The Incidence and Risk Factors of Epiretinal Membrane in a Screened Korean Population.

Kim, Seong Ho; Song, Su Jeong; Bae, Jeong Hun

doi:2018.59.10.922

J Korean Ophthalmol Soc > Volume 59(10); 2018 > Article

Original Article

Journal of the Korean Ophthalmological Society 2018;59(10):922-929.
DOI: https://doi.org/10.3341/jkos.2018.59.10.922 Published online October 15, 2018.

The Incidence and Risk Factors of Epiretinal Membrane in a Screened Korean Population.

Seong Ho Kim, Su Jeong Song, Jeong Hun Bae

Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. sjsong7@gmail.com

한국인에서 특발망막전막의 발생률과 위험인자

김성호⋅송수정⋅배정훈

성균관대학교 의과대학 강북삼성병원 안과학교실

Correspondence: Su Jeong Song,
Email: sjsong7@gmail.com

Received: 21 December 2017 • Revised: 26 February 2018 • Accepted: 27 September 2018

Abstract

PURPOSE
To determine the incidence of idiopathic epiretinal membrane (ERM) and its risk factors in Korean adults. METHODS: A total of 16,495 participants (≥50 years of age) who had at least two examinations from January 2006 to December 2016 were included in this study. The incidence of idiopathic ERM was determined and age-standardized to the 2010 Korean Census. RESULTS: Idiopathic ERM developed in 391 of 15,399 participants who had no previous ERM in either eye at the baseline examination. The overall age-standardized incidence was 2.18% (95% confidence interval [CI], 1.89–2.38), including 1.39% with cellophane macular reflex and 0.79% with preretinal macular fibrosis. Multivariate Cox regression analyses revealed that the factor related to the development of idiopathic ERM was obesity (body mass index >25 kg/m2; adjusted hazard ratio, 0.77; 95% CI, 0.60–0.97) after adjusting for confounding factors. CONCLUSIONS: The incidence of idiopathic ERM in Korean adults was lower than that of other ethnic studies. Further studies are needed to confirm the inverse relationship between obesity and the incidence of ERM in this population.

Key Words: Epiretinal membrane;Incidence;Koreans;Risk factors