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International Ophthalmology

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02.09.2022 | Original Paper

Similarities and differences in systemic risk factors for retinal artery occlusion and retinal vein occlusion: A nationwide case–control study

verfasst von: Marie Ørskov, Henrik Vorum, Torben Bjerregaard Larsen, Gregory Y. H. Lip, Toke Bek, Flemming Skjøth

Erschienen in: International Ophthalmology | Ausgabe 3/2023

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Abstract

Background

To investigate the relationship between risk factors for retinal artery occlusion (RAO) and retinal vein occlusion (RVO) and thereby identify similarities and differences between the two types of retinal vascular occlusions.

Methods

In this case–control study, 5708 patients with RAO were included and matched with three patients with RVO each. The patients with RVO were matched on sex and age at index date. All patients, personal information, diagnoses, and prescriptions were obtained from the Danish nationwide registries. Adjusted conditional logistic regression was used to investigate the association of RAO and RVO with the included risk factors.

Results

RAO was stronger associated with arterial hypertension, heart failure, ischemic heart disease, peripheral artery disease, and stroke than RVO, with effect measures ranging from 1.10 to 2.21. RVO was associated with cataract and glaucoma with effect measures of 0.80 (95% CI 0.73–0.87) and 0.65 (95% CI 0.56–0.76), respectively.

Conclusion

Differences in the level of associations with the included risk factors suggests differences in the pathophysiologies of the two diseases. The main pathophysiology associated with RAO was atherosclerosis, whereas the main pathophysiology associated with RVO was changes in the pressure gradients of the eyes.

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Titel: Similarities and differences in systemic risk factors for retinal artery occlusion and retinal vein occlusion: A nationwide case–control study
verfasst von: Marie Ørskov
Henrik Vorum
Torben Bjerregaard Larsen
Gregory Y. H. Lip
Toke Bek
Flemming Skjøth
Publikationsdatum: 02.09.2022
Verlag: Springer Netherlands
Erschienen in: International Ophthalmology / Ausgabe 3/2023
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-022-02483-3

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