Prevalence of Diabetic Retinopathy in Indigenous and Non-Indigenous Australians

Chia, Mark A.; Taylor, Joshua; Stuart, Kelsey V.; Khawaja, Anthony P; Foster, Paul J.; Keane, Pearse A.; Turner, Angus

doi:10.1016/j.ophtha.2022.07.024

Cited by 8 publications

(2 citation statements)

References 40 publications

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“…In this meta-analysis, continuous variables were extracted as mean and standard deviation (mean ± SD), and estimated using the weighted mean difference (WMD), and 95% confidential intervals (CI). Random-effects models were used when study heterogeneity was high (I 2 > 50%), and fixed-effects models were used when heterogeneity was low (I 2 ≤ 50%) (18,19).…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of small-incision corneal intrastromal lenticule implantation for hyperopia correction: a systematic review and meta-analysis

Wang,

Zheng,

Guo

et al. 2024

Front. Med.

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PurposeTo assess the efficacy and safety of intrastromal lenticule implantation for the treatment of hyperopia.MethodsA systematic search of PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Internet, and Wan Fang Database identified studies on small-incision intrastromal lenticule implantation for hyperopia correction until January 2023. The Joanna Briggs Institute (JBI) critical appraisal tool was used to assess the quality of the retrospective research, and the Methodological Index for Non-randomized Studies (MINORS) was used to assess the quality of the prospective research. This study included postoperative visual outcomes, corneal morphology, and biomechanical outcomes.ResultsA total of 456 articles were identified, of which 10 were included in the meta-analysis. Ten single-arm studies involving 190 eyes were included. A meta-analysis demonstrated that corneal intrastromal lenticule implantation treatment significantly improved hyperopia. Uncorrected distance visual acuity (UDVA) significantly improved compared to the preoperative value (p = 0.027), corrected distance visual acuity showed no difference compared to the preoperative value (p = 0.27), and 87% eyes have no loss of one or more lines in the Snellen lines of CDVA (p < 0.00001). There was a significant difference between the spherical equivalent refractive (SE) and preoperative examination (p < 0.00001), 52% of eyes had ±0.5 diopters (D) postoperative SE (p < 0.00001), and 74% eyes had ±1.0 D postoperative SE (p < 0.00001). The central corneal thickness (CCT) increased by 72.68 μm compared to that preoperatively (p < 0.00001), and corneal curvature increased by 4.18D (p < 0.00001). The Q-value decreased by 0.82 (p < 0.00001), and higher-order aberration (HOA) decreased by 0.66 (p < 0.00001).ConclusionSmall-incision intrastromal lenticule implantation may be an effective solution for correcting hyperopia. The effect of improved vision is significant, but further exploration is needed for changes in corneal biomechanics and long-term safety.Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42023432343.

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Section: Discussionmentioning

confidence: 99%

Efficacy and safety of small-incision corneal intrastromal lenticule implantation for hyperopia correction: a systematic review and meta-analysis

Wang,

Zheng,

Guo

et al. 2024

Front. Med.

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“…The target population includes 1,750 Indigenous Australians (aged 40 years and older) and 3,250 non-Indigenous Australians (aged 50 years and older). Aboriginal and Torres Strait Islander participants have a younger inclusion age criteria because major eye and hearing conditions such as diabetic retinopathy (DR) and glue ear have an earlier onset and faster rate of progression in these communities [17,18]. This study is a follow-up study of the NEHS1, thus the sample sizes were determined from the NEHS1 to ensure comparability.…”

Section: Sample Sizementioning

confidence: 99%

The Australian Eye and Ear Health Survey (AEEHS): Study protocol for a population-based cross-sectional study

Kha,

Macken,

Mitchell

et al. 2024

PLoS ONE

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Introduction Vision and hearing impairments are highly prevalent and have a significant impact on physical, psychological and social wellbeing. There is a need for accurate, contemporary national data on the prevalence, risk factors and impacts of vision and hearing loss in Australian adults. Objectives The Australian Eye and Ear Health Survey (AEEHS) aims to determine the prevalence, risk factors and impacts of vision and hearing loss in both Aboriginal and Torres Strait Islander and non-Indigenous older adults. Methods and analysis The AEEHS is a population-based cross-sectional survey which will include 5,000 participants (3250 non-Indigenous aged 50 years or older and 1750 Aboriginal and Torres Strait Islander people aged 40 years or older) from 30 sites covering urban and rural/regional geographic areas, selected using a multi-stage, random cluster sampling strategy. Questionnaires will be administered to collect data on socio-demographic, medical, ocular and ontological history. The testing battery includes assessment of blood pressure, blood sugar, anthropometry, visual acuity (presenting, unaided, pinhole and best-corrected), refraction, tonometry, slit lamp and dilated eye examination, ocular imaging including optical coherence tomography (OCT), OCT-angiography and retinal photography, and automated visual fields. Audiometry, tympanometry and video otoscopy will also be performed. The primary outcomes are age-standardised prevalence of cause-specific vision and hearing impairment. Secondary outcomes are prevalence of non-blinding eye diseases (including dry eye disease), patterns in health service utilisation, universal health coverage metrics, risk factors for vision and hearing impairment, and impact on quality of life.

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Population impact and cost-effectiveness of artificial intelligence-based diabetic retinopathy screening in people living with diabetes in Australia: a cost effectiveness analysis

Hu,

Joseph,

et al. 2024

eClinicalMedicine

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Prevalence of Diabetic Retinopathy in Indigenous and Non-Indigenous Australians

Cited by 8 publications

References 40 publications

Efficacy and safety of small-incision corneal intrastromal lenticule implantation for hyperopia correction: a systematic review and meta-analysis

Efficacy and safety of small-incision corneal intrastromal lenticule implantation for hyperopia correction: a systematic review and meta-analysis

The Australian Eye and Ear Health Survey (AEEHS): Study protocol for a population-based cross-sectional study

Population impact and cost-effectiveness of artificial intelligence-based diabetic retinopathy screening in people living with diabetes in Australia: a cost effectiveness analysis

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