Skip to main content
Journal cover image

Six-Year Incidence of and Risk Factors for Cataract Surgery in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study.

Publication ,  Journal Article
Tan, AG; Kifley, A; Tham, Y-C; Shi, Y; Chee, ML; Sabanayagam, C; Tan, NYQ; Wong, KH; Mitchell, P; Cumming, RG; Wong, TY; Wang, JJ; Cheng, C-Y
Published in: Ophthalmology
December 2018

PURPOSE: To report the 6-year incidence of cataract surgery in an Asian population-based cohort of Malay, Indian, and Chinese persons living in Singapore and factors associated with undergoing cataract surgery over the follow-up period. DESIGN: Population-based prospective cohort study. PARTICIPANTS: From 2004 through 2011, 10 033 participants (3280 Malays, 3400 Indians, and 3353 Chinese) 40 years of age or older participated in the Singapore Epidemiology of Eye Diseases Study. Six years later, 6762 participants (78.7% of those eligible, including 1901 Malays [72.1% of eligible], 2200 Indians [75.5% of eligible], and 2661 Chinese [87.7% of eligible]) were re-examined. METHODS: Detailed eye examinations including slit-lamp biomicroscopy were conducted at both visits. Logistic regression models were used to assess factors associated with cataract surgery after adjusting for age, gender, socioeconomic status, and other risk factors. MAIN OUTCOME MEASURE: Incident cataract surgery. RESULTS: The age-adjusted 6-year incidence of cataract surgery was 11.0% (9.5%, 12.6%, and 11.1% for Malays, Indians, and Chinese, respectively) and was strongly age related (P < 0.001 for trend). After adjustment, baseline factors associated with incident cataract surgery included older age (odds ratio [OR], 1.13 per 1-year increase; 95% confidence interval [CI], 1.11-1.14), diabetes (OR, 1.90; 95% CI, 1.54-2.33), myopia (OR, 1.78; 95% CI, 1.44-2.20), and baseline presence of any cataract, including nuclear cataract (OR, 3.78; 95% CI, 2.91-4.89), cortical cataract (OR, 3.01; 95% CI, 2.45-3.71), and posterior subcapsular cataract (OR, 5.00; 95% CI, 3.91-6.41). The population attributable risks of cataract surgery related to diabetes and myopia were 17.6% and 19.1%, respectively. CONCLUSIONS: One in 10 Malay, Indian, and Chinese Singaporeans 40 years of age or older underwent cataract surgery in at least 1 eye over 6 years. In Asian populations, diabetes and myopia, 2 well-known factors associated with cataract prevalence, are significant and potentially modifiable factors associated with the need for cataract surgery.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Ophthalmology

DOI

EISSN

1549-4713

Publication Date

December 2018

Volume

125

Issue

12

Start / End Page

1844 / 1853

Location

United States

Related Subject Headings

  • Visual Acuity
  • Slit Lamp Microscopy
  • Singapore
  • Sex Distribution
  • Risk Factors
  • Pseudophakia
  • Prospective Studies
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Tan, A. G., Kifley, A., Tham, Y.-C., Shi, Y., Chee, M. L., Sabanayagam, C., … Cheng, C.-Y. (2018). Six-Year Incidence of and Risk Factors for Cataract Surgery in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study. Ophthalmology, 125(12), 1844–1853. https://doi.org/10.1016/j.ophtha.2018.07.026
Tan, Ava Grace, Annette Kifley, Yih-Chung Tham, Yuan Shi, Miao Li Chee, Charumathi Sabanayagam, Nicholas Yi Qiang Tan, et al. “Six-Year Incidence of and Risk Factors for Cataract Surgery in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study.Ophthalmology 125, no. 12 (December 2018): 1844–53. https://doi.org/10.1016/j.ophtha.2018.07.026.
Tan AG, Kifley A, Tham Y-C, Shi Y, Chee ML, Sabanayagam C, et al. Six-Year Incidence of and Risk Factors for Cataract Surgery in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study. Ophthalmology. 2018 Dec;125(12):1844–53.
Tan, Ava Grace, et al. “Six-Year Incidence of and Risk Factors for Cataract Surgery in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study.Ophthalmology, vol. 125, no. 12, Dec. 2018, pp. 1844–53. Pubmed, doi:10.1016/j.ophtha.2018.07.026.
Tan AG, Kifley A, Tham Y-C, Shi Y, Chee ML, Sabanayagam C, Tan NYQ, Wong KH, Mitchell P, Cumming RG, Wong TY, Wang JJ, Cheng C-Y. Six-Year Incidence of and Risk Factors for Cataract Surgery in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study. Ophthalmology. 2018 Dec;125(12):1844–1853.
Journal cover image

Published In

Ophthalmology

DOI

EISSN

1549-4713

Publication Date

December 2018

Volume

125

Issue

12

Start / End Page

1844 / 1853

Location

United States

Related Subject Headings

  • Visual Acuity
  • Slit Lamp Microscopy
  • Singapore
  • Sex Distribution
  • Risk Factors
  • Pseudophakia
  • Prospective Studies
  • Ophthalmology & Optometry
  • Middle Aged
  • Male