Ophthalmology Volume 130, Number 7, July 2023
- 新診斷的青光眼患者患痴呆症，特別是阿茲海默病（Alzheimer’s disease, AD）的風險較高。青光眼患者發展痴呆症的風險比（HR）為1.89，表示風險增加。
- 新診斷的青光眼與血管性痴呆（vascular dementia, VD）的風險沒有明顯關聯，但與阿茲海默病的風險顯著增加。
Risk of Dementia in Newly Diagnosed Glaucoma
A Nationwide Cohort Study in Korea
The given text is a brief summary of a nationwide cohort study conducted in South Korea to investigate the risk of dementia in individuals with newly diagnosed glaucoma. The researchers used data from the Korean National Health Insurance Service (NHIS) database, which contains demographic information and health claims data for the entire population.
Here are the key findings of the study:
- Participants with newly diagnosed glaucoma had a higher risk of developing dementia, particularly Alzheimer’s disease (AD). The hazard ratio (HR) for dementia development in individuals with glaucoma was 1.89, indicating an increased risk.
- The association between glaucoma and dementia remained significant even after adjusting for various confounding factors, including age, sex, body mass index (BMI), income, smoking and drinking status, visual acuity, and other systemic comorbidities such as diabetes, hypertension, stroke, and depression.
- The risk of vascular dementia (VD) was not significantly associated with newly diagnosed glaucoma, while the risk of AD was significantly higher in individuals with glaucoma.
- The risk of dementia was higher in older individuals with glaucoma, suggesting an age-related susceptibility to central nervous system (CNS) injury and neurodegeneration.
The study highlights the potential relationship between glaucoma and dementia, particularly AD, and suggests that individuals with newly diagnosed glaucoma may be at a higher risk of developing dementia. However, it’s important to note that this study was conducted in South Korea, and further research in other populations is needed to validate these findings and determine if similar associations exist.