TY - JOUR
T1 - Racial differences in lens opacities
T2 - The Salisbury Eye Evaluation (SEE) Project
AU - West, Sheila K.
AU - Muñoz, Beatriz
AU - Schein, Oliver D.
AU - Duncan, Donald D.
AU - Rubin, Gary S.
N1 - Funding Information:
This work was supported by National Institute of Aging grant PO1-AG10184. Dr. Sheila West is a Research to Prevent Blindness Senior Scientific Investigator.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1998/12/1
Y1 - 1998/12/1
N2 - The purpose of this study was to determine racial differences in the prevalence of different types of lens opacities and cataract surgery. Between 1993 and 1995, the Salisbury Eye Evaluation (SEE) Project enrolled a representative sample of 2,520 community-dwelling persons aged 65-84 years in Salisbury, Maryland, 26.4% of whom were African-American. Participants received a full eye examination, and photographs were taken for documentation of lens status. Photographs were graded using a standardized grading system for the presence of cortical, nuclear, or posterior subcapsular cataract (PSC) opacification in at least one eye. The odds of having cortical opacities were 4.0 times greater among African Americans than among Caucasians (95% confidence interval (CI) 3.3-4.8). Caucasians were significantly more likely to have nuclear opacities (odds ratio = 2.1,95% CI 1.7-2.6) and PSC opacities (odds ratio = 2.5, 95% CI 1.7-3.6). The odds of cataract surgery were 2.8 times higher among Caucasians, but these differences did not explain the differences in the prevalence of different types of lens opacities by racial group. With lower rates of nuclear and PSC opacities than Caucasians, African Americans may have a lower demand for cataract surgery. However, even with these differences, there is still significant unnecessary loss of vision due to cataract among older African Americans, for whom programs to ensure access to surgical care are indicated.
AB - The purpose of this study was to determine racial differences in the prevalence of different types of lens opacities and cataract surgery. Between 1993 and 1995, the Salisbury Eye Evaluation (SEE) Project enrolled a representative sample of 2,520 community-dwelling persons aged 65-84 years in Salisbury, Maryland, 26.4% of whom were African-American. Participants received a full eye examination, and photographs were taken for documentation of lens status. Photographs were graded using a standardized grading system for the presence of cortical, nuclear, or posterior subcapsular cataract (PSC) opacification in at least one eye. The odds of having cortical opacities were 4.0 times greater among African Americans than among Caucasians (95% confidence interval (CI) 3.3-4.8). Caucasians were significantly more likely to have nuclear opacities (odds ratio = 2.1,95% CI 1.7-2.6) and PSC opacities (odds ratio = 2.5, 95% CI 1.7-3.6). The odds of cataract surgery were 2.8 times higher among Caucasians, but these differences did not explain the differences in the prevalence of different types of lens opacities by racial group. With lower rates of nuclear and PSC opacities than Caucasians, African Americans may have a lower demand for cataract surgery. However, even with these differences, there is still significant unnecessary loss of vision due to cataract among older African Americans, for whom programs to ensure access to surgical care are indicated.
KW - Blacks
KW - Cataract
KW - Eye
KW - Population surveillance
KW - Prevalence
KW - Whites
UR - http://www.scopus.com/inward/record.url?scp=0032401983&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032401983&partnerID=8YFLogxK
U2 - 10.1093/oxfordjournals.aje.a009579
DO - 10.1093/oxfordjournals.aje.a009579
M3 - Article
C2 - 9850124
AN - SCOPUS:0032401983
SN - 0002-9262
VL - 148
SP - 1033
EP - 1039
JO - American Journal of Epidemiology
JF - American Journal of Epidemiology
IS - 11
ER -