#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Association of cataract and sun exposure in geographically diverse populations of India: The CASE study. First Report of the ICMR-EYE SEE Study Group


Autoři: Praveen Vashist aff001;  Radhika Tandon aff001;  G. V. S. Murthy aff002;  C. K. Barua aff003;  Dipali Deka aff003;  Sachchidanand Singh aff004;  Vivek Gupta aff001;  Noopur Gupta aff001;  Meenakshi Wadhwani aff001;  Rashmi Singh aff001;  K. Vishwanath aff005
Působiště autorů: Community Ophthalmology, Dr RP Centre for Ophthalmic Sciences, New Delhi, India aff001;  Public Health Foundation of India, Hyderabad, Telangana, India aff002;  Regional Institute of Ophthalmology, Guwahati, Assam, India aff003;  National Physical Laboratory, New Delhi, India aff004;  Pushpagiri Vitreo Retina Institute, Secunderabad, Telangana, India aff005
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0227868

Souhrn

Purpose

To determine the prevalence of cataract and its association with sun exposure and other environmental risk factors in three different geographically diverse populations of India.

Design

Population based cross sectional study during 2010–2016

Participants

People aged ≥ 40 years residing in randomly sampled villages were enumerated (12021) and 9735 (81%) underwent ophthalmic evaluation from plains, hilly and coastal regions (3595, 3231, 2909 respectively)

Methods

A detailed questionnaire-based interview about outdoor activity in present, past and remote past, usage of sun protective measures, exposure to smoke, and detailed ophthalmic examination including assessment of uncorrected and best corrected visual acuity, measurement of intraocular pressure, slit lamp examination, lens opacities categorization using LOCS III and posterior segment evaluation was done. Lifetime effective sun exposure was calculated using Melbourne formula and expressed as quintiles. These were supplemented with physical environmental measurements.

Main outcome measures

Lifetime sun exposure hours, smoking, indoor kitchen smoke exposure and their association with cataract and subtypes. Prevalence of cataract calculated based on lens opacities or evidence of cataract surgery.

Results

Cataract was identified in 3231 (33.3%) participants. Prevalence of cataract in males (32.3%) and females (34.1%) was similar. Nuclear cataract was the commonest sub-type identified in 94.7% of affected eyes. Sun exposure had a significant association with cataract with odds ratio (OR) increasing from 1.6 (95% Confidence Intervals [CI]: 1.4, 1.9) in 3rd quintile, to 2.6 (CI: 2.2, 3.1) in 4th quintile and 9.4 (CI: 7.9, 11.2) in 5th quintile (p<0.0001). Cataract also showed a significant association with smoking (OR: 1.4, CI: 1.2, 1.6) and indoor kitchen smoke exposure (OR: 1.2, CI: 1.0–1.4). Nuclear cataract showed a positive association with increasing sun exposure in 3rd (β coefficient 0.5, CI:0.2–0.7), 4th (β: 0.9, CI: 0.7–1.1) and 5th (β: 2.1, CI:1.8–2.4) quintiles of sun exposure, smoking (β: 0.4, CI: 0.2–0.6) and indoor kitchen smoke exposure (β: 0.3, CI: 01–0.5) while cortical cataract showed a positive association with sun exposure only in 5th quintile (β: 2.6, CI:1.0–4.2). Posterior subcapsular cataract was not associated with any of the risk factors.

Conclusion

Cataract is associated with increasing level of sun exposure, smoking and exposure to indoor kitchen smoke.

Klíčová slova:

Cataract surgery – Cataracts – Eyes – India – Medical risk factors – Ultraviolet B – Ultraviolet A – Cataract extraction


Zdroje

1. Chatterjee A, Milton RC, Thyle S. Prevalence and aetiology of cataract in Punjab. Br J Ophthalmol. 1982;66: 35–42. doi: 10.1136/bjo.66.1.35 7055541

2. Tang Y, Ji Y, Ye X, Wang X, Cai L, Xu J, et al. The Association of Outdoor Activity and Age-Related Cataract in a Rural Population of Taizhou Eye Study: Phase 1 Report. PloS One. 2015;10: e0135870. doi: 10.1371/journal.pone.0135870 26284359

3. Collman GW, Shore DL, Shy CM, Checkoway H, Luria AS. Sunlight and other risk factors for cataracts: an epidemiologic study. Am J Public Health. 1988;78: 1459–1462. doi: 10.2105/ajph.78.11.1459 3177720

4. Ravilla TD, Gupta S, Ravindran RD, Vashist P, Krishnan T, Maraini G, et al. Use of Cooking Fuels and Cataract in a Population-Based Study: The India Eye Disease Study. Environ Health Perspect. 2016;124: 1857–1862. doi: 10.1289/EHP193 27227523

5. Neale RE, Purdie JL, Hirst LW, Green AC. Sun exposure as a risk factor for nuclear cataract. Epidemiol Camb Mass. 2003;14: 707–712. doi: 10.1097/01.ede.0000086881.84657.98 14569187

