1.Cataracts among Adults Aged 30 to 49 Years: A 10-Year Study from 1995 to 2004 in Korea.
Hyun Kyung CHO ; Kyung Sun NA ; Eun Jung JUN ; Sung Kun CHUNG
Korean Journal of Ophthalmology 2013;27(5):345-350
PURPOSE: To investigate the long-term characteristics of cataracts among adults aged 30 to 49 years in Korean over a span of 10 years. METHODS: Subjects between the ages of 30 to 49 years who underwent cataract surgery at St. Mary's Hospital from 1995 to 2004 (n = 976) were included. Patients with a history of ocular trauma, uveitis, other ocular or systemic diseases, and congenital cataracts were excluded. Additional information including type of lens opacity, urban/rural region, and pre- and postoperative visual acuities were analyzed. Lens opacity grading was conducted using Lens Opacity Classification System III. The Cochran-Armitage proportion trend test was used to analyze vision changes with the passage of time. RESULTS: Among the patients who had undergone cataract surgeries, 8.8% (976 / 11,111) met the inclusion criteria. The mean age was 41.7 +/- 5.45 years. Gender breakdown of the patient population included 79.0% male and 21.0% female. In terms of home environment, 60.9% were from an urban region and 39.1% from a rural region. Opacity type included anterior polar (AP), posterior subcapsular (PSC), AP and PSC, cortical, and nuclear in 35.7%, 35.1%, 7.0%, 6.0%, and 5.4% of patients, respectively. At a 2-month postoperative follow-up appointment, 92.7% of patients showed a best-corrected visual acuity of more than 20 / 40. CONCLUSIONS: Predominance of AP and PSC opacities as well as male patients was observed in this study population.
Adult
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Age Distribution
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Age Factors
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Cataract/*epidemiology/pathology
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*Cataract Extraction
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Female
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*Forecasting
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Humans
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Incidence
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Lens Capsule, Crystalline/*pathology
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Male
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Middle Aged
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Republic of Korea/epidemiology
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Retrospective Studies
2.Epidemiologic Aspects of Medical Retirement from the Republic of Korea Army due to Visual Impairment.
Jae Hoon JEONG ; Yeoun Sook CHUN ; Ki Ho PARK
Journal of Korean Medical Science 2016;31(4):623-629
This study was done to report the epidemiologic characteristics of medical retirement from the Republic of Korea (ROK) Army due to visual impairment and to suggest a practical screening system for the draft. The medical records of 423 eyes of 301 patients who retired from the ROK Army due to visual impairment were reviewed retrospectively between January 2010 and December 2014. The patients were grouped by the presence of trauma, and each group was subdivided by military rank. We analyzed demographic and ophthalmic data, including the etiology of ophthalmologic disease. The etiology was classified into 5 anatomical categories (ocular surface, lens, retina, optic nerve and extraocular visual pathway, and extraocular muscle and orbit), which were then subdivided into the type of disease. The mean age was 24.5 years, and non-traumatic mechanisms accounted for 81.1% (343/423 eyes) of medical retirements. Visual acuity was better in patients without trauma. In enlisted soldiers, disease in the optic nerve and extraocular visual pathway was the most common anatomical category (40.5%), and primary open angle glaucoma (30.8%), retinal dystrophy (18.3%), congenital cataract (14.5%), and retinal detachment (9.7%) were the four most common diseases. Most medical retirements due to visual impairment resulted from non-traumatic mechanisms, even though patients were young. The fundus examination and visual field test would be more useful tools than a conventional vision test for large-scale draft screening for the most common two disease types: primary open angle glaucoma and retinal dystrophy.
Adult
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Cataract/epidemiology
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Cohort Studies
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Glaucoma, Open-Angle/epidemiology
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Humans
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Male
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Middle Aged
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Military Personnel
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Republic of Korea/epidemiology
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Retinal Dystrophies/epidemiology
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*Retirement
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Retrospective Studies
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Vision Disorders/epidemiology/*pathology
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Visual Acuity
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Young Adult
3.Comparison of the Long-term Clinical Results of Hydrophilic and Hydrophobic Acrylic Intraocular Lenses.
Youngwoo SUH ; Chunghoon OH ; Hyo Myung KIM
Korean Journal of Ophthalmology 2005;19(1):29-33
This study was performed to compare the incidence of posterior capsular opacity (PCO) and refractive errors between hydrophilic (ACR6D, Corneal (R) ) and hydrophobic (MA60BM, AcrySof (R) ) acrylic intraocular lenses (IOLs) over a 3-year follow-up after phacoemulsification surgery. The patients with AcrySof (R) implanted in one eye and Corneal (R) in the other eye were categorized as Group 1 (n=28), while those with one or both eyes implanted with IOLs of the same kind were categorized as Group 2 (AcrySof (R), n=90; Corneal (R), n=95). Refractive errors were evaluated at 3 months and 3 years postoperatively. The incidence of visually significant PCO was investigated 3 years postoperatively. Postoperative refractive values at 3 months were not significantly different between the two groups. However, refractive values at 3 years were significantly different between two IOLs in both groups [AcrySof (R) -0.37 +/- 0.43D, Corneal (R) -0.62 +/- 0.58D in Group 1 (p=0.04) ; AcrySof (R) -0.38 +/- 0.52, Corneal (R) -0.68 +/- 0.54 in Group 2 (p< 0.01) ]. The incidence of visually significant PCO was 14% and 32% in Group 1, and 13% and 28% in Group 2, for the AcrySof (R) and Corneal (R) implants, respectively. The incidence of visually significant PCO of hydrophilic acrylic IOLs was higher than that of hydrophobic acrylic IOLs in the 3-year follow-up. The postoperative 3-year refractive value of Corneal (R) showed myopic shift.
*Acrylic Resins
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Aged
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Cataract/*epidemiology/etiology
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Comparative Study
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Female
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Follow-Up Studies
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Humans
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Hydrophobicity
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Incidence
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Lens Capsule, Crystalline/*pathology
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Lens Implantation, Intraocular
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*Lenses, Intraocular
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Male
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Middle Aged
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Phacoemulsification
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*Postoperative Complications
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Refractive Errors/*epidemiology/etiology