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To evaluate the risk of retinal vein occlusion (RVO) development after primary open-angle glaucoma (POAG) and the risk of POAG development after RVO, we conducted a nationwide, population-based 11-year longitudinal study.National registry data were collected from the Korean National Health Insurance Research Database, comparing 1 025 340 (~2.2%) subjects who were selected from 46 605 433 Korean residents in 2002. POAG developed in 0.92% of the RVO group (n = 6 826) and in 0.22% of the comparison group.Patients with death occurred 41060 (9.76%) in the POAG group and 40744 (9.69%) in the RVO group during the study period.Table 1 displays the characteristics of the study population for the RVO group and the comparison group.RVO developed in 0.99% of the POAG group (n = 4 138) and in 0.37% of the comparison group.
Retinal vein occlusion (RVO) is the second most frequent retinal vascular disease and also one of the sight-threatening conditions.
However, in patients with POAG who developed RVO, systemic comorbidities did not increase the risk of developing RVO.
Table 5: Multivariate cox regression analysis for development of primary open angle glaucoma or retinal vein occlusion in subjects with and without the baseline diseases (either retinal vein occlusion or glaucoma, respectively).
Comorbidities, such as hypertension (HR 1.51, 95% CI, 1.43–1.59), diabetes mellitus (HR 2.06, 95% CI, 1.93–2.20), and dyslipidemia (HR 1.32, 95% CI, 1.23–1.41), were significantly associated with the development of RVO in subjects with glaucoma.
In terms of sociodemographic characteristics, increasing age and female gender were significantly associated with the development of RVO in subjects with glaucoma.
Table 4 show the HR for RVO development in subjects with POAG during the 11-year follow-up period using univariate and multivariate Cox regression models.