Vol 5 (2020): Continuous Publishing
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Published online: 2020-02-06

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Risk factors associated with development of senile cataract

Pragati Garg1, Ritika Mullick1, Bharti Nigam1, Priyanka Raj1
Ophthalmol J 2020;5:17-24.

Abstract

Background: Cataract is the most common cause of reversible blindness worldwide, which has been associated with various causative risk factors. Hence, we aim to study the factors that might play a role in cataractogenesis.

Material and methods: A total of 240 eyes of 240 subjects were included for the study, which consisted of 120 cases with age-related cataract and 120 age-matched controls, and in them various factors like blood pressure, body mass index (BMI), smoking, sun exposure, and serum cholesterol were studied.

Results: A statistically significant difference between the two groups was found with respect to smoking profile (p = 0.007), sun exposure (p = 0.001), and serum cholesterol (p < 0.001). Subjects who were smokers, had a longer exposure to sun, and had higher serum cholesterol level were found to be positively associated with development of cataract. No significant association between BMI (p = 0.384) and blood pressure (p > 0.05) was observed.

Conclusion: Higher cholesterol levels, increased sun exposure, and smoking habit play a role in the development of senile cataract, and these are modifiable risk factors. Hence, control of these might help in delaying formation and progression of cataract.

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References

  1. World Health Organization. Blindness and visual impairment. WHO Fact Sheet dated 11 October, 2017. http://www.who.int/en/news-room/fact-sheets/detail/blindness-and-visual-impairment (1st May, 2018).
  2. Thulasiraj RD, Nirmalan PK, Ramakrishnan R, et al. Blindness and vision impairment in a rural south Indian population: the Aravind Comprehensive Eye Survey. Ophthalmology. 2003; 110(8): 1491–1498.
  3. Thulasiraj RD, Rahamathulla R, Saraswati A, et al. The Sivaganga eye survey: I. Blindness and cataract surgery. Ophthalmic Epidemiol. 2002; 9(5): 299–312.
  4. Nirmalan PK, Thulasiraj RD, Maneksha V, et al. A population based eye survey of older adults in Tirunelveli district of south India: blindness, cataract surgery, and visual outcomes. Br J Ophthalmol. 2002; 86(5): 505–512.
  5. West SK, Valmadrid CT, West SK, et al. Epidemiology of risk factors for age-related cataract. Surv Ophthalmol. 1995; 39(4): 323–334.
  6. Younan C, Mitchell P, Cumming RG, et al. Hormone replacement therapy, reproductive factors, and the incidence of cataract and cataract surgery: the Blue Mountains Eye Study. Am J Epidemiol. 2002; 155(11): 997–1006.
  7. Mukesh BN, Le A, Dimitrov PN, et al. Development of cataract and associated risk factors: the Visual Impairment Project. Arch Ophthalmol. 2006; 124(1): 79–85.
  8. Wu SY, Leske MC. Antioxidants and cataract formation: a summary review. Int Ophthalmol Clin. 2000; 40(4): 71–81.
  9. Leske MC, Chylack LT, Wu SY, et al. The Lens Opacities Case-Control Study. Risk factors for cataract. Arch Ophthalmol. 1991; 109(2): 244–251.
  10. Hiller R, Sperduto RD, Reed GF, et al. Serum lipids and age-related lens opacities: a longitudinal investigation: the Framingham Studies. Ophthalmology. 2003; 110(3): 578–583.
  11. Jahn CE, Janke M, Winowski H, et al. Identification of metabolic risk factors for posterior subcapsular cataract. Ophthalmic Res. 1986; 18(2): 112–116.
  12. Familial aggregation of lens opacities: the Framingham Eye Study and the Framingham Offspring Eye Study. Am J Epidemiol. 1994; 140(6): 555–564.
  13. Heiba IM, Elston RC, Klein BE, et al. Evidence for a major gene for cortical cataract. Invest Ophthalmol Vis Sci. 1995; 36(1): 227–235.
  14. Young RW. The family of sunlight-related eye diseases. Optom Vis Sci. 1994; 71(2): 125–144.
  15. Rao V, Kiran R. Evaluation of correlation between oxidative stress and abnormal lipid profile in coronary artery disease. J Cardiovasc Dis Res. 2011; 2(1): 57–60.
  16. Nourmohammadi I, Modarress M, Khanaki K, et al. Association of serum alpha-tocopherol, retinol and ascorbic acid with the risk of cataract development. Ann Nutr Metab. 2008; 52(4): 296–298.
  17. Abbaszadeh M, Aidenloo NS, Motarjemizadeh Q, et al. Lack of association between plasma levels of vitamin C and nuclear cataract. Bull Env Pharmacol Life Sci. 2016; 6(1): 1–5.
  18. Karppi J, Laukkanen JA, Kurl S. Plasma lutein and zeaxanthin and the risk of age-related nuclear cataract among the elderly Finnish population. Br J Nutr. 2012; 108(1): 148–154.
  19. Ye J, Lou LX, He JJ, et al. Smoking and risk of age-related cataract: a meta-analysis. Invest Ophthalmol Vis Sci. 2012; 53(7): 3885–3895.
  20. Isik B, Ceylan A, Isik R. Oxidative stress in smokers and non-smokers. Inhal Toxicol. 2007; 19(9): 767–769.
  21. Donohue JF. Ageing, smoking and oxidative stress. Thorax. 2006; 61(6): 461–462.
  22. Gepner AD, Piper ME, Johnson HM, et al. Effects of smoking and smoking cessation on lipids and lipoproteins: outcomes from a randomized clinical trial. Am Heart J. 2011; 161(1): 145–151.
  23. Sinha AK, Misra GC, Patel DK. Effect of cigarette smoking on lipid profile in the young. J Assoc Physicians India. 1995; 43(3): 185–188.
  24. Young RW. The family of sunlight-related eye diseases. Optom Vis Sci. 1994; 71(2): 125–144.
  25. Ayala MN, Michael R, Söderberg PG. Influence of exposure time for UV radiation-induced cataract. Invest Ophthalmol Vis Sci. 2000; 41(11): 3539–3543.
  26. Al-Talqani HM, Taher AA, Jabouri BB. Dyslipidemia and cataract in adult Iraqi patients . EC Ophthalmol. 2017; 5(5): 162–171.
  27. Cenedella R. Cholesterol and cataracts. Surv Ophthalmol. 1996; 40(4): 320–337.
  28. Wentworth P, Nieva J, Takeuchi C, et al. Evidence for ozone formation in human atherosclerotic arteries. Science. 2003; 302(5647): 1053–1056.
  29. Dreyfus MA, Tolocka MP, Dodds SM, et al. Cholesterol ozonolysis: kinetics, mechanism, and oligomer products. J Phys Chem A. 2005; 109(28): 6242–6248.
  30. Hiller R, Sperduto RD, Reed GF, et al. Serum lipids and age-related lens opacities: a longitudinal investigation: the Framingham Studies. Ophthalmology. 2003; 110(3): 578–583.
  31. Heydari B, Kazemi T, Zarban A, et al. Correlation of cataract with serum lipids, glucose and antioxidant activities: a case-control study. West Indian Med J. 2012; 61(3): 230–234.
  32. Park YH, Shin JAh, Han K, et al. Gender difference in the association of metabolic syndrome and its components with age-related cataract: the Korea National Health and Nutrition Examination Survey 2008-2010. PLoS One. 2014; 9(1): e85068.
  33. Li S, Li D, Zhang Y, et al. Association between serum lipids concentration and patients with age-related cataract in China: a cross-sectional, case-control study. BMJ Open. 2018; 8(4): e021496.