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EPIDEMIOLOGY Retinal Vein Occlusion and Traditional Risk Factors for Atherosclerosis Paul R. A. O’Mahoney; David T. Wong, MD, FRCSC; Joel G. Ray, MD, MSc, FRCPC Objective: To determine whether retinal vein occlu- the association was less pronounced for diabetes mellitus sion (RVO) is related to systemic hypertension, diabe- (OR, 1.5; 95% CI, 1.1-2.0). Similar results were found in tes mellitus, and hyperlipidemia. cases with central RVO and branch RVO. The percentage of cases with any form of RVO attributed to hypertension Methods: We systematically retrieved all studies pub- was 47.9% (95% CI, 31.2%-63.1%), to diabetes mellitus was lished between January 1985 and July 2007 that com- 4.9% (95% CI, 0.8%-11.5%), and to hyperlipidemia was pared cases with any form of RVO, including central and 20.1% (95% CI, 5.9%-43.8%). branch RVO, with controls. We generated pooled odds ratios (ORs) and estimates of the population- Conclusions: Hypertension and hyperlipidemia are com- attributable risk percentages for systemic hypertension, mon risk factors for RVO in adults, and diabetes melli- diabetes mellitus, and hyperlipidemia. tus is less so. It remains to be determined whether low- ering blood pressure and/or serum lipid levels can improve Results: Of 21 studies, including 2916 cases and 28 646
JAMA Ophthalmology – American Medical Association
Published: May 1, 2008
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