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Open-angle glaucoma and cardiovascular mortality: the Blue Mountains Eye Study
Anne J Lee1, Jie Jin Wang, Annette Kifley
1Department of Ophthalmology, Centre for Vision Research, University of Sydney, Westmead Hospital, Westmead, NSW, Australia.
Ophthalmology
|July 4, 2006
Summary
Open-angle glaucoma patients showed increased cardiovascular mortality over nine years. This risk was higher in those previously diagnosed and using topical timolol, suggesting a need for further investigation into glaucoma and heart health.
Area of Science:
- Ophthalmology
- Epidemiology
- Cardiovascular Health
Background:
- Open-angle glaucoma is a leading cause of irreversible blindness.
- The association between glaucoma and systemic mortality, particularly cardiovascular mortality, requires further investigation.
Purpose of the Study:
- To evaluate the association between open-angle glaucoma and 9-year mortality in an older population-based cohort.
- To assess cardiovascular and all-cause mortality risks in individuals with glaucoma.
Main Methods:
- A population-based cohort of 3,654 individuals aged 49-97 years was studied.
- Glaucoma diagnosis was based on visual field changes and optic disc cupping.
- Cox proportional hazards regression analysis was used to assess mortality risks, controlling for various health factors.
Main Results:
- Glaucoma was diagnosed in 3.0% of participants.
- A nonsignificant increased risk of cardiovascular death was observed in glaucoma patients (RR, 1.46).
- Increased cardiovascular mortality was noted in those with previously diagnosed glaucoma (RR, 1.85), especially those using topical timolol (RR, 2.14).
Conclusions:
- Previously diagnosed glaucoma is associated with increased cardiovascular mortality.
- A potential link between topical timolol use and higher cardiovascular mortality warrants further research.
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