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. 2018 Mar 2;9:66. doi: 10.3389/fendo.2018.00066

Table 1.

Role of sex hormones in ocular diseases.

++ + +/− /
Protective effect Modest correlation Non-significant correlation Non-associated factor Inversely correlated factor
Disease E P T Studies
AMD +/ / / Menopausal and reproductive factors and risk of age-related macular degeneration. Feskanich et al.
The effect of the hormone therapy on the risk for age-related maculopathy in postmenopausal women. Abramov et al.
Reproductive exposures, incident age-related cataracts, and age-related maculopathy in women: the Beaver Dam Eye Study. Klein et al.
Female reproductive factors and eye disease in a rural south Indian population: the Aravind comprehensive eye survey. Nirmalan et al.
/ Clinical risk factors for age-related macular degeneration: a systematic review and meta-analysis. Chakravarthy et al.
Age-related macular degeneration guidelines for management. The Royal College of Ophthalmologists.
Sex steroid and AMD in older French women: the POLA study. Defay et al.
AMD(drusenoid or neovascular) ++ Hormone therapy and age-related macular degeneration. The women’s health initiative sight exam study. Haan et al.
Inverse association of female hormone replacement therapy (HRT) with AMD and interaction with ARMS2 polymorphisms. Velez et al.
HRT, reproductive factors, and age-related macular degeneration: the Salisbury Eye Evaluation Project. Freeman et al.
Association between reproductive and hormonal factors and age-related maculopathy in postmenopausal women. Snow et al.
+ Clinical risk factors for age-related macular degeneration: a systematic review and meta-analysis. Chakravarthy et al.
Risk factors for age-related macular degeneration. Evans
Five-year incidence of age-related maculopathy lesions: the Blue Mountains Eye Study. Mitchell et al.
Risk factors associated with age-related macular degeneration: a case-control study in the age-related eye disease study (AREDS): AREDS report number 3. Group, AREDS research
Smoking, alcohol intake, estrogen use, and AMD in Latinos: the Los Angeles Latino Eye Study. Fraser-Bell et al.

CSCR / / The potential role of testosterone in central serous chorioretinopathy. Grieshaber et al.
Central serous chorioretinis associated with testosterone therapy. Ahad et al.
Central serous chorioretinopathy in patients receiving exogenous testosterone therapy. Nudleman et al.
Finasteride for chronic central serous chorioretinopathy. Forooghian et al.
/ / / Serum cortisol and testosterone levels in chronic central serous chorioretinopathy. Tufan et al.
Serous central chorioretinopathy and endogenous hypercortisolemia. Kapetanios et al.

MACULAR HOLE ++ / / Clinical features of idiopathic macular cysts and holes. McDonnell et al.
Macular holes. James and Feman
Estrogen antagonist and development of macular hole. Chung et al.
Estrogen and macular holes: a postal questionnaire. Gray et al.
Systemic risk factors for idiopathic macular holes: a case-control study. Evans et al.
/ / Vitreous estrogen levels in patients with an idiopathic macular hole. Inokuchi et al.

Retinitis Pigmentosa / ++ / Enhancing survival of photoreceptor cells in vivo using the sintetic progestin norgestrel. Doonan et al.
Norgestrel may be a potential therapy for retinal degenerations. Doonan and Cotter
Neuroprotective actions of progesterone in an in vivo model of retinitis pigmentosa. Sanchez-Vallejo et al.

Diabetic Retinopathy / / +/− The role of sex hormones in diabetic retinopathy. Grisby et al.
Dehydroepiandrosterone protects bovine retinal capillary pericytes against glucose toxicity. Briganrdello et al.
++
If early stage

If late stage
/ Gender and estrogen supplementation increases severity of experimental choroidal neovascularization. Espinosa-Heidmann et al.
Effects of tamoxifen versus raloxifene on retinal capillary endothelial cell proliferation. Grigsby et al.
/ / / Exogenous estrogen exposures and changes in diabetic retinopathy: the Wisconsin Epidemiologic Study of Diabetic Retinopathy. Klein et al.

Glaucoma ++ / / Is estrogen a therapeutic target for glaucoma? Dewundara et al.
The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine. Furchgott et al.
Estrogen deficiency accelerates aging of the optic nerve. Vajaranant and Pasquae
Primary open-angle glaucoma. Weinreb and Khaw
The effect of the menstrual cycle on optic nerve had analysis in healthy women. Akar et al.
Estrogen pathway polymorphisms in relation to primary open angle glaucoma: an analysis accounting for gender from the United States. Pasquale et al.

For and against evidences for each disease, with type of correlation.

AMD, age-related macular degeneration; CSRC, central serous chorioretinopathy; E, estrogens; P, progesterone; T, testosterone.