Clinical Study

Eye (2009) 23, 1125–1129; doi:10.1038/eye.2008.200; published online 4 July 2008

Prevalence and risk factors of pterygium and pinguecula: the Tehran Eye Study

Competing interests: None

A Fotouhi1, H Hashemi2,3, M Khabazkhoob1,2 and K Mohammad1

  1. 1Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Iran
  2. 2Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran
  3. 3Farabi Eye Hospital, School of Medicine, Tehran University of Medical Sciences, Iran

Correspondence: A Fotouhi, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran 14155-6446, Iran. Tel: +98 21 88987381; Fax: +98 21 88987382; E-mail: afotouhi@tums.ac.ir

Received 10 February 2008; Accepted 2 June 2008; Published online 4 July 2008.

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Abstract

Purpose

  

To determine the prevalence and causes of pterygium and pinguecula in the population of Tehran in 2002.

Methods

  

In a cross-sectional population study with cluster sampling, 6497 residents of Tehran were selected from 160 clusters. Samples were chosen according to a door-to-door head counting and were then invited for free examinations. After the interview, ophthalmic examinations were performed at an eye clinic.

Results

  

Of the selected sample, 4564 people (70.3%) participated in the study. The age- and gender-standardized prevalence of pterygium in this population was 1.3% (95% confidence interval (CI): 0.9–1.6%). The prevalence of pterygium was 1.4 and 1.1% in men and women, respectively (P>0.05). The prevalence of pinguecula in this study was 22.5% (95% CI: 21.1–24.0%); 27.1% in men and 17.7% in women (P<0.001). In both genders, the prevalence of pterygium and pinguecula showed a significant increase with age (P<0.001).

Conclusions

  

This study concerns the status of pterygium and pinguecula according to age and gender in the population of Tehran. The overall prevalence rates were 1.3 and 22.5% for pterygium and pinguecula, respectively. The comparison of the results with those reported from other areas of the world suggests lower prevalence rates in Tehran.

Keywords:

pterygium, pinguecula, cross-sectional study, Tehran

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