Prevalence and risk factors for epiretinal membrane: the Singapore Epidemiology of Eye Disease study

To examine prevalence and risk factors of epiretinal membrane (ERM) in a large, contemporary, multiethnic Asian population. Combined analysis of three population-based studies of eye diseases, with a total of 9799 Chinese, Malays and Indians residing in the general communities of Singapore. A compre...

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Veröffentlicht in:British journal of ophthalmology 2017-03, Vol.101 (3), p.371
Hauptverfasser: Cheung, Ning, Tan, Shu-Pei, Lee, Shu Yen, Cheung, Gemmy Chui Ming, Tan, Gavin, Kumar, Neelam, Cheng, Ching-Yu, Wong, Tien Yin
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container_issue 3
container_start_page 371
container_title British journal of ophthalmology
container_volume 101
creator Cheung, Ning
Tan, Shu-Pei
Lee, Shu Yen
Cheung, Gemmy Chui Ming
Tan, Gavin
Kumar, Neelam
Cheng, Ching-Yu
Wong, Tien Yin
description To examine prevalence and risk factors of epiretinal membrane (ERM) in a large, contemporary, multiethnic Asian population. Combined analysis of three population-based studies of eye diseases, with a total of 9799 Chinese, Malays and Indians residing in the general communities of Singapore. A comprehensive ophthalmic examination, interviews and laboratory blood tests were performed to assess potential risk factors. Digital retinal photographs were used to assess ERM according to a standardised protocol. ERM was classified into cellophane macular reflex (CMR) and/or preretinal macular fibrosis (PMF), and also as primary or secondary (in eyes with other retinal pathology or a history of cataract surgery). The age-standardised and ethnicity-standardised prevalence was 12.1% for any ERM, 6.8% for CMR, 6.7% for PMF and 2.8% for bilateral ERM. ERM prevalence was higher in Chinese (13.0%) compared with Malays (7.9%) or Indians (8.7%). In multivariate analysis, significant factors associated with primary ERM were older age (OR 1.08 per year increase; p
doi_str_mv 10.1136/bjophthalmol-2016-308563
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Combined analysis of three population-based studies of eye diseases, with a total of 9799 Chinese, Malays and Indians residing in the general communities of Singapore. A comprehensive ophthalmic examination, interviews and laboratory blood tests were performed to assess potential risk factors. Digital retinal photographs were used to assess ERM according to a standardised protocol. ERM was classified into cellophane macular reflex (CMR) and/or preretinal macular fibrosis (PMF), and also as primary or secondary (in eyes with other retinal pathology or a history of cataract surgery). The age-standardised and ethnicity-standardised prevalence was 12.1% for any ERM, 6.8% for CMR, 6.7% for PMF and 2.8% for bilateral ERM. ERM prevalence was higher in Chinese (13.0%) compared with Malays (7.9%) or Indians (8.7%). In multivariate analysis, significant factors associated with primary ERM were older age (OR 1.08 per year increase; p<0.01), Chinese ethnicity (OR 1.60 vs Indians; p<0.01; OR 1.39 vs Malays; p<0.01), smoking (OR 0.70; p=0.01), longer axial length (OR 1.07 per mm increase; p=0.03) and cataract (OR 0.64; p<0.01). Significant factors independently associated with secondary ERM were older age (OR 1.05; p<0.01), cataract surgery (OR 10.6; p<0.01) and diabetic retinopathy (OR 2.48; p<0.01). ERM is common in Asians, particularly among Chinese. Older age is the most consistent risk factor for any ERM, and previous cataract surgery and diabetic retinopathy are the strongest risk factors for secondary ERM.]]></description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjophthalmol-2016-308563</identifier><identifier>PMID: 27343209</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Age ; Age Distribution ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group - statistics &amp; numerical data ; Asian people ; Blood pressure ; Cataracts ; Diabetes ; Diabetic retinopathy ; Epidemiology ; Epiretinal Membrane - epidemiology ; Eye diseases ; Eye surgery ; Family medical history ; Female ; Humans ; Laboratories ; Macular degeneration ; Male ; Membranes ; Middle Aged ; Minority &amp; ethnic groups ; Ophthalmology ; Population ; Prevalence ; Quality of life ; Response rates ; Risk Factors ; Singapore - epidemiology ; Socioeconomic factors ; Veins &amp; arteries ; Visual impairment</subject><ispartof>British journal of ophthalmology, 2017-03, Vol.101 (3), p.371</ispartof><rights>Published by the BMJ Publishing Group Limited. 