|
|
Meta analysis of risk factors for congenital cataract in Chinese population |
SHI Lijuan1,2, LI li1,2, SHI Fuyan3, LI Manmei2, WANG Xue2, WU Zhihong2 |
1. Department of Ophthalmology, 3. Department of Health Statistics, School of Clinical Medicine, Weifang Medical College, Weifang 261053, China; 2. Senior Department of Ophthalmology, the Third Medical Center of PLA General Hospital,Beijing 100039,China |
|
|
Abstract Objective To explore the risk factors of congenital cataracts in Chinese population.Methods CNKI, VIP, WanFang Data, Pubmed and Embase databases were searched from inception to November 30th, 2021. Meta-analysis was conducted with RevMan5.4 software.Results Six articles were included, with a total of 650 cases and 1353 controls. The meta-analysis results showed that the risk factors for congenital cataract in the Chinese population were as follows, oxygen therapy after birth (OR=5.50, 95%CI: 1.66-18.20), family genetic history (OR=6.97, 95%CI: 2.76-17.62), infections during pregnancy (OR=2.06, 95%CI: 1.38-3.06), poor nutritional status during pregnancy (OR=2.55, 95%CI: 1.17-5.56), medications during pregnancy (OR=4.49, 95%CI: 1.74-11.59), suffering from ischemic hypoxic encephalopathy (OR=6.42, 95%CI: 1.35-30.53), premature delivery (OR=2.14, 95%CI: 1.28-3.60), low birth weight (OR=4.04, 95%CI: 2.11-7.75), peripheral blood serum complement C3 level decreased (OR=1.04, 95%CI: 1.02-1.07), CRYAA and CRYAB gene single nucleotide polymorphism: CRYAArs7278468 GT+TT allele (OR=6.03, 95%CI: 1.27-28.53), CRYABrs370803064 AA+GA allele (OR=5.81, 95%CI: 1.57-21.56), CRYABrs387907338 TT+TC allele (OR=2.47, 95%CI: 1.34-4.58), and CRYAB gene TA haplotype (OR=1.80, 95%CI: 1.10-2.95).Conclusions Congenital cataract is influenced by many factors, among which drug use during pregnancy, low birth weight, hypoxic ischemic encephalopathy and postnatal oxygen therapy are the most influential factors.
|
Received: 16 July 2022
|
|
|
|
|
[1] |
李卫红,张新媛,云 波,等.先天性白内障病因的多因素分析[J].眼科,2004,13(5):288-290.
|
[2] |
Tekin K, Erol Y O, Inanc M, et al. Electron microscopic evaluation of anterior lens epithelium in patients with idiopathic congenital cataract[J]. Int Ophthalmol, 2018, 38(5): 2127-2132.
|
[3] |
Chan W H, Biswas S, Ashworth J L, et al. Congenital and infantile cataract: aetiology and management[J]. Eur J Pediatr, 2012, 171(4): 625-630.
|
[4] |
Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses[J]. Eur J Epidemiol, 2010, 25(9): 603-605.
|
[5] |
宋毅果. 非家族遗传性先天性白内障危险因素研究[D].西安:第四军医大学,2010.
|
[6] |
Cui X J, Lv F Y, Li F H, et al. Correlations of single nucleotide polymorphisms of CRYAA and CRYAB genes with the risk and clinicopathological features of children suffering from congenital cataract[J]. Medicine (Baltimore), 2017, 96(25): e7158.
|
[7] |
罗 琪,周炼红,田明星,等.146例先天性白内障发生的相关因素分析[J].临床眼科杂志,2014,22(3):230-233.
|
[8] |
霍 璐.93例先天性白内障高危影响因素分析[J].齐齐哈尔医学院学报,2021,42(5):395-398.
|
[9] |
邵明希,李圣杰,滕济森,等.血清补体C3水平与先天性白内障的相关性研究[J].中国眼耳鼻喉科杂志,2019,19(3):176-179.
|
[10] |
Taylan S H, Utine G E. Congenital cataract and its genetics: the era of next-generation sequencing[J]. Turk J Ophthalmol, 2021, 51(2): 107-113.
|
[11] |
Gonzalez-Huerta L M, Messina-Baas O, Urueta H, et al. A CRYGC gene mutation associated with autosomal dominant pulverulent cataract[J]. Gene, 2013, 529(1): 181-185.
|
[12] |
Xia X Y, Wu Q Y, An L M, et al. A novel P20R mutation in the alpha-B crystallin gene causes autosomal dominant congenital posterior polar cataracts in a Chinese family[J]. BMC Ophthalmol, 2014, 14(1): 108.
|
[13] |
Palmquist B M, Philipson B, Barr P O. Nuclear cataract and myopia during hyperbaric oxygen therapy[J]. Br J Ophthalmol, 1984, 68(2): 113-117.
|
[14] |
Nguyen T V, Pham V H, Abe K. Pathogenesis of congenital rubella virus infection in human fetuses: viral infection in the ciliary body could play an important role in cataractogenesis[J].EBio Medicine, 2015, 2(1): 59-63.
|
[15] |
Delcourt C, Dupuy A M, Carriere I, et al. Albumin and transthyretin as risk factors for cataract: the pola study[J]. Arch Ophthalmol, 2005, 123(2): 225-232.
|
[16] |
陈 勇,薄 涛,里 健,等.围生期窒息继发白内障11例临床分析[J].实用临床医学,2006,7(10):133-135,137.
|
[17] |
Eckstein M, Vijayalakshmi P, Killedar M, et al. Aetiology of childhood cataract in south India[J]. Br J Ophthalmol, 1996, 80(7): 628-632.
|
[18] |
Bhatti T R, Dott M, Yoon P W, et al. Descriptive epidemiology of infantile cataracts in metropolitan Atlanta, GA, 1968-1998[J]. Arch Pediatr Adolesc Med, 2003, 157(4): 341-347.
|
[19] |
Prakalapakorn S G, Rasmussen S A, Lambert S R, et al. Assessment of risk factors for infantile cataracts using a case-control study: national birth defects prevention study, 2000-2004[J]. Ophthalmology, 2010, 117(8): 1500-1505.
|
|
|
|