2007-12-01
Systemic Antihypertensive Medication and Incident Open-angle Glaucoma
Publication
Publication
Ophthalmology , Volume 114 - Issue 12 p. 2221- 2226
Purpose: To determine the association between systemic antihypertensive medication and incident open-angle glaucoma. Design: Prospective population-based cohort study. Participants: The study population consisted of a subset of 3842 participants of the Rotterdam Study for whom data from identical ophthalmologic examinations at baseline and follow-up were available. Methods: Use of antihypertensive medication was registered over an average follow-up period of 6.5 years. Associations between incident open-angle glaucoma and antihypertensive medication were assessed using multivariate logistic regression models adjusted for age, gender, duration of follow-up, intraocular pressure, intraocular pressure-lowering medication, and cardiovascular disease. Main Outcome Measures: Odds ratios of associations between incident open-angle glaucoma and use of antihypertensive medication. Results: During follow-up, there were 87 incident cases of open-angle glaucoma. Participants using calcium channel antagonists had a 1.8-fold (95% confidence interval [CI], 1.04-3.2; P = 0.037) higher risk of developing incident open-angle glaucoma. β-Blockers were associated with a nonsignificant risk reduction (odds ratio, 0.6; 95% CI, 0.3-1.02; P = 0.060). None of the other classes of antihypertensives was significantly associated with incident open-angle glaucoma. Conclusions: These data suggest that use of calcium channel antagonists is associated with open-angle glaucoma, but this requires confirmation. These results do not support the use of calcium channel antagonists for the treatment of normal-tension glaucoma.
Additional Metadata | |
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doi.org/10.1016/j.ophtha.2007.03.047, hdl.handle.net/1765/35689 | |
Ophthalmology | |
Organisation | Erasmus MC: University Medical Center Rotterdam |
Müskens, R., de Voogd, S., Wolfs, R., Witteman, J., Hofman, A., de Jong, P., … Jansonius, N. (2007). Systemic Antihypertensive Medication and Incident Open-angle Glaucoma. Ophthalmology, 114(12), 2221–2226. doi:10.1016/j.ophtha.2007.03.047 |