Conflict/competing interest: No stated conflict of interest.
Prevalence of pseudoexfoliation syndrome in indigenous Australians within central Australia: The Central Australian Ocular Health Study
Article first published online: 4 NOV 2011
© 2011 The Authors. Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists
Clinical & Experimental Ophthalmology
Volume 40, Issue 5, pages 454–457, July 2012
How to Cite
Landers, J., Henderson, T. and Craig, J. (2012), Prevalence of pseudoexfoliation syndrome in indigenous Australians within central Australia: The Central Australian Ocular Health Study. Clinical & Experimental Ophthalmology, 40: 454–457. doi: 10.1111/j.1442-9071.2011.02696.x
Funding sources: Partial equipment grants for the study were received from the Ophthalmic Research Institute of Australia (B & L Lowe Grant) and National Health & Medical Research Council (Centre for Clinical Research Excellence).
- Issue published online: 25 JUL 2012
- Article first published online: 4 NOV 2011
- Accepted manuscript online: 8 SEP 2011 12:17PM EST
- Received 15 May 2011; accepted 30 July 2011.
- indigenous Australians;
- pseudoexfoliation syndrome
Background: Pseudoexfoliation syndrome (XFS) has been found to occur more commonly among indigenous Australians. This paper was designed to determine the prevalence of XFS within the indigenous Australian population living in central Australia.
Design: Clinic-based cross-sectional study.
Participants: One thousand eight hundred eighty-four individuals living in one of 30 remote communities within the statistical local area of ‘Central Australia’ were recruited. This equated to 36% of those aged 20 years or older and 67% of those aged 40 years or older within this district.
Methods: Participants aged 20 years or over were recruited as they presented to the eye clinic at each remote community. Slit-lamp examination was performed, and the presence of XFS in each eye was recorded and presented.
Main Outcome Measure: Prevalence and associations of XFS.
Results: XFS was present in one or both eyes of 4.7% of the individuals recruited into the study. Prevalence increased with age (5.9% of those ≥40 years and 12.7% ≥ 60 years). There was a significant association between the presence of XFS and climatic keratopathy (χ2 = 240.13; P < 0.00001). Notably, none of those with XFS had ocular hypertension or glaucoma.
Conclusion: XFS was present in a significantly higher proportion of indigenous Australians compared with previously reported prevalence estimates among non-indigenous Australians. The association found between XFS and climatic keratopathy may represent a common causal link between the two conditions. The lack of association of XFS with ocular hypertension and glaucoma appears to be a unique feature of the indigenous Australian population, and this merits further investigation.