Risk factors for keratoconus in Israel: a case-control study.

作者: Ariela Gordon-Shaag , Michel Millodot , Igor Kaiserman , Tzahi Sela , Guy Barnett Itzhaki

DOI: 10.1111/OPO.12237

关键词:

摘要: Purpose Keratoconus (KC) is a progressive corneal thinning disorder with an uncertain aetiology. Environmental and genetic factors, including consanguinity, eye rubbing possibly sun exposure, play role in the aetiology of KC. Here we test for risk factors KC Israeli population particular emphasis on exposure. Methods This case–control study included patients who were diagnosed at Care Laser Medical Group, refractive surgery clinic branches throughout Israel. The control group age, sex ethnicity matched individuals randomly selected from presenting surgery, but without Study subjects asked to fill out self-administered questionnaire that demographic geographic details, questions ocular general health exposure. Conditional logistic regression was used analyse univariable multivariable data identify KC. Results Seventy-three 146 controls participated study. Univariable analyses demonstrated [odds ratio (OR) = 3.76], positive family history (OR = 6.10) parents' education (<12 years, OR = 0.27, 0.23 father's mother's respectively) significant exposure behaviour during teenage years proved equivocal some behaviours emerging as protective (wearing hat outdoors, OR = 3.13) or (spending time shade, OR = 0.45), while others showed no association [limiting (p = 0.51), wearing sunglasses (p = 0.20)]. Most analyses, also emerged statistically model (OR = 3.37, 9.68, 0.35, 5.51 rubbing, history, parental education, exception spending shade (p = 0.88). Conclusions Eye (as measure socio-economic status) having members remains warrants further research.

参考文章(74)
Eberhard Spoerl, Frederik Raiskup-Wolf, Eberhard Kuhlisch, Lutz E Pillunat, Cigarette Smoking is Negatively Associated With Keratoconus Journal of Refractive Surgery. ,vol. 24, ,(2008) , 10.3928/1081597X-20080901-18
Dorothy L. Powell, Victor Stewart, Children. The unwitting target of environmental injustices. Pediatric Clinics of North America. ,vol. 48, pp. 1291- 1305 ,(2001) , 10.1016/S0031-3955(05)70375-8
Muneera Al Husain, Muneera Al Bunyan, Consanguineous marriages in a Saudi population and the effect of inbreeding on prenatal and postnatal mortality Annals of Tropical Paediatrics. ,vol. 17, pp. 155- 160 ,(1997) , 10.1080/02724936.1997.11747879
Elsie Chan, Grant R Snibson, Current status of corneal collagen cross-linking for keratoconus: a review Clinical and Experimental Optometry. ,vol. 96, pp. 155- 164 ,(2013) , 10.1111/CXO.12020
Ariela Gordon-Shaag, Michel Millodot, Einat Shneor, Yutao Liu, The genetic and environmental factors for keratoconus. BioMed Research International. ,vol. 2015, pp. 795738- 795738 ,(2015) , 10.1155/2015/795738
Einat Shneor, Michel Millodot, Sharon Blumberg, Ilya Ortenberg, Shmuel Behrman, Ariela Gordon-Shaag, Characteristics of 244 patients with keratoconus seen in an optometric contact lens practice Clinical and Experimental Optometry. ,vol. 96, pp. 219- 224 ,(2013) , 10.1111/CXO.12005
Wei-Boon Khor, Rui H Wei, Li Lim, Choi M Chan, Donald TH Tan, Keratoconus in Asians: demographics, clinical characteristics and visual function in a hospital-based population Clinical and Experimental Ophthalmology. ,vol. 39, pp. 299- 307 ,(2011) , 10.1111/J.1442-9071.2010.02458.X
D.D. Saadat, M., Ansari-Lari, M., Farhud, Consanguineous marriage in Iran. Annals of Human Biology. ,vol. 31, pp. 263- 269 ,(2004) , 10.1080/03014460310001652211
Hassan Hashemi, Asghar Beiranvand, Mehdi Khabazkhoob, Soheila Asgari, Mohammad Hassan Emamian, Mohammad Shariati, Akbar Fotouhi, None, Prevalence of keratoconus in a population-based study in Shahroud. Cornea. ,vol. 32, pp. 1441- 1445 ,(2013) , 10.1097/ICO.0B013E3182A0D014
Arie Y Nemet, Shlomo Vinker, Irit Bahar, Igor Kaiserman, The association of keratoconus with immune disorders. Cornea. ,vol. 29, pp. 1261- 1264 ,(2010) , 10.1097/ICO.0B013E3181CB410B