J Korean Ophthalmol Soc > Volume 57(7); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(7):1102-1108.
DOI: https://doi.org/10.3341/jkos.2016.57.7.1102    Published online July 15, 2016.
Association between Metabolic Syndrome and Retinal Vascular Changes in Koreans based on Health Check-ups.
Kyeong Do Jeong, Jae Suk Kim
Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul, Korea. 991027js@hanmail.net
한국인의 건강검진에서 발견되는 대사증후군의 구성요소와 망막 혈관 변화와의 관계
정경도⋅김재석
인제대학교 상계백병원 안과학교실
Abstract
PURPOSE
To evaluate the associations between components of metabolic syndrome and retinal vascular changes in a Korean population based on data collected at health check-ups. METHODS: Fundus photographs of 381 patients participating in a health check-up were examined to identify central retinal artery equivalent (CRAE), central retinal vein equivalent (CRVE), and arteriovenous ratio (AVR) by IVAN software. Retinal hemorrhage, arteriovenous nicking, and retinal exudate were also noted. The association between metabolic syndrome and each component was then analyzed. RESULTS: Significant associations were shown between metabolic syndrome and CRAE (p = 0.032), central obesity and CRAE (p = 0.037), triglyceride and CRAE (p = 0.011), and triglyceride and AVR (p = 0.005), in addition to central obesity and arteriovenous nicking (odds ratio [OR] = 2.68, p = 0.013), central obesity and retinal exudate (OR = 2.30, p = 0.038), serum glucose and retinal hemorrhage (OR = 8.06, p = 0.030), and blood pressure and arteriovenous nicking (OR = 2.78, p = 0.007). CONCLUSIONS: Metabolic syndrome showed a significant relationship with retinal artery diameter. Central obesity showed the greatest relationship with retinal vascular changes among each of the components of metabolic syndrome.
Key Words: Metabolic syndrome;Retinal artery;Retinal hemorrhage;Retinal vein


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