Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern China

Purpose. To compare ocular biometric parameters between urban and rural cataract patients in Shanghai, China. Methods. A study of ocular biometry records from urban and rural hospitals was performed for cataract patients at least 50 years of age. The ocular biometrical parameters, which were measure...

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Main Authors: Hui Liu, Zequan Xu, Zhuyun Qian, Jianheng Liang, Kunqiao Wei, Lipiya Zu, Xu Chen
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/2863698
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author Hui Liu
Zequan Xu
Zhuyun Qian
Jianheng Liang
Kunqiao Wei
Lipiya Zu
Xu Chen
author_facet Hui Liu
Zequan Xu
Zhuyun Qian
Jianheng Liang
Kunqiao Wei
Lipiya Zu
Xu Chen
author_sort Hui Liu
collection DOAJ
description Purpose. To compare ocular biometric parameters between urban and rural cataract patients in Shanghai, China. Methods. A study of ocular biometry records from urban and rural hospitals was performed for cataract patients at least 50 years of age. The ocular biometrical parameters, which were measured with partial coherence laser interferometry (IOL Master, Zeiss), were axial length (AL), anterior chamber depth (ACD), radius of corneal curvature (K, including steep/flat/average K), astigmatism, and axis. Only the right eye record of each patient was analysed. Results. Ocular biometric data included 2839 urban patients (73.15 ± 9.54 years) and 2646 rural patients (73.64 ± 7.32 years). Mean AL, ACD, and K were 24.35 ± 2.34 mm, 3.14 ± 0.58 mm, and 44.38 ± 1.52 D, respectively, in urban patients and 23.58 ± 1.70 mm, 3.08 ± 0.57 mm, and 44.53 ± 1.50 D, respectively, in rural patients. The urban subjects had significantly longer axial lengths (in both univariate and multivariate linear regression analyses) and deeper ACDs (in univariate analysis) than rural subjects p<0.01. There was no significant difference in steep K, flat K, and average K between the two groups. With-the-rule (WTR) corneal astigmatism was found in 1787 eyes (32.58%), against-the-rule (ATR) corneal astigmatism was found in 2727 eyes (49.72%), and oblique corneal astigmatism was found in 971 eyes (17.70%). Conclusions. We report biometry and astigmatism data in a large cohort of urban and rural adult subjects for the first time. In our study, a short AL, shallow ACD, and axis turned in an ATR direction had higher prevalence rates in the rural subjects. This profile of ocular biometric data and corneal astigmatism will be helpful in planning for intraocular lens (IOL) power calculations and astigmatism correction in subjects in different locations.
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spelling doaj-art-e930aa2cc9f6464bb87fbd6d460b65062025-08-20T03:21:09ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/28636982863698Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern ChinaHui Liu0Zequan Xu1Zhuyun Qian2Jianheng Liang3Kunqiao Wei4Lipiya Zu5Xu Chen6Aier School of Ophthalmology, Central South University, Changsha, Hunan Province, ChinaDepartment of Ophthalmology, Frist Medical Center, Chinese People’s Liberation Army General Hospital (PLAGH), Fuxing Road 28, Beijing 100039, ChinaDepartment of Ophthalmology, Shanghai Aier Eye Hospital, Shanghai, ChinaAier School of Ophthalmology, Central South University, Changsha, Hunan Province, ChinaDepartment of Ophthalmology, Shanghai Aier Eye Hospital, Shanghai, ChinaDepartment of Ophthalmology, Wulumuqi Aier Adiya Eye Hospital, Wulumuqi, ChinaAier School of Ophthalmology, Central South University, Changsha, Hunan Province, ChinaPurpose. To compare ocular biometric parameters between urban and rural cataract patients in Shanghai, China. Methods. A study of ocular biometry records from urban and rural hospitals was performed for cataract patients at least 50 years of age. The ocular biometrical parameters, which were measured with partial coherence laser interferometry (IOL Master, Zeiss), were axial length (AL), anterior chamber depth (ACD), radius of corneal curvature (K, including steep/flat/average K), astigmatism, and axis. Only the right eye record of each patient was analysed. Results. Ocular biometric data included 2839 urban patients (73.15 ± 9.54 years) and 2646 rural patients (73.64 ± 7.32 years). Mean AL, ACD, and K were 24.35 ± 2.34 mm, 3.14 ± 0.58 mm, and 44.38 ± 1.52 D, respectively, in urban patients and 23.58 ± 1.70 mm, 3.08 ± 0.57 mm, and 44.53 ± 1.50 D, respectively, in rural patients. The urban subjects had significantly longer axial lengths (in both univariate and multivariate linear regression analyses) and deeper ACDs (in univariate analysis) than rural subjects p<0.01. There was no significant difference in steep K, flat K, and average K between the two groups. With-the-rule (WTR) corneal astigmatism was found in 1787 eyes (32.58%), against-the-rule (ATR) corneal astigmatism was found in 2727 eyes (49.72%), and oblique corneal astigmatism was found in 971 eyes (17.70%). Conclusions. We report biometry and astigmatism data in a large cohort of urban and rural adult subjects for the first time. In our study, a short AL, shallow ACD, and axis turned in an ATR direction had higher prevalence rates in the rural subjects. This profile of ocular biometric data and corneal astigmatism will be helpful in planning for intraocular lens (IOL) power calculations and astigmatism correction in subjects in different locations.http://dx.doi.org/10.1155/2020/2863698
spellingShingle Hui Liu
Zequan Xu
Zhuyun Qian
Jianheng Liang
Kunqiao Wei
Lipiya Zu
Xu Chen
Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern China
Journal of Ophthalmology
title Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern China
title_full Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern China
title_fullStr Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern China
title_full_unstemmed Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern China
title_short Comparison of Ocular Biometry Profiles in Urban and Rural Cataract Candidates in Eastern China
title_sort comparison of ocular biometry profiles in urban and rural cataract candidates in eastern china
url http://dx.doi.org/10.1155/2020/2863698
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