6. McCarty CA, Lee SE, Livingston PM, Bissinella M, Taylor HR. Ocular exposure to UV-B in sunlight: the Melbourne visual impairment project model. Bull World Health Organ. 1996;74: 353–360. 8823956

7. Singh S, Lodhi NK, Mishra AK, Jose S, Kumar SN, Kotnala RK. Assessment of satellite-retrieved surface UVA and UVB radiation by comparison with ground-measurements and trends over Mega-city Delhi. Atmos Environ. 2018;188: 60–70. doi: 10.1016/j.atmosenv.2018.06.027

8. Lodhi NK, Beegum SN, Singh S, Kumar K. Aerosol climatology at Delhi in the western Indo-Gangetic Plain: Microphysics, long-term trends, and source strengths: AEROSOL CLIMATOLOGY AT DELHI IN WEST IGP. J Geophys Res Atmospheres. 2013;118: 1361–1375. doi: 10.1002/jgrd.50165

9. Chylack LT, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, et al. The Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group. Arch Ophthalmol Chic Ill 1960. 1993;111: 831–836.

10. NATIONAL AMBIENT AIR QUALITY STATUS & TRENDS IN INDIA-2010. Available: http://cpcb.nic.in/openpdffile.php?id=UHVibGljYXRpb25GaWxlLzYyOF8xNDU3NTA1MzkxX1B1YmxpY2F0aW9uXzUyMF9OQUFRU1RJLnBkZg

11. Vashist P, Talwar B, Gogoi M, Maraini G, Camparini M, Ravindran RD, et al. Prevalence of cataract in an older population in India: the India study of age-related eye disease. Ophthalmology. 2011;118: 272–278.e1–2. doi: 10.1016/j.ophtha.2010.05.020 20801514

12. Nirmalan PK, Krishnadas R, Ramakrishnan R, Thulasiraj RD, Katz J, Tielsch JM, et al. Lens opacities in a rural population of southern India: the Aravind Comprehensive Eye Study. Invest Ophthalmol Vis Sci. 2003;44: 4639–4643. doi: 10.1167/iovs.03-0011 14578379

13. Seah SKL, Wong TY, Foster PJ, Ng TP, Johnson GJ. Prevalence of lens opacity in Chinese residents of Singapore: the tanjong pagar survey. Ophthalmology. 2002;109: 2058–2064. doi: 10.1016/s0161-6420(02)01221-6 12414415

14. Athanasiov PA, Casson RJ, Sullivan T, Newland HS, Shein WK, Muecke JS, et al. Cataract in rural Myanmar: prevalence and risk factors from the Meiktila Eye Study. Br J Ophthalmol. 2008;92: 1169–1174. doi: 10.1136/bjo.2008.139725 18650216

15. Javitt JC, Taylor HR. Cataract and latitude. Doc Ophthalmol Adv Ophthalmol. 1994;88: 307–325.

16. Sasaki H, Sakamoto Y, Schnider C, Fujita N, Hatsusaka N, Sliney DH, et al. UV-B exposure to the eye depending on solar altitude. Eye Contact Lens. 2011;37: 191–195. doi: 10.1097/ICL.0b013e31821fbf29 21670696

17. Hiller R, Sperduto RD, Ederer F. Epidemiologic associations with nuclear, cortical, and posterior subcapsular cataracts. Am J Epidemiol. 1986;124: 916–925. doi: 10.1093/oxfordjournals.aje.a114481 3776974

18. Beltrán-Zambrano E, García-Lozada D, Ibáñez-Pinilla E. Risk of cataract in smokers: A meta-analysis of observational studies. Arch Soc Espanola Oftalmol. 2019;94: 60–74. doi: 10.1016/j.oftal.2018.10.020 30528895

19. Lindblad BE, Håkansson N, Wolk A. Smoking cessation and the risk of cataract: a prospective cohort study of cataract extraction among men. JAMA Ophthalmol. 2014;132: 253–257. doi: 10.1001/jamaophthalmol.2013.6669 24385206

20. Ye J, He J, Wang C, Wu H, Shi X, Zhang H, et al. Smoking and Risk of Age-Related Cataract: A Meta-Analysis. Investig Opthalmology Vis Sci. 2012;53: 3885. doi: 10.1167/iovs.12-9820 22599585

21. Vashist P, Talwar B, Gogoi M, Maraini G, Camparini M, Ravindran RD, et al. Prevalence of cataract in an older population in India: the India study of age-related eye disease. Ophthalmology. 2011;118: 272–278.e1–2. doi: 10.1016/j.ophtha.2010.05.020 20801514

22. Pastor-Valero M, Fletcher AE, de Stavola BL, Chaqués-Alepúz V. Years of sunlight exposure and cataract: a case-control study in a Mediterranean population. BMC Ophthalmol. 2007;7: 18. doi: 10.1186/1471-2415-7-18 18039367

