We aimed to report the results of fundus photography ophthalmic examinations among older adults in a rural community in South Korea. We used data from the Korean Social Life, Health, and Aging Project cohort study, which was designed to examine the entire population of individuals aged 60 years or older and their spouses living in a rural Village K of Ganghwa Island, South Korea. At baseline, a total of 860 people was targeted as the study population. From December 2011 to January 2019, five health examinations were conducted, including baseline and follow-up tests. During the fifth wave of the study, we performed fundus photography to assess eye health. Ophthalmic and physical examinations were conducted for 387 people who participated in the fifth wave by trained researchers. Systemic factors were evaluated via blood and diagnostic tests. After excluding eight people who did not undergo follow-up fundoscopy, a total of 379 participants was included for analysis. We classified the participants into two groups with either no (zero) or one or more suspicious ophthalmic diseases. The abnormalities included media opacity, suspected glaucoma, and suspicion of retinal disease as diagnosed by a trained specialist. We further categorized ophthalmic conditions as clinically insignificant, follow-up needed, semi-urgent, and urgent conditions. We included 379 participants, of which 225 (59.4%) were women. The mean age of the participants was 76.4 ± 6.2 years. Among all participants, 81% (n=307) had one or more abnormalities on fundus screening. Older age, living alone, high blood pressure, and high fasting insulin were associated with an increased risk of having ≥ one eye disease. In terms of triage, 3.7% (n= 14) of the observed conditions were urgent, and 25.9% (n= 98) were semi-urgent. Therefore, we documented fundoscopy results among the elderly population in a rural community in South Korea. Elderly people living alone were more likely to have eye disease. Policies to improve eye health are needed to prevent vision loss in this population.

中文翻译：

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韩国农村社区老年人的胃底镜检查结果异常的发生率和相关因素。

我们旨在报告韩国农村社区老年人的眼底摄影眼科检查结果。我们使用了来自“韩国社会生活，健康与老龄化项目”队列研究的数据，该研究旨在调查60岁以上年龄的个体及其配偶的总人口，这些人生活在韩国江华岛K村。基线时，共有860人作为研究人群。从2011年12月到2019年1月，进行了五次健康检查，包括基线和随访测试。在研究的第五次浪潮中，我们进行了眼底照相以评估眼睛的健康状况。由受过训练的研究人员对参加第五波研究的387人进行了眼科和身体检查。通过血液和诊断测试评估全身性因素。在排除了八名未接受随访眼底镜检查的人之后，总共379名参与者被纳入分析。我们将参与者分为两类，没有（零）或一种或多种可疑眼科疾病。异常包括中层混浊，可疑的青光眼和由经过培训的专家诊断出的视网膜疾病嫌疑。我们进一步将眼科疾病分类为临床上无关紧要，需要随访，半紧急和紧急情况。我们包括379名参与者，其中225名（59.4％）是女性。参与者的平均年龄为76.4±6.2岁。在所有参与者中，有81％（n = 307）的眼底筛查有一个或多个异常。老年人，独居，高血压和高空腹胰岛素与≥一种眼病的风险增加有关。在分流方面，有3.7％（n = 14）的情况很紧急，有25.9％（n = 98）的情况为半紧急。因此，我们记录了韩国农村社区老年人的胃镜检查结果。独居的老年人更容易患眼病。需要采取改善眼部健康的政策来预防该人群的视力丧失。