Invest Ophthalmol Vis Sci 2002;43:332-9
  26. Saw SM, Zhang MZ, Pang MH. Near-work activity, night-lights, and myopia in the Singapore-China study. Arch Ophthalmol 2002; 120:620-7
  27. Saw SM, Tan SB, Fung D, et al. IQ and the association with myopia in children. Invest Ophthalmol Vis Sci 2004;45:2943-8 https://doi.org/10.1167/iovs.03-1296
  28. Ronser M, Belkin M. Intelligence, education, and myopia in males. Arch Ophthalmol 1987;105:1508-11 https://doi.org/10.1001/archopht.1987.01060110054030
  29. Varughese S, Varghese RM,Gupta N, et al. Refractive error at birth and its relation to gestational age. Curr Eye Res 2005;30: 423-8 https://doi.org/10.1080/02713680590959295
  30. Fielder AR, Quinn GE. Myopia of prematurity: nature, nature, or disease? Br J Ophthalmol 1997;81:2-3 https://doi.org/10.1136/bjo.81.1.2
  31. Saw SM, Chua WH, Hong CY, et al. Height and its relationship to refraction and biometry parameters in Singapore Chinese children. Invest Ophthalmol Vis Sci 2002;43:1408-13
  32. Wong TY, Foster PJ, Johnson GJ, et al. The relationship between ocular dimension and refraction with adult stature: the Tanjong Paper Survey. Invest Ophthalmol Vis Sci 2001;42:1237-42
  33. Ojaimi E, Morgan IG, Robaei D, et al. Effect of stature and other anthropometric parameters on eye size and refraction in a population-based study of Australian children. Invest Ophthalmol Vis Sci 2005;46:4424-9 https://doi.org/10.1167/iovs.05-0077
  34. van de Berg R, Dirani M, Chen CY, et al. Myopia and personality: The gene in myopia (GEM) personality study. Invest Ophthalmol Vis Sci 2008;49:882-6 https://doi.org/10.1167/iovs.07-0930
  35. Wu MM, Edward HM. The effect of having myopic parents: An analysis of myopia in the three generation. Optom Vis Sci 1999; 76:341-2 https://doi.org/10.1097/00006324-199906000-00001
  36. David Adams. Duke-Elder's Practice of refraction, 10th ed. New York: Churchill Livingstone, 1999;184
  37. Chung TM, Choi CH, Choi O. Relationship between visual acuity and refractive error in myopia. J Korean Ophthalmol Soc 1977;18:305-15
  38. Yang HN, Koo BS. Inter-relationship between visual acuity and refractive error in myopia and hyperopia among children with decreased visual acuity. J Korean Ophthalmol Soc 1985;26:639-44
  39. Baek SC, Lee DH, Kim SH, et al. Relationship between uncorrected visual acuity and refractive error in visual acuity test of children. J Korean Ophthalmol Soc 2004;45:1001-8
  40. Robert NK, Lisa AJ, Sandral H, et al. Refractive error and ethnicity in children. Arch Ophthalmol 2003;121:1141-7 https://doi.org/10.1001/archopht.121.8.1141
  41. Lam CS, Goldschmidt E, Edwards MH. Prevalence of myopia in local and international school in Hongkong. Optom Vis Sci 2004; 81:317-22
  42. Wu SY, Nemesure B, Leske MC. Refractive error in a black adult population:the Barbados Eye Study. Invest Ophthalmol Vis Sci 1999;40:2179-84
  43. Jermy AG, George K, Stuart AH. The heritability of myopia: a reanalysis of Goldschmidt's data. J Med Genet 2000;37:227-31 https://doi.org/10.1136/jmg.37.3.227
  44. Kim C, Min B. Relationship between stature and axial length of the eye in myopic patients. Chungnam Medical Journal 1992;19: 113-7

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