Journal of the Korean Ophthalmological Society 2005;46(9):1518-1525.
Published online September 30, 2005.
The Relationship between Intraocular Pressure and Cardiovascular Risk Factors.
Suk Chul Jung, Young Rak Choi, Jong Soo Lee
Department of Ophthalmology, College of Medicine, Pusan National University, Busan, Korea. jongsool@pusan.ac.kr
안압과 심혈관계지수와의 상관관계
정석철,최영락,이종수
Department of Ophthalmology, College of Medicine, Pusan National University, Busan, Korea
Correspondence:  Suk-Chul Jung, M.D.
Abstract
PURPOSE
To evaluate the relationship between intraocular pressure (IOP) and cardiovascular risk variables in healthy Koreans adjusted for age and mean blood pressure. METHODS: A total of 1477 healthy participants underwent automated multi-phasic test, including tonometry, automated perimetry, fundus photography, blood pressure, and cardiovascular risk variables such as total cholesterol, high density lipoprotein, triglyceride, and blood glucose. The subjects were divided into six age groups by decades ranging from 20~29 years to over 70 years. The relationship between IOP and cardiovascular risk variables was examined using multiple regression analysis. RESULTS: The mean age of participants was 49.0 years, and 778 (52.7%) of participants were men. The mean IOP was 15.8+/-3.2 mmHg, and was significantly higher in men than in women (p<0.05). The prevalence of ocular hypertension was 5.9% in men and 3.1% in women. IOP was associated with mean blood pressure, gender, age, total cholesterol, triglyceride, and blood glucose (p<0.05). The relationship between IOP and age adjusted for mean blood pressure and cardiovascular risk variables showed a significantly negative tendency (p<0.05). Total cholesterol, triglyceride, and blood glucose values after adjusting for age and mean blood pressure had a significantly positive relation with IOP (p<0.05), but there was no significant relation between IOP and high density lipoprotein (p>0.05). CONCLUSIONS: As increased IOP was associated with cardiovascular risk variables, it is necessary to control increased total cholesterol, triglyceride, and blood glucose levels in the normal population to prevent or control the IOP elevation.
Key Words: Age;Blood pressure;Cardiovascular risk variables;Gender;Intraocular pressure (IOP)


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