The Incidence of Retinal Vein Occlusion in Patients with Pseudoexfoliation Glaucoma: A Retrospective Cohort Study

Ophthalmologica. 2019;241(3):130-136. doi: 10.1159/000492401. Epub 2018 Nov 2.

Abstract

Purpose: The aim of this study was to evaluate pseudoexfoliation (PXF) as an independent risk factor for the occurrence of retinal vein occlusion (RVO).

Methods: This is a retrospective cohort study on the records of 300 PXF glaucoma patients (PXF group), 300 non-PXF glaucoma patients, and 599 nonglaucoma non-PXF (nGnP group) patients.

Results: Multivariate analysis resulted in a significant probability for RVO in the PXF (p = 0.005; OR 2.29 [1.13-4.68]) and non-PXF glaucoma groups (p = 0.005; OR 3.03 [1.55-5.94]) compared to the nGnP group. There was a much higher probability for central RVO (CRVO) in the PXF (p = 0.013; OR 3.64 [1.39-9.49]) and non-PXF glaucoma groups (p = 0.013; OR 3.78 [1.48-9.65]) compared to the nGnP group. After matching and excluding neovascular glaucoma, no significant difference was found between the PXF and non-PXF glaucoma groups regarding RVO (p = 0.541), CRVO (p = 0.092), and branch RVO (p = 0.774).

Conclusions: PXF and other types of glaucoma are associated with RVOs, mainly CRVO. PXF was not found to be an independent risk factor for CRVO.

Keywords: Glaucoma; Incidence; Pseudoexfoliation; Retinal vein occlusion.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Exfoliation Syndrome / complications*
  • Exfoliation Syndrome / diagnosis
  • Exfoliation Syndrome / epidemiology
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Intraocular Pressure / physiology*
  • Israel / epidemiology
  • Male
  • Middle Aged
  • Retinal Vein Occlusion / diagnosis
  • Retinal Vein Occlusion / epidemiology*
  • Retinal Vein Occlusion / etiology
  • Retrospective Studies
  • Risk Factors
  • Visual Acuity*