J Korean Ophthalmol Soc > Volume 59(9); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(9):854-860.
DOI: https://doi.org/10.3341/jkos.2018.59.9.854    Published online September 15, 2018.
Comparison of Clinical Features among Children of Multicultural Families, Ethnic Koreans and Native Koreans.
Tae Hwan Moon, Dong Gyu Choi, Seok Hyun Bae, Mi Young Choi
1Department of Ophthalmology, Chungbuk National University College of Medicine, Cheongju, Korea. mychoi@chungbuk.ac.kr
2Medical Research Institute, Chungbuk National University, Cheongju, Korea.
3Department of Ophthalmology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
다문화, 조선족, 한국인 가정 자녀의 안과질환의 임상 양상 비교
문태환1,2⋅최동규3⋅배석현3⋅최미영1,2
충북대학교 의과대학 안과학교실1, 충북대학교 의학연구소2, 한림대학교 의과대학 강남성심병원 안과학교실3
Correspondence:  Mi Young Choi,
Email: mychoi@chungbuk.ac.kr
Received: 17 August 2017   • Revised: 13 October 2017   • Accepted: 22 August 2018
Abstract
PURPOSE
To explore whether genetic and environmental factors influenced ophthalmic disease among children of multicultural families, ethnic Koreans, and native Koreans. METHODS: In this retrospective study, 120 patients who visited the pediatric ophthalmology clinic of a university hospital were included. They were equally divided into three groups: a multicultural group, an ethnic Korean group, and a native Korean group. Parental nationalities, age, gender, chief complaint, visual acuity, refractive error, diagnosis at the initial visit and the extent of compliance with treatment were analyzed. RESULTS: Of the multicultural group, 14 (35%) of 40 patients were Chinese immigrants, and constituted the most common subgroup. None of the age at initial visit, gender, the prevalence of refractive error, or amblyopia status differed significantly among the three groups. In the multicultural and native Korean groups, the proportions of abnormal eye positioning as the chief complaint were higher than that of the ethnic Korean group (p = 0.005). The most common diagnosis in the two former groups was strabismus. Myopia was the most common diagnosis in the ethnic Korean group. The prevalence of strabismus in the multicultural group (55%) was significantly higher than that in the native Korean group (30%) and the ethnic Korean group (20%) (p = 0.003). The prevalence of strabismus in the multicultural group was significantly higher than in the other groups (p = 0.003). However, we found no significant difference in strabismus subtype among the three groups. In the general family group, the extent of loss to follow-up was significantly higher than in the other groups (p = 0.002). CONCLUSIONS: The chief complaint, the prevalence of ophthalmic disease, and the compliance rate differed significantly among the three groups. Both genetic and environmental factors may have played a role.
Key Words: Amblyopia;Ethnic Korean family;Multicultural family;Myopia;Strabismus


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