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KMID : 0213520170310060514
Korean Journal of Ophthalmology
2017 Volume.31 No. 6 p.514 ~ p.523
Epiretinal Membrane: Prevalence and Risk Factors from the Korea National Health and Nutrition Examination Survey, 2008 through 2012
Kim Jong-Min

Lee Ho-Young
Shin Jae-Pil
Ahn Jee-Yun
Yoo Je-Moon
Song Su-Jeong
Kim Sang-Jin
Kang Se-Woong
Abstract
Purpose: To investigate the prevalence and risk factors for an epiretinal membrane (ERM) in Korean population.

Methods: Using the database of the Korea National Health and Nutrition Examination Survey from 2008 through 2012, 14,772 participants 40 years of age or older with gradable fundus photographs were included. The presence of ERM was determined by using fundus photographs. The prevalence of ERM was estimated and possible risk factors including systemic factors, nutritional status, and blood tests were analyzed via multiple logistic regression analyses.

Results: The prevalence of ERM was 2.9% (95% confidence interval [CI], 2.6% to 3.3%). On multiple logistic regression analysis, the prevalence of ERM was affected by age. The odds ratios (ORs) against the forties were 2.70, 5.48, and 5.69 in the fifties, sixties, and seventies, respectively. ERM was also significantly affected by cataract surgery (OR, 2.82; 95% CI, 2.08 to 3.81) and by the increase in intake of 100-mg calcium (OR, 1.05; 95% CI, 1.00 to 1.11). ERM had negative associations with red blood cell count (OR, 0.66; 95% CI, 0.45 to 0.95).

Conclusions: The estimated nation-wide prevalence of ERM in Korea is 2.9%. The presence of ERM in the general population is associated with age, cataract surgery, increased dietary calcium, and a low red blood cell count.
KEYWORD
Epiretinal membrane, Korea National Health and Nutrition Examination Survey, Prevalence, Risk factors
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