Distribution and associated factors of intraocular pressure in the older population:Tehran Geriatric Eye Study  

作　　者：Hassan Hashemi Samira Heydarian Mohammadreza Aghamirsalim Abbasali Yekta Alireza Hashemi Masoumeh Sajadi Mehdi Khabazkhoob 

机构地区：[1]Noor Research Center for Ophthalmic Epidemiology,Noor Eye Hospital,Tehran 19839-63113,Iran [2]Department of Rehabilitation Sciences,School of Allied Medical Sciences,Mazandaran University of Medical Sciences,Sari 1968653111,Iran [3]Translational Ophthalmology Research Center,Tehran University of Medical Sciences,Tehran 1157715354,Iran [4]Department of Optometry,School of Paramedical Sciences,Mashhad University of Medical Sciences,Mashhad 3453545,Iran [5]Noor Ophthalmology Research Center,Noor Eye Hospital,Tehran 1968653111,Iran [6]Department of Basic Sciences,School of Nursing and Midwifery,Shahid Beheshti University of Medical Sciences,Tehran 1968653111,Iran

出　　处：《International Journal of Ophthalmology(English edition)》2023年第3期418-426,共9页国际眼科杂志（英文版）

基　　金：Supported by National Institute for Medical Research Development (NIMAD) affiliated with the Iranian Ministry of Health and Medical Education (No.963660)。

摘　　要：AIM:To determine the distribution and associated factors of intraocular pressure(IOP) in an Iranian elderly population 60 years of age and above.METHODS:The present report is part of the Tehran Geriatric Eye study(TGES),a population-based cross-sectional study that was conducted on the residents of Tehran 60 years of age and above.The sampling was performed using multistage stratified random cluster sampling methods from 22 districts of Tehran,Iran.Demographic and history information,blood samples,and blood pressure were collected from all participants.Ocular examinations included measurement of uncorrected and best-corrected visual acuity,objective and subjective refraction,and slit-lamp biomicroscopy.The IOP was measured using Goldmann applanation tonometry(GAT).Corneal imaging and ocular biometry were performed using Pentacam AXL.RESULTS:The data of 3892 eyes of 2124 individuals were analyzed for this report.The mean age of the study participants was 66.49±5.31y(range:60 to 95y).The mean IOP was 15.2 mm Hg(95%CI:15.1 to 15.4),15.3 mm Hg(95%CI:15.1 to 15.5) and 15.1 mm Hg(95%CI:15.0 to 15.3) in all participants,males,and females,respectively.Of the study participants,1.3% had an IOP of ≥20 mm Hg.The mean IOP increased from 15.1 mm Hg in the age group 60-64y to 16.3 mm Hg in the age group ≥80y.According to the final multiple GEE model,the IOP was statistically significantly higher in men than in women.All the studied age groups,except for the 75-79-year-old age group,had significantly higher IOP compared to the 60-64-year-old age group.The IOP was significantly higher in underweight compared to other body mass index groups.Moreover,the IOP had a statistically significant direct relationship with the mean corneal power(mean CP),central corneal thickness(CCT),and systolic blood pressure.CONCLUSION:The present study presents the distribution of IOP in an Iranian elderly population.A higher IOP(within the range 14 to 17 mm Hg) is significantly associated with older age,male sex,high systolic blood pressure,incr

关 键 词：intraocular pressure GLAUCOMA ELDERLY ocular biometry 

分 类 号：R775[医药卫生—眼科]