American Journal of Epidemiology Vol. 154, No. 2 : 138-144
Copyright © 2001 by The Johns Hopkins University School of Hygiene and Public Health
ORIGINAL CONTRIBUTIONS |
Is Open-Angle Glaucoma Associated with Early Menopause?
The Rotterdam Study
1 The Netherlands Ophthalmic Research Institute, Amsterdam, the Netherlands.
2 Department of Epidemiology and Biostatistics, Erasmus University Medical School, Rotterdam, the Netherlands.
3 Department of Ophthalmology, Erasmus University Medical School, Rotterdam, the Netherlands.
4 Department of Ophthalmology, Academic Medical Center, Amsterdam, the Netherlands.
The authors examined the association between age at menopause and open-angle glaucoma among women aged
55 years in the population-based Rotterdam Study (19901993). Information on age and type of menopause was obtained by interview. Subjects (n = 3,078) were stratified into three categories according to age at menopause: <45 years, 4549 years, and
50 years, with the last group serving as the reference group. Diagnosis of open-angle glaucoma was based on the presence of a glaucomatous visual field defect and glaucomatous optic neuropathy. Open-angle glaucoma was diagnosed in 78 women with a natural menopause and 15 women with an artificial menopause. In the category of natural menopause, women who went through menopause before reaching the age of 45 years had a higher risk of open-angle glaucoma than the reference group (odds ratio = 2.6; 95% confidence interval: 1.5, 4.8), after adjustment for age and use of hormone replacement therapy. Among women who went through menopause between the ages of 45 and 49 years, the odds ratio was 1.1 (95% confidence interval: 0.7, 2.0). These findings suggest that early menopause is associated with a higher risk of open-angle glaucoma.
estrogens; glaucoma, open-angle; hormone replacement therapy; intraocular pressure; menopause; risk factors; women
Abbreviations: CI, confidence interval; OR, odds ratio.
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