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青光眼与视网膜静脉阻塞风险的关联:一项荟萃分析。

Association of glaucoma with risk of retinal vein occlusion: A meta-analysis.

机构信息

Department of Ophthalmology, The First Affiliated Hospital of Soochow University, Suzhou, China.

出版信息

Acta Ophthalmol. 2019 Nov;97(7):652-659. doi: 10.1111/aos.14141. Epub 2019 May 24.

Abstract

To summarize epidemiological evidences on the association between glaucoma and the risk of retinal vein occlusion (RVO). Relevant studies were identified by searching in PubMed, EMBASE and Cochrane until February 2018. Fifteen eligible observational studies were aggregated in this analysis. All results were analysed and pooled using random effects models with 95% confidence intervals (CI). In all studies, the odds ratio (OR) of glaucoma as a risk factor for RVO was 4.01 (95% CI: 3.28-4.91). In RVO subtype-differentiated subgroup analyses (six studies), the pooled OR showed that glaucoma was associated with central retinal vein occlusion (CRVO) (OR: 6.21; 95% CI: 4.64-8.31), branch retinal vein occlusion (BRVO) (OR: 2.38; 95% CI: 1.77-3.19) and hemiretinal vein occlusion (HRVO) (OR: 4.60; 95% CI: 2.26-9.35). In glaucoma-classified subgroup analyses (five studies), primary open-angle glaucoma (POAG) (OR: 5.03; 95% CI: 3.97-6.37) and chronic open-angle glaucoma (COAG) (OR: 2.36; 95% CI: 1.39-4.02) were significant risk factors for RVO development. There was a plausible relationship between primary angle closure glaucoma (PACG) and RVO risk (OR: 1.85; 95% CI: 0.41-8.35); to be precise, the OR was 5.3 in PACG and CRVO risk (95% CI: 1.04-26.95; p = 0.045), while the OR was 0.65 in PACG and BRVO risk (95% CI: 0.07-6.27; p = 0.707). To sum up, this meta-analysis shows that glaucoma is associated with the risk of RVO. Glaucoma should be kept in mind when investigating patients with RVO in the clinic.

摘要

总结青光眼与视网膜静脉阻塞(RVO)风险之间关联的流行病学证据。通过在 PubMed、EMBASE 和 Cochrane 中搜索,于 2018 年 2 月前确定了相关研究。这项分析汇总了 15 项符合条件的观察性研究。使用具有 95%置信区间(CI)的随机效应模型分析和汇总所有结果。在所有研究中,青光眼作为 RVO 风险因素的优势比(OR)为 4.01(95%CI:3.28-4.91)。在 RVO 亚型区分的亚组分析(六项研究)中,汇总的 OR 表明青光眼与中央视网膜静脉阻塞(CRVO)(OR:6.21;95%CI:4.64-8.31)、分支视网膜静脉阻塞(BRVO)(OR:2.38;95%CI:1.77-3.19)和半侧视网膜静脉阻塞(HRVO)(OR:4.60;95%CI:2.26-9.35)相关。在青光眼分类的亚组分析(五项研究)中,原发性开角型青光眼(POAG)(OR:5.03;95%CI:3.97-6.37)和慢性开角型青光眼(COAG)(OR:2.36;95%CI:1.39-4.02)是 RVO 发展的显著危险因素。原发性闭角型青光眼(PACG)与 RVO 风险之间存在合理的关系(OR:1.85;95%CI:0.41-8.35);确切地说,PACG 和 CRVO 风险的 OR 为 5.3(95%CI:1.04-26.95;p=0.045),而 PACG 和 BRVO 风险的 OR 为 0.65(95%CI:0.07-6.27;p=0.707)。总之,这项荟萃分析表明青光眼与 RVO 的风险相关。在临床检查 RVO 患者时应牢记青光眼。

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