Diabetes complications

Association of glycaemic control with intraocular pressure in a large general population: Results from the UK Biobank

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Impaired glycaemic control was associated with elevated IOP and a possible risk of ocular hypertension among participants with diabetes but of normal ocular health.

Study context

Population
UK Biobank participants without eye conditions that may affect intraocular pressure (IOP); mean age 56.7 years, 46.5% male; 6.1% with diabetes
Participants
68,806 participants
Exposure
HbA1c and random serum glucose vs IOP
Outcome
IOPg and IOPcc (ocular response analyser); ocular hypertension = left-eye IOPg or IOPcc > 21 mmHg
Methodological detailspopulation-based, UK Biobank, multivariate restricted cubic spline and linear regression
  • Population-based
  • UK Biobank
  • Multivariate restricted cubic spline and linear regression

Main finding

As reported in the abstract

Association of HbA1c with IOP in participants with diabetes, per 10-mmol/mol increase in HbA1c (adjusted)

IOPg increase (mmHg), 95% CI 0.12, 0.28

0.20

IOPcc increase (mmHg), 95% CI 0.07, 0.23

0.15

Odds of ocular hypertension increased

6%

95% CI 1.00, 1.13

Observational data: associations, not effects.

Further findings

IOP and ocular hypertension in the whole cohort

IOPg, mean (SD) 3.6, mmHg
15.7
IOPcc, mean (SD) 3.6, mmHg
15.9
Ocular hypertension, n (11.7%)
8055
Those with diabetes had higher IOP and a higher prevalence of ocular hypertension

Serum glucose and IOP

Borderline positive association between serum glucose and IOP only in participants without diabetes

Original publication

Association of glycaemic control with intraocular pressure in a large general population: Results from the UK Biobank. Diabetes Obes Metab. Published 19 August 2024. doi:10.1111/dom.15865

Composed by AI from the published abstract and checked against it. How Briefs are made →

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