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Risk Factors for Primary Angle-closure Glaucoma: A Systematic Review and Meta-analysis of 45 Studies / Ying Wang in OVS : Optometry & Vision Science, vol. 100, 09 (Septembre 2023)
[article]
in OVS : Optometry & Vision Science > vol. 100, 09 (Septembre 2023)
Titre : Risk Factors for Primary Angle-closure Glaucoma: A Systematic Review and Meta-analysis of 45 Studies Type de document : article de périodique Auteurs : Ying Wang ; Xing-Xuan Dong ; Xiao-Wen Hou ; Chen-Wei Pan Année de publication : 2023 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:G:Glaucome à angle fermé:Glaucome à angle fermé / étiologie
[Thésaurus Mesh]Facteurs de risque
[Thésaurus Mesh]Glaucome à angle fermé
[Thésaurus Mesh]Ophtalmologie
[Thésaurus Mesh]Optométrie
[Thésaurus Mesh]Revue de la littératureRésumé : SIGNIFICANCE: This study summarized primary angle-closure glaucoma (PACG)–related factors across different dimensions. OBJECTIVES: This review aimed at systematically summarizing the associated factors of PACG in published literatures. METHODS: A systematic review and meta-analysis were conducted by searching the electronic databases including PubMed, EMBASE, and Web of Science from their inception to November 2021. The pooled risk estimates of continuous and categorical variables were calculated using weighted mean difference (WMD) and odds ratio (OR; 95% confidence intervals [CIs]), respectively. RESULTS: We included 45 studies in this review. In the meta-analysis, intraocular pressure (WMD, 3.13; 95% CI, 2.37 to 3.89), anterior chamber depth (WMD, −0.52; 95% CI, −0.70 to −0.34), axial length (WMD, −0.77; 95% CI, −1.26 to −0.28), retinal nerve fiber layer (WMD, −21.23; 95% CI, −30.21 to −12.25), and spherical equivalent (WMD, 1.02; 95% CI, 0.66 to 1.38) were the most common ophthalmic anatomic factors, and lower body weight (WMD, −3.65; 95% CI, −6.48 to −0.82) was the most significant general morphological indicators. The presence of cataract (OR, 3.77; 95% CI, 3.46 to 4.11) and hyperlipidemia (OR, 1.10; 95% CI, 1.02 to 1.20) were significantly associated with PACG. Increased level of triglyceride (WMD, 0.17; 95% CI, 0.06 to 0.27) was associated with PACG. In addition, an association between short-term antidepressant exposure (OR, 1.36; 95% CI, 1.08 to 1.70) and acute angle-closure glaucoma was observed. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: This review identified a few consistent factors related to PACG, providing important information for primary care physicians, general ophthalmologists, and public health professionals to counsel their patients on PACG risks. Note de contenu :
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