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评估原发性开角型青光眼患者的血脂水平。

Assessing Serum Lipid Levels in Patients Diagnosed With Primary Open-Angle Glaucoma.

作者信息

Karn Manish K, Sinha Madhulika, Mishra Deepak, Anand Abhishek

机构信息

Ophthalmology, Indira Gandhi Institute of Medical Sciences, Patna, IND.

Ophthalmology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND.

出版信息

Cureus. 2024 Nov 27;16(11):e74582. doi: 10.7759/cureus.74582. eCollection 2024 Nov.

Abstract

PURPOSE OF THE STUDY

The main purpose of this study is to assess serum lipid levels in patients diagnosed with primary open-angle glaucoma (POAG). The secondary objective is to explore the association between these lipid levels, namely serum cholesterol, serum triglycerides, serum low-density lipoprotein (LDL), and serum high-density lipoprotein (HDL), and the development of POAG.

BACKGROUND

Glaucoma is a major contributor to global blindness, with elevated intraocular pressure as a key risk factor. However, in some cases, the disease advances even when pressure levels are well controlled, suggesting that additional independent risk factors may play a role in its development. Previous epidemiological studies have shown a potential link between serum lipids and glaucoma, but the findings are contradictory, leading to this investigation into the relationship between serum lipid levels and POAG.

MATERIALS AND METHODS

The study involved 60 patients with POAG and a control group of 60 individuals without POAG. All individuals underwent a detailed ophthalmic examination, and fasting serum lipid levels were measured, including total serum cholesterol, serum triglycerides, LDL, and HDL. The lipid levels of the glaucoma group were then compared to those of the control group.

RESULTS

The findings revealed that total cholesterol, triglycerides, and LDL levels were significantly higher in POAG patients compared to the control group (p < 0.05). Although HDL levels were lower in POAG patients, the difference was not statistically significant.

CONCLUSION

Dyslipidemia appears to be an independent risk factor for POAG, with higher serum lipid levels strongly linked to the presence of the condition.

摘要

研究目的

本研究的主要目的是评估被诊断为原发性开角型青光眼(POAG)患者的血脂水平。次要目标是探讨这些血脂水平,即血清胆固醇、血清甘油三酯、血清低密度脂蛋白(LDL)和血清高密度脂蛋白(HDL)与POAG发病之间的关联。

背景

青光眼是导致全球失明的主要原因之一,眼压升高是一个关键危险因素。然而,在某些情况下,即使眼压得到良好控制,疾病仍会进展,这表明其他独立危险因素可能在其发病过程中起作用。以往的流行病学研究显示血清脂质与青光眼之间可能存在联系,但研究结果相互矛盾,因此开展了本次关于血清脂质水平与POAG关系的调查。

材料与方法

该研究纳入了60例POAG患者和一个由60名非POAG个体组成的对照组。所有个体均接受了详细的眼科检查,并测量了空腹血脂水平,包括血清总胆固醇、血清甘油三酯、LDL和HDL。然后将青光眼组的血脂水平与对照组进行比较。

结果

研究结果显示,与对照组相比,POAG患者的总胆固醇、甘油三酯和LDL水平显著更高(p < 0.05)。虽然POAG患者的HDL水平较低,但差异无统计学意义。

结论

血脂异常似乎是POAG的一个独立危险因素,较高的血清脂质水平与该疾病的存在密切相关。

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Glaucoma in India: estimated burden of disease.印度的青光眼:疾病负担估计。
J Glaucoma. 2010 Aug;19(6):391-7. doi: 10.1097/IJG.0b013e3181c4ac5b.
5
Primary open-angle glaucoma and serum lipids.原发性开角型青光眼与血脂
Bosn J Basic Med Sci. 2009 Feb;9(1):85-8. doi: 10.17305/bjbms.2009.2863.
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Oxidative stress in glaucoma: a burden of evidence.青光眼中的氧化应激:证据负担
J Glaucoma. 2007 May;16(3):334-43. doi: 10.1097/01.ijg.0000243480.67532.1b.

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