The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye Study

Abstract Purpose To describe the prevalence and the cumulative 6-year incidence of fundus tessellation in a rural Chinese adult population. Methods The Handan Eye Study was a population-based longitudinal study, with 6830 eligible subjects included in the baseline period, and 5394 subjects (follow-u...

Full description

Saved in:
Bibliographic Details
Main Authors: Caixia Lin, Jian Wu, Kai Cao, Bingsong Wang, Yuxin Fang, Ohno-Matsui Kyoko, Yunyun Sun, Jie Hao, Lixia Ma, Ye Zhang, Qing Zhang, Ningli Wang, the Handan Eye Study Group
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-025-03874-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832571933565124608
author Caixia Lin
Jian Wu
Kai Cao
Bingsong Wang
Yuxin Fang
Ohno-Matsui Kyoko
Yunyun Sun
Jie Hao
Lixia Ma
Ye Zhang
Qing Zhang
Ningli Wang
the Handan Eye Study Group
author_facet Caixia Lin
Jian Wu
Kai Cao
Bingsong Wang
Yuxin Fang
Ohno-Matsui Kyoko
Yunyun Sun
Jie Hao
Lixia Ma
Ye Zhang
Qing Zhang
Ningli Wang
the Handan Eye Study Group
author_sort Caixia Lin
collection DOAJ
description Abstract Purpose To describe the prevalence and the cumulative 6-year incidence of fundus tessellation in a rural Chinese adult population. Methods The Handan Eye Study was a population-based longitudinal study, with 6830 eligible subjects included in the baseline period, and 5394 subjects (follow-up rate: 85.3%) took part in the follow-up study. Participants had detailed eye examinations and physical examinations; a detailed questionnaire was also well administered. Fundus tessellation was defined as well-defined choroidal vessels that can be observed clearly around the fovea as well as around the arcade vessels. Results Among 6830 subjects who participated in the baseline study, the prevalence of fundus tessellation was 9.89% (95%CI: 9.22-10.58%). The prevalence of fundus tessellation increased with age; that of subjects aged younger than 50 years and those aged 50 years or older was 2.5% and 14.5%, respectively. Six years later, the cumulative 6-year incidence of fundus tessellation was 1.21% (95%CI: 1.03-1.40%). Similarly, the incidence of fundus tessellation also increased with age; that of participants aged younger than 50 years and those aged 50 years or older was 0.20% and 1.86%, respectively. The progression rate of fundus tessellation in those with fundus tessellation at baseline was 1.5% (95% CI: 0.82%, 2.38%). By multivariable analysis, subjects being older (OR: 1.079, P < 0.001) and havingβ-parapapillary atrophy at baseline (OR: 2.657, P = 0.002) were associated with a higher risk of incidence of fundus tessellation. Conclusions The prevalence and 6-year incidence of fundus tessellation were 9.89% and 1.21% in rural Chinese adults aged 30 + years, respectively. The progression rate in participants with fundus tessellation indicates the importance of regular follow-up for these patients.
format Article
id doaj-art-6bbd88f48acf428e8d2cfc9aa9d6d2f6
institution Kabale University
issn 1471-2415
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Ophthalmology
spelling doaj-art-6bbd88f48acf428e8d2cfc9aa9d6d2f62025-02-02T12:13:29ZengBMCBMC Ophthalmology1471-24152025-01-0125111110.1186/s12886-025-03874-7The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye StudyCaixia Lin0Jian Wu1Kai Cao2Bingsong Wang3Yuxin Fang4Ohno-Matsui Kyoko5Yunyun Sun6Jie Hao7Lixia Ma8Ye Zhang9Qing Zhang10Ningli Wang11the Handan Eye Study GroupBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Capital Medical UniversityHenan Academy of Innovations in Medical ScienceBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual SciencesBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Capital Medical UniversityBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Capital Medical UniversityDepartment of Ophthalmology and Visual Science, Tokyo Medical and Dental UniversityBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Capital Medical UniversityBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Capital Medical UniversityHenan Academy of Innovations in Medical ScienceBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Capital Medical UniversityBeijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual SciencesHenan Academy of Innovations in Medical ScienceAbstract Purpose To describe the prevalence and the cumulative 6-year incidence of fundus tessellation in a rural Chinese adult population. Methods The Handan Eye Study was a population-based longitudinal study, with 6830 eligible subjects included in the baseline period, and 5394 subjects (follow-up rate: 85.3%) took part in the follow-up study. Participants had detailed eye examinations and physical examinations; a detailed questionnaire was also well administered. Fundus tessellation was defined as well-defined choroidal vessels that can be observed clearly around the fovea as well as around the arcade vessels. Results Among 6830 subjects who participated in the baseline study, the prevalence of fundus tessellation was 9.89% (95%CI: 9.22-10.58%). The prevalence of fundus tessellation increased with age; that of subjects aged younger than 50 years and those aged 50 years or older was 2.5% and 14.5%, respectively. Six years later, the cumulative 6-year incidence of fundus tessellation was 1.21% (95%CI: 1.03-1.40%). Similarly, the incidence of fundus tessellation also increased with age; that of participants aged younger than 50 years and those aged 50 years or older was 0.20% and 1.86%, respectively. The progression rate of fundus tessellation in those with fundus tessellation at baseline was 1.5% (95% CI: 0.82%, 2.38%). By multivariable analysis, subjects being older (OR: 1.079, P < 0.001) and havingβ-parapapillary atrophy at baseline (OR: 2.657, P = 0.002) were associated with a higher risk of incidence of fundus tessellation. Conclusions The prevalence and 6-year incidence of fundus tessellation were 9.89% and 1.21% in rural Chinese adults aged 30 + years, respectively. The progression rate in participants with fundus tessellation indicates the importance of regular follow-up for these patients.https://doi.org/10.1186/s12886-025-03874-7Fundus tessellationPrevalenceIncidenceRisk factorsLongitudinal study
spellingShingle Caixia Lin
Jian Wu
Kai Cao
Bingsong Wang
Yuxin Fang
Ohno-Matsui Kyoko
Yunyun Sun
Jie Hao
Lixia Ma
Ye Zhang
Qing Zhang
Ningli Wang
the Handan Eye Study Group
The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye Study
BMC Ophthalmology
Fundus tessellation
Prevalence
Incidence
Risk factors
Longitudinal study
title The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye Study
title_full The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye Study
title_fullStr The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye Study
title_full_unstemmed The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye Study
title_short The prevalence and 6-year incidence of myopic tessellation in a Chinese rural adult population: the Handan Eye Study
title_sort prevalence and 6 year incidence of myopic tessellation in a chinese rural adult population the handan eye study
topic Fundus tessellation
Prevalence
Incidence
Risk factors
Longitudinal study
url https://doi.org/10.1186/s12886-025-03874-7
work_keys_str_mv AT caixialin theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT jianwu theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT kaicao theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT bingsongwang theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT yuxinfang theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT ohnomatsuikyoko theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT yunyunsun theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT jiehao theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT lixiama theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT yezhang theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT qingzhang theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT ningliwang theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT thehandaneyestudygroup theprevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT caixialin prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT jianwu prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT kaicao prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT bingsongwang prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT yuxinfang prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT ohnomatsuikyoko prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT yunyunsun prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT jiehao prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT lixiama prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT yezhang prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT qingzhang prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT ningliwang prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy
AT thehandaneyestudygroup prevalenceand6yearincidenceofmyopictessellationinachineseruraladultpopulationthehandaneyestudy