PMID- 28975669 OWN - NLM STAT- MEDLINE DCOM- 20181022 LR - 20221207 IS - 1444-0938 (Electronic) IS - 0816-4622 (Linking) VI - 101 IP - 2 DP - 2018 Mar TI - Refractive error in Chinese with type 2 diabetes and its association with glycaemic control. PG - 213-219 LID - 10.1111/cxo.12606 [doi] AB - BACKGROUND: The aim of this study was to determine the prevalence of refractive errors and their association with glycaemic control among adults with type 2 diabetes mellitus (T2DM) in eastern China. METHODS: A community-based survey, including 913 adults with T2DM aged 30 to 89 years, was conducted. Refractive error was assessed by autorefraction, after which subjective refraction was performed. Ocular biometric parameters were measured by non-contact partial coherence laser interferometry. Myopia was defined as spherical equivalent (SE) less than -0.50 dioptres (D), high myopia as SE less than -5.00 D, hyperopia as SE greater than 0.50 D and astigmatism as cylinder less than -0.50 D. RESULTS: After excluding participants who had undergone cataract surgery, 839 were included in the data analyses and 96.1 per cent were found to have refractive errors. The overall prevalences of myopia, high myopia, hyperopia and astigmatism were 28.2 per cent (95 per cent confidence interval [CI] 25.2-31.3), 6.3 per cent (95 per cent CI 4.7-8.0), 46.4 per cent (95 per cent CI 43.0-49.7) and 81.0 per cent (95 per cent CI 78.4-83.7) with no gender differences observed (all p > 0.10). In multivariate analysis, myopia was associated with decreasing age (odds ratio [OR] = 0.86, p = 0.01; per year increase), higher blood levels of haemoglobin A(1c) (HbA(1c) ) (OR = 1.12, p = 0.05; per unit increase), higher education levels (OR = 5.10, p < 0.001; university or college versus illiterate or primary school) and the presence of nuclear cataract (OR = 2.36, p < 0.001). CONCLUSIONS: Refractive errors may be associated with glycaemic control among T2DM patients. Longitudinal analyses are warranted to examine the relationship between changes in HbA(1c) and the development of refractive errors. CI - (c) 2017 Optometry Australia. FAU - Song, E AU - Song E AD - Lixiang Eye Hospital of Soochow University, Suzhou, China. AD - Department of Ophthalmology, First Hospital of Jilin University, Changchun, China. FAU - Qian, Deng-Juan AU - Qian DJ AD - School of Public Health, Medical College of Soochow University, Suzhou, China. FAU - Wang, Shan AU - Wang S AD - School of Public Health, Medical College of Soochow University, Suzhou, China. FAU - Xu, Cailian AU - Xu C AD - Lixiang Eye Hospital of Soochow University, Suzhou, China. AD - Department of Ophthalmology, First Hospital of Jilin University, Changchun, China. FAU - Pan, Chen-Wei AU - Pan CW AD - School of Public Health, Medical College of Soochow University, Suzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171003 PL - United States TA - Clin Exp Optom JT - Clinical & experimental optometry JID - 8703442 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Adult MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Asian People/*ethnology MH - Blood Glucose/*metabolism MH - China/epidemiology MH - Diabetes Mellitus, Type 2/blood/*ethnology MH - Female MH - Glycated Hemoglobin/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Odds Ratio MH - Prevalence MH - Refractive Errors/blood/*ethnology MH - Risk Factors MH - Sex Distribution MH - Surveys and Questionnaires MH - Visual Acuity/physiology OTO - NOTNLM OT - Chinese OT - diabetes OT - epidemiology OT - refractive error EDAT- 2017/10/05 06:00 MHDA- 2018/10/23 06:00 CRDT- 2017/10/05 06:00 PHST- 2017/03/29 00:00 [received] PHST- 2017/08/01 00:00 [revised] PHST- 2017/08/31 00:00 [accepted] PHST- 2017/10/05 06:00 [pubmed] PHST- 2018/10/23 06:00 [medline] PHST- 2017/10/05 06:00 [entrez] AID - 10.1111/cxo.12606 [doi] PST - ppublish SO - Clin Exp Optom. 2018 Mar;101(2):213-219. doi: 10.1111/cxo.12606. Epub 2017 Oct 3.