Format

Send to:

Choose Destination
See comment in PubMed Commons below
Ophthalmology. 2006 Jul;113(7):1081-6. Epub 2006 Jun 6.

Prospective study of type 2 diabetes mellitus and risk of primary open-angle glaucoma in women.

Author information

  • 1Glaucoma Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts 02114, USA. Louis_Pasquale@meei.harvard.edu

Abstract

PURPOSE:

To study the relation between type 2 diabetes mellitus (T2DM) and incident primary open-angle glaucoma (POAG) in women.

DESIGN:

Prospective cohort analysis.

PARTICIPANTS:

Seventy-six thousand three hundred eighteen women enrolled in the Nurses' Health Study (NHS).

METHODS:

Women enrolled in the NHS from 1980 to 2000 were observed. Eligible participants were at least 40 years old, did not have POAG at baseline, and reported receiving eye examinations during follow-up. Potential confounders were assessed on biennial questionnaires, and a diagnosis of T2DM was confirmed on a validated supplemental questionnaire. During follow-up, 429 self-reported POAG cases confirmed by medical chart review were identified.

MAIN OUTCOME MEASURES:

Multivariable rate ratios (RRs) of POAG and associated 95% confidence intervals (CIs) obtained from proportional hazards models.

RESULTS:

After controlling for age, race, hypertension, body mass index, physical activity, alcohol intake, smoking, and family history of glaucoma, T2DM was positively associated with POAG (RR = 1.82 [95% CI = 1.23-2.70]). Nonetheless, the association did not strengthen with longer duration of diabetes: RR = 2.24 (95% CI = 1.31-3.84) for duration < 5 years versus RR = 1.54 (95% CI = 0.90-2.62) for duration > or = 5 years). In secondary analyses, to evaluate the potential for detection bias we controlled for additional factors such as the number of eye examinations, but T2DM remained positively associated with POAG.

CONCLUSION:

Type 2 diabetes mellitus is associated with an increased risk of POAG in women.

PMID:
16757028
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk