Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control Study

Objectives. To determine if hyperopia is a risk factor for primary angle-closure glaucoma (PACG) in the Dutch population and to identify other biometrical parameters as risk factors for PACG including axial length (AL), anterior chamber depth (ACD), and k values. Methods. The study population consis...

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Main Authors: Saskia H. M. van Romunde, Gijs Thepass, Hans G. Lemij
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2013/630481
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author Saskia H. M. van Romunde
Gijs Thepass
Hans G. Lemij
author_facet Saskia H. M. van Romunde
Gijs Thepass
Hans G. Lemij
author_sort Saskia H. M. van Romunde
collection DOAJ
description Objectives. To determine if hyperopia is a risk factor for primary angle-closure glaucoma (PACG) in the Dutch population and to identify other biometrical parameters as risk factors for PACG including axial length (AL), anterior chamber depth (ACD), and k values. Methods. The study population consisted of PACG patients that had undergone a laser peripheral iridotomy (LPI). The control group consisted of age- and gender-matched cataract patients. The main outcome was hyperopia (spherical equivalent ≥+0.5 dioptres) measured with IOL Master or autorefractor. Refractive error, ACD, AL, and k values were tested with a Mann-Whitney U test and by logistic regression. Results. 117 PACG patients and 234 controls were included (mean age = 80 years ± 3.6). The prevalence of hyperopia in patients and controls was 69.6% and 61.1%, respectively (Fisher’s test P=0.076). Mann-Whitney U test showed no statistically significant relation with refractive error (P=0.068) or k values (P=0.607). In contrast, ACD and AL were statistically significant (P<0.001). Tested with logistic regression, only ACD was a significant predictor of PACG (P<0.001). Conclusion. There was no statistically significant correlation between refractive error and PACG. ACD was strongly correlated, though, with PACG, whereas AL turned out to be a less significant risk factor.
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spelling doaj-art-ac8606dd5eb2425bb6a6b03b3aed68732025-08-20T02:20:23ZengWileyJournal of Ophthalmology2090-004X2090-00582013-01-01201310.1155/2013/630481630481Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control StudySaskia H. M. van Romunde0Gijs Thepass1Hans G. Lemij2The Rotterdam Ophthalmic Institute, The Rotterdam Eye Hospital, P.O. Box 70030, 3000 LM Rotterdam, The NetherlandsThe Rotterdam Ophthalmic Institute, The Rotterdam Eye Hospital, P.O. Box 70030, 3000 LM Rotterdam, The NetherlandsThe Rotterdam Ophthalmic Institute, The Rotterdam Eye Hospital, P.O. Box 70030, 3000 LM Rotterdam, The NetherlandsObjectives. To determine if hyperopia is a risk factor for primary angle-closure glaucoma (PACG) in the Dutch population and to identify other biometrical parameters as risk factors for PACG including axial length (AL), anterior chamber depth (ACD), and k values. Methods. The study population consisted of PACG patients that had undergone a laser peripheral iridotomy (LPI). The control group consisted of age- and gender-matched cataract patients. The main outcome was hyperopia (spherical equivalent ≥+0.5 dioptres) measured with IOL Master or autorefractor. Refractive error, ACD, AL, and k values were tested with a Mann-Whitney U test and by logistic regression. Results. 117 PACG patients and 234 controls were included (mean age = 80 years ± 3.6). The prevalence of hyperopia in patients and controls was 69.6% and 61.1%, respectively (Fisher’s test P=0.076). Mann-Whitney U test showed no statistically significant relation with refractive error (P=0.068) or k values (P=0.607). In contrast, ACD and AL were statistically significant (P<0.001). Tested with logistic regression, only ACD was a significant predictor of PACG (P<0.001). Conclusion. There was no statistically significant correlation between refractive error and PACG. ACD was strongly correlated, though, with PACG, whereas AL turned out to be a less significant risk factor.http://dx.doi.org/10.1155/2013/630481
spellingShingle Saskia H. M. van Romunde
Gijs Thepass
Hans G. Lemij
Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control Study
Journal of Ophthalmology
title Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control Study
title_full Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control Study
title_fullStr Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control Study
title_full_unstemmed Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control Study
title_short Is Hyperopia an Important Risk Factor for PACG in the Dutch Population?—A Case Control Study
title_sort is hyperopia an important risk factor for pacg in the dutch population a case control study
url http://dx.doi.org/10.1155/2013/630481
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