Prevalence and associations of keratoconus among children, adults, and elderly in the population-based Ural eye studies

Purpose: - To estimate prevalence and associations of keratoconus in populations in Russia with an age from childhood to seniority. - Methods: - The study population consisted of the cohorts of 3 population-based studies performed in urban and rural areas within the same geographical region in Bashk...

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Hauptverfasser: Bikbov, Mukharram (VerfasserIn) , Kazakbaeva, Gyulli M. (VerfasserIn) , Gilmanshin, Timur R. (VerfasserIn) , Iakupova, Ellina M. (VerfasserIn) , Fakhretdinova, Albina A. (VerfasserIn) , Tuliakova, Azaliia M. (VerfasserIn) , Panda-Jonas, Songhomitra (VerfasserIn) , Rusakova, Iuliia A. (VerfasserIn) , Gilemzianova, Leisan I. (VerfasserIn) , Khakimov, Dinar A. (VerfasserIn) , Miniazeva, Liana A. (VerfasserIn) , Usubov, Emin L. (VerfasserIn) , Jonas, Jost B. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: November-December 2023
In: Asia-Pacific journal of ophthalmology
Year: 2023, Jahrgang: 12, Heft: 6, Pages: 591-603
ISSN:2162-0989
DOI:10.1097/APO.0000000000000639
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1097/APO.0000000000000639
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S2162098924000094
Volltext
Verfasserangaben:Mukharram M. Bikbov, MD, PhD, Gyulli M. Kazakbaeva, MD, Timur R. Gilmanshin, MD, Ellina M. Iakupova, MD, Albina A. Fakhretdinova, MD, Azaliia M. Tuliakova, MD, Songhomitra Panda-Jonas, MD, Iuliia A. Rusakova, MD, Leisan I. Gilemzianova, MD, Dinar A. Khakimov, MD, Liana A. Miniazeva, MD, Emin L. Usubov, MD, and Jost B. Jonas, MD

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245 1 0 |a Prevalence and associations of keratoconus among children, adults, and elderly in the population-based Ural eye studies  |c Mukharram M. Bikbov, MD, PhD, Gyulli M. Kazakbaeva, MD, Timur R. Gilmanshin, MD, Ellina M. Iakupova, MD, Albina A. Fakhretdinova, MD, Azaliia M. Tuliakova, MD, Songhomitra Panda-Jonas, MD, Iuliia A. Rusakova, MD, Leisan I. Gilemzianova, MD, Dinar A. Khakimov, MD, Liana A. Miniazeva, MD, Emin L. Usubov, MD, and Jost B. Jonas, MD 
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520 |a Purpose: - To estimate prevalence and associations of keratoconus in populations in Russia with an age from childhood to seniority. - Methods: - The study population consisted of the cohorts of 3 population-based studies performed in urban and rural areas within the same geographical region in Bashkortostan/Russia: the Ural Children Eye Study (UCES; age = 6-18 y; n = 4890), the Ural Eye and Medical Study (UEMS; age = >40 y; n = 5314), and the Ural Very Old Study (UVOS; age = >85 y; n = 651). Based on Scheimflug imaging, keratoconus was defined by a keratometric reading of ≥48 diopters (D) in any eye. - Results: - The mean maximal and minimal corneal refractive power increased from the UCES (43.58 ± 1.50 D and 42.70 ± 1.42 D, respectively) to the UEMS (44.26 ± 1.70 D and 43.61 ± 1.76 D, respectively) and to the UVOS (45.1 ± 1.72 D and 43.98 ± 1.68 D, respectively). Correspondingly, keratoconus prevalence increased from the UCES (42/4890; 0.086%; 95% CI = 0.060, 0.112) to the UEMS (112/5314; 2.11%; 95% CI = 1.72, 2.49) and to the UVOS (42/651; 6.45%; 95% CI = 4.56, 8.34). In the UCES, higher keratoconus prevalence was associated (multivariable analysis) with higher birth order [odds ratio (OR) = 2.34; 95% CI = 1.32, 4.15; P = 0.004], lower birth weight (OR = 0.99; 95% CI = 0.99, 0.99; P < 0.001), and shorter axial length (OR = 0.15; 95% CI = 0.08, 0.30; P < 0.001). In the UEMS, keratoconus prevalence correlated with shorter axial length (OR = 0.15; 95% CI = 0.10, 0.23; P < 0.001), larger corneal volume (OR = 1.17; 95% CI = 1.09, 1.25; P = 0.001), thicker lens (OR = 2.27; 95% CI = 1.06, 5.28; P = 0.04), cortical cataract degree (OR = 1.02; 95% CI = 1.01, 1.04; P = 0.01), and higher stage of age-related macular degeneration (OR = 1.65; 95% CI = 1.09, 2.51; P = 0.02). In the UVOS, keratoconus prevalence correlated with lower educational level (OR = 0.84; 95% CI = 0.71, 0.99; P = 0.04) and lower dynamometric handgrip force (OR = 0.92; 95% CI = 0.88, 0.97; P = 0.003). - Conclusions: - In this study on multiethnic groups from Russia, keratoconus prevalence increased from the pediatric group (0.09%) to the adult group (2.11%) and seniority group (6.45%), correlated mostly with biometric ocular parameters and was in all age groups statistically independent of most systemic parameters. 
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700 1 |a Gilmanshin, Timur R.  |e VerfasserIn  |4 aut 
700 1 |a Iakupova, Ellina M.  |e VerfasserIn  |4 aut 
700 1 |a Fakhretdinova, Albina A.  |e VerfasserIn  |4 aut 
700 1 |a Tuliakova, Azaliia M.  |e VerfasserIn  |4 aut 
700 1 |a Panda-Jonas, Songhomitra  |e VerfasserIn  |0 (DE-588)1063684919  |0 (DE-627)812456769  |0 (DE-576)40694797X  |4 aut 
700 1 |a Rusakova, Iuliia A.  |e VerfasserIn  |4 aut 
700 1 |a Gilemzianova, Leisan I.  |e VerfasserIn  |4 aut 
700 1 |a Khakimov, Dinar A.  |e VerfasserIn  |4 aut 
700 1 |a Miniazeva, Liana A.  |e VerfasserIn  |4 aut 
700 1 |a Usubov, Emin L.  |e VerfasserIn  |4 aut 
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787 0 8 |i Ergänzung zu  |a Tello, Alejandro  |t Discrepancies in reported prevalence rates of keratoconus in Russia, in: Asia-Pacific Journal of Ophthalmology  |d 2024  |g 13(2024), Artikel 100065  |o 10.1016/j.apjo.2024.100065 
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