PMID- 26974535 OWN - NLM STAT- MEDLINE DCOM- 20171211 LR - 20171211 IS - 1542-233X (Electronic) IS - 1542-2321 (Linking) VI - 43 IP - 3 DP - 2017 May TI - Association Between Hay Fever and High Myopia in United States Adolescents and Adults. PG - 186-191 LID - 10.1097/ICL.0000000000000251 [doi] AB - OBJECTIVES: To investigate the relationship between hay fever and refractive error in a representative sample of adolescents and adults in the United States. METHODS: This cross-sectional study included 5,744 participants aged >/=12 years from the 2005 to 2006 National Health and Nutrition Examination Survey who participated in the allergy questionnaire, completed objective refraction and keratometry in both eyes, and had immunoglobulin E (IgE) serology. The primary predictor variable, refractive error, was classified as emmetropia (-0.99 to +0.99 diopters [D]), low myopia (-1.00 to -2.99 D), moderate myopia (-3.00 to -5.99 D), high myopia (>/=-6.00 D), or hyperopia (>/=1.00 D). Covariates included age, gender, race, asthma, eczema, total serum IgE >/=120 kU/L, corneal steepness, and corneal astigmatism. The primary outcome was hay fever. RESULTS: The study population's mean age was 41.7 years; 48.8% of subjects were men and 51.2% were women. The prevalence of hay fever was 12.1% overall. High myopes had 2.7 times higher odds of hay fever compared to emmetropes (OR 2.67, CI, 1.57-4.51, P=0.001), which was independent of demographics, atopic conditions, IgE serology, and keratometry measurements. CONCLUSIONS: The association between hay fever and high myopia identified in this large cross-sectional study remains speculative and was not mediated through corneal steepness or corneal astigmatism. Further prospective studies may help elucidate the directionality of the association between hay fever and high myopia. FAU - Shafer, Brian M AU - Shafer BM AD - Temple University School of Medicine (B.M.S.), Philadelphia, PA; Wilmer Eye Institute (M.Q.), Johns Hopkins University, Baltimore, MD; Cornea Service (C.J.R.), Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA; and Ocular Oncology Service (C.L.S.), Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA. FAU - Qiu, Mary AU - Qiu M FAU - Rapuano, Christopher J AU - Rapuano CJ FAU - Shields, Carol L AU - Shields CL LA - eng PT - Journal Article PT - Multicenter Study PL - United States TA - Eye Contact Lens JT - Eye & contact lens JID - 101160941 SB - IM MH - Adolescent MH - Adult MH - Child MH - Cross-Sectional Studies MH - Female MH - Humans MH - Incidence MH - Male MH - Myopia/epidemiology/*etiology/physiopathology MH - Prevalence MH - Prospective Studies MH - *Refraction, Ocular MH - Retrospective Studies MH - Rhinitis, Allergic, Seasonal/*complications/epidemiology MH - Risk Factors MH - Severity of Illness Index MH - Surveys and Questionnaires MH - United States/epidemiology MH - Young Adult EDAT- 2016/03/15 06:00 MHDA- 2017/12/12 06:00 CRDT- 2016/03/15 06:00 PHST- 2016/03/15 06:00 [pubmed] PHST- 2017/12/12 06:00 [medline] PHST- 2016/03/15 06:00 [entrez] AID - 10.1097/ICL.0000000000000251 [doi] PST - ppublish SO - Eye Contact Lens. 2017 May;43(3):186-191. doi: 10.1097/ICL.0000000000000251.