Relationship between Optic Disc Hemorrhage and Glaucoma among patients diagnosed with Systemic Hypertension and Diabetes Mellitus: The Colombian Glaucoma Study

C. Rivera, Maria Catalina Ferreria, Laura Libreros-Peña, M. Shah, J. Aristizábal, E. Muñoz, Catalina Gomez-Duarte, Beatriz Eugenia Ossa-Lopez, Gabriel Burbano-Montenegro, Ankur Seth
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Abstract

Introduction: Glaucoma is a leading cause of irreversible blindness worldwide; several risk factors have been identified as major underlying causes for developing this condition. Optic disc hemorrhage has been identified as a risk factor for the development and progression of primary open-angle glaucoma, as well it has been related to playing an important role in normal-tension glaucoma. Material and methods: A cross-sectional study was conducted in Colombia among hypertensive and diabetic patients. This study included 2,067 subjects older than 50 years who were attended by a group of ophthalmologists in six cities in Colombia who conducted a complete medical and ophthalmological examination and applied standardized questionnaires and interviews aiming to evaluate participant’s health conditions and lifestyles. Results: We found a prevalence of Optic disc hemorrhage (ODH) of 0.4%. ODH presented an OR: 8.82 (95% CI 1.60 - 48.52) for the presence of Glaucoma. Patients diagnosed with systemic hypertension had an OR: 0.02 (95% CI 0.00 - 0.96); Patients with Retinal Nerve Fiber Layer Defect (RNFL) presented an OR: 509.40 (95% CI 8.60 - 30152.97) for the presence of ODH and 50% of patients with ODH did not have a diagnosis of glaucoma. Conclusions: Despite the low prevalence of ODH in our study (0.4%), its presence is a High-risk factor for the presence of Glaucoma. RNFL defect is also highly related to ODH and the presence of Glaucoma.
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诊断为全身性高血压和糖尿病的患者视盘出血与青光眼的关系:哥伦比亚青光眼研究
青光眼是世界范围内不可逆失明的主要原因;几个风险因素已被确定为发展这种情况的主要潜在原因。视盘出血是原发性开角型青光眼发生发展的危险因素,在正常眼压型青光眼中也起着重要作用。材料和方法:在哥伦比亚对高血压和糖尿病患者进行了一项横断面研究。这项研究包括2067名50岁以上的受试者,由哥伦比亚六个城市的一组眼科医生参加,他们进行了完整的医学和眼科检查,并采用标准化问卷调查和访谈,旨在评估参与者的健康状况和生活方式。结果:我们发现视盘出血(ODH)的患病率为0.4%。对于青光眼的存在,ODH的OR为8.82 (95% CI 1.60 - 48.52)。诊断为全身性高血压的患者OR为0.02 (95% CI 0.00 - 0.96);视网膜神经纤维层缺损(RNFL)患者存在ODH的OR为509.40 (95% CI 8.60 - 30152.97), 50%的ODH患者未诊断为青光眼。结论:尽管在我们的研究中,ODH的患病率很低(0.4%),但它的存在是青光眼存在的高危因素。RNFL缺损也与ODH和青光眼的存在高度相关。
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