23. Raju P, George R, Ve Ramesh S, Arvind H, Baskaran M, Vijaya L. Influence of tobacco use on cataract development. Br J Ophthalmol. 2006;90: 1374–1377. doi: 10.1136/bjo.2006.097295 16837540

24. Pokhrel AK, Smith KR, Khalakdina A, Deuja A, Bates MN. Case-control study of indoor cooking smoke exposure and cataract in Nepal and India. Int J Epidemiol. 2005;34: 702–708. doi: 10.1093/ije/dyi015 15737974

25. Krishnaiah S, Vilas K, Shamanna BR, Rao GN, Thomas R, Balasubramanian D. Smoking and its association with cataract: results of the Andhra Pradesh eye disease study from India. Invest Ophthalmol Vis Sci. 2005;46: 58–65. doi: 10.1167/iovs.04-0089 15623755

26. Nirmalan PK, Robin AL, Katz J, Tielsch JM, Thulasiraj RD, Krishnadas R, et al. Risk factors for age related cataract in a rural population of southern India: the Aravind Comprehensive Eye Study. Br J Ophthalmol. 2004;88: 989–994. doi: 10.1136/bjo.2003.038380 15258010

27. Nirmalan PK, Krishnadas R, Ramakrishnan R, Thulasiraj RD, Katz J, Tielsch JM, et al. Lens opacities in a rural population of southern India: the Aravind Comprehensive Eye Study. Invest Ophthalmol Vis Sci. 2003;44: 4639–4643. doi: 10.1167/iovs.03-0011 14578379

28. Delcourt C, Carrière I, Ponton-Sanchez A, Lacroux A, Covacho MJ, Papoz L. Light exposure and the risk of cortical, nuclear, and posterior subcapsular cataracts: the Pathologies Oculaires Liées à l’Age (POLA) study. Arch Ophthalmol Chic Ill 1960. 2000;118: 385–392.

29. West SK, Duncan DD, Muñoz B, Rubin GS, Fried LP, Bandeen-Roche K, et al. Sunlight exposure and risk of lens opacities in a population-based study: the Salisbury Eye Evaluation project. JAMA. 1998;280: 714–718. doi: 10.1001/jama.280.8.714 9728643

30. Wong L, Ho SC, Coggon D, Cruddas AM, Hwang CH, Ho CP, et al. Sunlight exposure, antioxidant status, and cataract in Hong Kong fishermen. J Epidemiol Community Health. 1993;47: 46–49. doi: 10.1136/jech.47.1.46 8436894

31. Taylor HR, West SK, Rosenthal FS, Muñoz B, Newland HS, Abbey H, et al. Effect of ultraviolet radiation on cataract formation. N Engl J Med. 1988;319: 1429–1433. doi: 10.1056/NEJM198812013192201 3185661

32. Cruickshanks KJ, Klein BE, Klein R. Ultraviolet light exposure and lens opacities: the Beaver Dam Eye Study. Am J Public Health. 1992;82: 1658–1662. doi: 10.2105/ajph.82.12.1658 1456342

33. Ye J, He J, Wang C, Wu H, Shi X, Zhang H, et al. Smoking and risk of age-related cataract: a meta-analysis. Invest Ophthalmol Vis Sci. 2012;53: 3885–3895. doi: 10.1167/iovs.12-9820 22599585

34. Christen WG, Manson JE, Seddon JM, Glynn RJ, Buring JE, Rosner B, et al. A Prospective Study of Cigarette Smoking and Risk of Cataract in Men. JAMA. 1992;268: 989–993. doi: 10.1001/jama.1992.03490080063025 1501324

35. Sukhsohale ND, Narlawar UW, Phatak MS. Indoor air pollution from biomass combustion and its adverse health effects in central India: an exposure-response study. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2013;38: 162–167. doi: 10.4103/0970-0218.116353 24019602

36. Backes C, Religi A, Moccozet L, Vuilleumier L, Vernez D, Bulliard J-L. Facial exposure to ultraviolet radiation: Predicted sun protection effectiveness of various hat styles. Photodermatol Photoimmunol Photomed. 2018;34: 330–337. doi: 10.1111/phpp.12388 29682802

37. Backes C, Religi A, Moccozet L, Behar-Cohen F, Vuilleumier L, Bulliard JL, et al. Sun exposure to the eyes: predicted UV protection effectiveness of various sunglasses. J Expo Sci Environ Epidemiol. 2019;29: 753–764. doi: 10.1038/s41370-018-0087-0 30382242


Článek vyšel v časopise

PLOS One


2020 Číslo 1
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

plice
INSIGHTS from European Respiratory Congress
nový kurz

Současné pohledy na riziko v parodontologii
Autoři: MUDr. Ladislav Korábek, CSc., MBA

Svět praktické medicíny 3/2024 (znalostní test z časopisu)

Kardiologické projevy hypereozinofilií
Autoři: prof. MUDr. Petr Němec, Ph.D.

Střevní příprava před kolonoskopií
Autoři: MUDr. Klára Kmochová, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#