The relationship of optic disk cupping to retinal vein occlusion: the Beaver Dam Eye Study.

Kleins Lab // Publications // May 01 2006

PubMed ID: 16527230

Author(s): Klein BE, Meuer SM, Knudtson MD, Klein R. The relationship of optic disk cupping to retinal vein occlusion: the Beaver Dam Eye Study. Am J Ophthalmol. 2006 May;141(5):859-62. Epub 2006 Mar 9. PMID 16527230

Journal: American Journal Of Ophthalmology, Volume 141, Issue 5, May 2006

PURPOSE To examine the association between optic disk cupping and retinal vein occlusion (RVO).

DESIGN Prospective epidemiologic study.

METHODS setting: Population-based prospective study in Beaver Dam, Wisconsin. study population: Adults aged 43 to 86 years at baseline (n = 4926). observation procedures: Optic disk cupping and RVO were determined from retinal photographs. A standardized medical examination and questionnaire were administered. main outcome measure: Ten-year cumulative incidence of RVO.

RESULTS There were 58 persons who developed incident RVO at 5 (n = 31) or 10 (n = 27) years after the baseline examination. Those sustaining RVO were older, had higher intraocular pressure (IOP), and were more likely to have definite or probable glaucoma at the baseline examination. The odds of having an incident RVO increased with increasing cup-to-disk ratio at baseline (odds ratio [OR] = 1.29/0.1 increase in cup-to-disk ratio, 95% confidence interval 1.07, 1.56), while controlling for age, systolic blood pressure, current smoking, diabetes status, and IOP. A similar OR was found after excluding those with glaucoma. Excluding persons with central (as opposed to branch) vein occlusion did not have a significant effect on the OR.

CONCLUSION Cup-to-disk ratio is a significant predictor of risk of incident RVO.