Smoking Is Associated with Higher Intraocular Pressure Regardless of Glaucoma: A Retrospective Study of 12.5 Million Patients Using the Intelligent Research in Sight (IRIS®) Registry.


Journal

Ophthalmology. Glaucoma
ISSN: 2589-4196
Titre abrégé: Ophthalmol Glaucoma
Pays: United States
ID NLM: 101730510

Informations de publication

Date de publication:
Historique:
received: 13 02 2020
revised: 16 03 2020
accepted: 18 03 2020
entrez: 3 10 2020
pubmed: 4 10 2020
medline: 15 9 2021
Statut: ppublish

Résumé

To compare the average intraocular pressure (IOP) among smokers, past smokers, and never smokers using the American Academy of Ophthalmology Intelligent Research in Sight (IRIS®) Registry. Retrospective database study of the IRIS® Registry data. Intelligent Research in Sight Registry patients who were seen by an eye care provider during 2017. Patients were divided into current smoker, past smoker, and never smoker categories. The IOP was based on an average measurement, and separate analyses were performed in patients with and without a glaucoma diagnosis based on International Classification of Diseases (Ninth Edition and Tenth Edition) codes. Stratified, descriptive statistics by glaucoma status were determined, and the relationship between smoking and IOP was assessed with a multivariate linear regression model. Mean IOP. A total of 12 535 013 patients were included. Compared with never smokers, current and past smokers showed a statistically significantly higher IOP by 0.92 mmHg (95% confidence interval [CI], 0.88-0.95 mmHg) and 0.77 mmHg (95% CI, 0.75-0.79 mmHg), respectively, after adjusting for age, gender, glaucoma, age-related macular degeneration, diabetic retinopathy, cataract, glaucoma surgery, cataract surgery, and first-order interactions. In addition, the difference in IOP between current and never smokers was the highest in the fourth decade, regardless of the glaucoma status (glaucoma group, 1.14 mmHg [95% CI, 1.00-1.29 mmHg]; without glaucoma group, 0.68 mmHg [95% CI, 0.65-0.71 mmHg]). Current smokers and past smokers have higher IOP than patients who never smoked. This difference is higher in patients with an underlying glaucoma diagnosis.

Identifiants

pubmed: 33008558
pii: S2589-4196(20)30084-3
doi: 10.1016/j.ogla.2020.03.008
pmc: PMC7532983
mid: NIHMS1580730
pii:
doi:

Types de publication

Comparative Study Journal Article Multicenter Study Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

253-261

Subventions

Organisme : NEI NIH HHS
ID : K23 EY024921
Pays : United States
Organisme : NEI NIH HHS
ID : K23 EY029246
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG060942
Pays : United States
Organisme : NEI NIH HHS
ID : P30 EY010572
Pays : United States

Informations de copyright

Published by Elsevier Inc.

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Auteurs

Cecilia S Lee (CS)

Department of Ophthalmology, University of Washington, Seattle, Washington.

Julia P Owen (JP)

Department of Ophthalmology, University of Washington, Seattle, Washington.

Ryan T Yanagihara (RT)

Department of Ophthalmology, University of Washington, Seattle, Washington.

Alice Lorch (A)

Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.

Suzann Pershing (S)

Byers Eye Institute, Stanford University, and VA Palo Alto Health Care System, Palo Alto, California.

Leslie Hyman (L)

Department of Ophthalmology, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.

Joan W Miller (JW)

Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.

Julia A Haller (JA)

Department of Ophthalmology, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.

Michael F Chiang (MF)

Casey Eye Institute, Oregon Health and Science University, Portland, Oregon.

Flora Lum (F)

American Academy of Ophthalmology, San Francisco, California.

Aaron Y Lee (AY)

Department of Ophthalmology, University of Washington, Seattle, Washington; eScience Institute, University of Washington, Seattle, Washington. Electronic address: leeay@uw.edu.

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