Myopia and diabetic retinopathy: A systematic review and meta-analysis.

Abstract:

AIMS:Myopia may have protective effects against diabetic retinopathy (DR). However, the data from epidemiologic studies are inconsistent. We aimed to examine the association between myopia and DR by conducting a meta-analysis. METHODS:We identified studies by searching the PubMed and EMBASE databases. Study-specific odds ratios (ORs) were pooled using a fixed or random effects model. Myopic eyes were defined as having a spherical equivalent (SE)<-0.5 diopters (D). Myopic SE, each diopter decrease in SE toward myopia, and each millimeter increase in axial length (AL) were used as independent surrogate variables for myopia. RESULTS:Data from 6 population-based and 3 clinic-based studies were included in the analyses. Myopic SE (compared with emmetropic eyes) and each millimeter increase in AL were associated with a decreased risk for DR (pooled odds ratio [OR], 0.80 and 0.79, respectively; 95% confidence interval [CI], 0.67-0.95 and 0.73-0.86, respectively; P=0.011 and 0.000, respectively). Each millimeter increase in AL was also associated with a decreased risk for vision-threatening diabetic retinopathy (VTDR) (pooled OR, 0.70; 95% CI, 0.60-0.82; P=0.000). No significant association between each diopter decrease in SE and DR was observed. CONCLUSIONS:Our meta-analysis suggests that individuals with myopia exhibit a decreased risk of developing DR or VTDR. An increased AL plays a critical role in this protective effect.

authors

Wang X,Tang L,Gao L,Yang Y,Cao D,Li Y

doi

10.1016/j.diabres.2015.10.020

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

1-9

eissn

0168-8227

issn

1872-8227

pii

S0168-8227(15)00421-0

journal_volume

111

pub_type

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