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Combined analysis of three population-based studies of eye diseases, with a total of 9799 Chinese, Malays and Indians residing in the general communities of Singapore. A comprehensive ophthalmic examination, interviews and laboratory blood tests were performed to assess potential risk factors. Digital retinal photographs were used to assess ERM according to a standardised protocol. ERM was classified into cellophane macular reflex (CMR) and/or preretinal macular fibrosis (PMF), and also as primary or secondary (in eyes with other retinal pathology or a history of cataract surgery). The age-standardised and ethnicity-standardised prevalence was 12.1% for any ERM, 6.8% for CMR, 6.7% for PMF and 2.8% for bilateral ERM. ERM prevalence was higher in Chinese (13.0%) compared with Malays (7.9%) or Indians (8.7%). In multivariate analysis, significant factors associated with primary ERM were older age (OR 1.08 per year increase; p<0.01), Chinese ethnicity (OR 1.60 vs Indians; p<0.01; OR 1.39 vs Malays; p<0.01), smoking (OR 0.70; p=0.01), longer axial length (OR 1.07 per mm increase; p=0.03) and cataract (OR 0.64; p<0.01). Significant factors independently associated with secondary ERM were older age (OR 1.05; p<0.01), cataract surgery (OR 10.6; p<0.01) and diabetic retinopathy (OR 2.48; p<0.01). ERM is common in Asians, particularly among Chinese. 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Combined analysis of three population-based studies of eye diseases, with a total of 9799 Chinese, Malays and Indians residing in the general communities of Singapore. A comprehensive ophthalmic examination, interviews and laboratory blood tests were performed to assess potential risk factors. Digital retinal photographs were used to assess ERM according to a standardised protocol. ERM was classified into cellophane macular reflex (CMR) and/or preretinal macular fibrosis (PMF), and also as primary or secondary (in eyes with other retinal pathology or a history of cataract surgery). The age-standardised and ethnicity-standardised prevalence was 12.1% for any ERM, 6.8% for CMR, 6.7% for PMF and 2.8% for bilateral ERM. ERM prevalence was higher in Chinese (13.0%) compared with Malays (7.9%) or Indians (8.7%). In multivariate analysis, significant factors associated with primary ERM were older age (OR 1.08 per year increase; p<0.01), Chinese ethnicity (OR 1.60 vs Indians; p<0.01; OR 1.39 vs Malays; p<0.01), smoking (OR 0.70; p=0.01), longer axial length (OR 1.07 per mm increase; p=0.03) and cataract (OR 0.64; p<0.01). Significant factors independently associated with secondary ERM were older age (OR 1.05; p<0.01), cataract surgery (OR 10.6; p<0.01) and diabetic retinopathy (OR 2.48; p<0.01). ERM is common in Asians, particularly among Chinese. Older age is the most consistent risk factor for any ERM, and previous cataract surgery and diabetic retinopathy are the strongest risk factors for secondary ERM.]]></abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>27343209</pmid><doi>10.1136/bjophthalmol-2016-308563</doi></addata></record>
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subjects Adult
Age
Age Distribution
Aged
Aged, 80 and over
Asian Continental Ancestry Group - statistics & numerical data
Asian people
Blood pressure
Cataracts
Diabetes
Diabetic retinopathy
Epidemiology
Epiretinal Membrane - epidemiology
Eye diseases
Eye surgery
Family medical history
Female
Humans
Laboratories
Macular degeneration
Male
Membranes
Middle Aged
Minority & ethnic groups
Ophthalmology
Population
Prevalence
Quality of life
Response rates
Risk Factors
Singapore - epidemiology
Socioeconomic factors
Veins & arteries
Visual impairment
title Prevalence and risk factors for epiretinal membrane: the Singapore Epidemiology of Eye Disease study
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