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Clin Exp OphthalmolFebruary 20188 citations

Incidence of retinal vein occlusion in open-angle glaucoma: a nationwide, population-based study using the Korean Health Insurance Review and Assessment Database.

Na Kyeong Ik, Jeoung Jin Wook, Kim Young Kook, Lee Won June, Park Ki Ho


AI Summary

This study found open-angle glaucoma patients have a significantly higher risk of retinal vein occlusion (3.27 times), highlighting the need for vigilance in this patient group.

Abstract

Importance

We determined the association between retinal vein occlusion (RVO) and open-angle glaucoma (OAG) in a Korean population by reviewing a dataset obtained from the Korean Health Insurance Review and Assessment (HIRA).

Background

To compare the RVO incidence for OAG patients with that for the general population in order to determine the association between RVO and OAG.

Design

Nationwide population-based retrospective study.

Participants

HIRA data for 2011 through 2015.

Methods

The HIRA data for 2011 through 2015 was analysed in order to determine the incidence rates of RVO in the general population and in OAG patients. The standardized incidence ratios (SIRs) of RVO for OAG patients were determined with respect to the age- and gender-matched general population.

Main outcome measures

SIRs of RVO.

Results

The RVO incidence rate for the general population during the 4-year study period (2012-2015) was 74.16 per 100 000 person-years (95% confidence interval [CI], 73.79-74.54). A total of 272 143 OAG patients were identified in 2011 as the population at risk. The RVO incidence rate for the OAG patients was 528.95 per 100 000 person-years (95% CI, 515.46-542.79). The expected incidences of RVO in the OAG patients were 1760.66 during the 4-year study period. On the other hand, the observed incidences of RVO were 5758. The SIR of RVO for OAG patients in reference to the general population was 3.27 (95% CI, 3.19-3.35).

Conclusions and relevance: The RVO incidence rate for OAG patients is significantly higher than that for the general population.


MeSH Terms

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleFollow-Up StudiesGlaucoma, Open-AngleHumansIncidenceInfantInfant, NewbornInsurance, HealthMaleMiddle AgedPopulation SurveillanceQuality of Health CareRepublic of KoreaRetinal Vein OcclusionRetrospective StudiesRisk FactorsYoung Adult

Key Concepts5

The incidence rate of retinal vein occlusion (RVO) for open-angle glaucoma (OAG) patients in Korea was 528.95 per 100,000 person-years (95% CI, 515.46-542.79) during the 4-year study period (2012-2015).

EpidemiologyCohortNationwide population-based retrospective studyn=272,143 OAG patientsCh10Ch12

The standardized incidence ratio (SIR) of retinal vein occlusion (RVO) for open-angle glaucoma (OAG) patients in reference to the general Korean population was 3.27 (95% CI, 3.19-3.35).

PrognosisCohortNationwide population-based retrospective studyn=272,143 OAG patients compared to age-…Ch10Ch12

The retinal vein occlusion (RVO) incidence rate for open-angle glaucoma (OAG) patients in Korea is significantly higher than that for the general Korean population.

PrognosisCohortNationwide population-based retrospective studyn=272,143 OAG patients compared to age-…Ch10Ch12

The incidence rate of retinal vein occlusion (RVO) for the general Korean population during the 4-year study period (2012-2015) was 74.16 per 100,000 person-years (95% confidence interval [CI], 73.79-74.54).

EpidemiologyCohortNationwide population-based retrospective studyn=Korean Health Insurance Review and As…Ch10Ch12

A total of 272,143 open-angle glaucoma (OAG) patients were identified in 2011 as the population at risk.

MethodologyCohortNationwide population-based retrospective studyn=272,143 OAG patientsCh10Ch12

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