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Ophthalmology
Research
Clinical characteristics of young adult cataract patients: a 10-year retrospective study of the Zhongshan Ophthalmic Center
  1. Duoru Lin1,
  2. Zhenzhen Liu1,
  3. Qianzhong Cao1,
  4. Xiaohang Wu1,
  5. Jinchao Liu1,
  6. Jingjing Chen1,
  7. Zhuoling Lin1,
  8. Xiaoyan Li1,
  9. Li Zhang1,
  10. Erping Long1,
  11. Xiayin Zhang1,
  12. Jinghui Wang1,
  13. Dongxuan Wu2,
  14. Xutu Zhao2,
  15. Tongyong Yu2,
  16. Jing Li1,
  17. Xiaojia Zhou1,
  18. Lisha Wang1,
  19. Haotian Lin1,
  20. Weirong Chen1,
  21. Yizhi Liu1
  1. 1 State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China
  2. 2 Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China
  1. Correspondence to Prof. Haotian Lin; haot.lin{at}hotmail.com

Abstract

Aim To investigate the characteristics of young adult cataract (YAC) patients over a 10-year period.

Methods This observational study included YAC patients aged 18–49 years who were treated surgically for the first time at the Zhongshan Ophthalmic Center in China. YAC patients were analysed and compared with patients with childhood cataract (CC) in January 2005 to December 2014.

Results During the 10-year period, 515 YAC patients and 2421 inpatients with CC were enrolled. Among the YAC patients, 76.76% (109/142) of unilateral patients had a corrected distance visual acuity (CDVA) better than 20/40 in the healthy eye, whereas only 20.38% (76/373) of bilateral patients had a CDVA better than 20/40 in the eye with better visual acuity. Compared with the CC group, the YAC group had a higher proportion of rural patients (40.40% vs 31.60%, p=0.001). Furthermore, the prevalence of other ocular abnormalities in YAC patients was higher than that in patients with CC (29.71% vs 17.47%, p<0.001).

Conclusions A large proportion coming from rural areas and a high prevalence of complicated ocular abnormalities may be the most salient characteristics of YAC patients. Strengthening the counselling and screening strategy for cataract and health education for young adults are required especially for those in rural areas.

  • young adult cataract
  • childhood cataract
  • clinical characteristic

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2017-020234

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    Footnotes

    • DL and ZL contributed equally.

    • Contributors HL, DL, WC and YL contributed to the conception or design of the work. ZLiu, QC, XW, JLiu, JC, ZLin and XL contributed to the acquisition of data. LZ, EL, XZha and JW contributed to the analysis. DW, XZ, TY, JLi, XZhao and LW contributed to the interpretation of data for the work. HL and DL contributed to drafting the work and critical revision for important intellectual content. All authors gave final approval of the version to be published.

    • Funding This clinical study was supported by the NSFC (81270980, 81300750), the Guangdong Provincial Natural Science Foundation for Distinguished Young Scholars of China (2014A030306030), and the Clinical Research and Translational Medical Center of Pediatric Cataract in Guangzhou City (201505032017516). The sponsors of the study played no role in the study protocol design, data collection, data analysis, data interpretation, manuscript preparation or the decision to submit the manuscript for publication.

    • Competing interests None declared.

    • Patient consent Not required.

    • Ethics approval All procedures in our series of ongoing cataract studies were consistent with the tenets of the Declaration of Helsinki and were approved by the Ethical Review Committee of the Zhongshan Ophthalmic Center in Sun Yat-sen University (ERC-ZOC-SYSU). Due to the retrospective nature of the study, written informed consent was waived by the ERC.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement All of the data are in the manuscript, and no additional data are available.