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American Journal of Epidemiology Vol. 118, No. 2: 280-287
Copyright © 1983 by The Johns Hopkins University School of Hygiene and Public Health

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INTRAOCULAR PRESSURE, CARDIOVASCULAR RISK VARIABLES, AND VISUAL FIELD DEFECTS

M. CRISTINA LESKE1, and MARVIN J. PODGOR2

1Department of Community and Preventive Medicine, School of Medicine, Health Sciences Center, 3L 099, State University of New York at Stony Brook Stony Brook, NY 11794
2Office of Biometry and Epidemiology, National Eye Institute Bethesda, MD

Address for reprint requests.

Leske, M. C. (School of Medicine, SUNY, Stony Brook, NY 11794) and M. J. Podgor. Intraocular pressure, cardiovascular risk variables, and visual field defects. Am J Epidemiol 1983; 118: 280–7.

This study evaluates the associations of intraocular pressure with cardiovascular risk factors among 2433 participants in the Framingham Eye Study and the Framingham Heart Study. Persons with intraocular pressure >21 mmHg in at least one eye had an increased prevalence of hypertension and diabetes; no association was found with cardiovascular disease. In multiple regression analysis, systolic blood pressure was the variable most related to intraocular pressure; vertical cup/disc ratio, diabetes, and ventricular rate were also independently related to intraocular pressure. About 6% of the variation in intraocular pressure was explained by these variables. Although blood pressure was associated with intraocular pressure in eyes without visual field defects, this association could not be detected in eyes with field defects; interaction tests found significant differences in the blood pressure-intraocular pressure relationships between visual field groups. Ratios of blood pressure to intraocular pressure were lower in eyes with visual field defects than in eyes without field defects.

blood pressure; cardiovascular diseases; diabetes mellitus; glaucoma; intraocular pressure; pulse; visual fields


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