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. 2021 Apr 30;28(1):36–50. doi: 10.4103/meajo.MEAJO_358_20

Table 6.

Literature review of articles showing positive systemic nonvascular risk factors in pseudoexfoliation

First author (year of publication) Country Sample size Type of study Risk factor P value or OR (95% CI)
Kim 2016 South Korea 13,223 Korean National Health and Nutrition Examination Survey Increasing age 1.04 (0.99-1.09) P=0.016
Krishnadas 2003 Southern India 5150 Population-based cross-sectional study Increasing age <0.001
Rotchford 2003 South Africa 1840 with 7.7% XFS Cluster-based random cross-sectional sampling Increasing age <0.001
Jonas 2013 Central India 4711 with 69 XFS Population-based, cross-sectional study Increasing age 1.11 (1.09-1.13) P<0.001
Arnarsson (2010) Reykjavik, Iceland 1045 Reykjavik eye study population-based study Increasing age 0.001
Pavičić-Astaloš (2016) Zagreb, Croatia 5349 with 188 XFS Clinic-based cross sectional study Increasing age <0.001
Bikbov (2020) Ufa, Bashkortostan, Russia 5899 Population-based cross-sectional study Increasing age 1.09 (1.07-1.11) P<0.001
You (2013) Beijing, China 3468 (Beijing Eye Study) Population-based cross-sectional cohort study Increasing age 1.08 (1.04-1.10) P<0.001
Hepsen (2007) Ankara, Turkey 72 XFS and 65 control with cataract Clinic-based cross-sectional study Increasing age <0.001
Berhanu (2020) Baso and Worena District, Central Ethiopia 682 Population-based cross-sectional study Increasing Age 0.038
Hiller 1982 Massachusetts, USA 2675 Population-based survey (Framingham Eye Study) Female gender predominance 2.3:1 female: male (significant)
Ekström 2019 Tierp, Sweden 1065 with 78 XFS Population survey Female gender predominance 1.59 (1.16-2.18)
Topouzis 2019 Thessaloniki, Northern Greece 1468 with 19.6% XFS Longitudinal, population-based study Female gender predominance 0.02
Arnarsson (2007) Reykjavik, Iceland 1045 with 108 XFS Reykjavik Eye Study population based study Female gender predominance <0.001
Krishnadas 2003 Southern India 5150 Population-based cross-sectional study Male gender predominance 0.01
Yalaz (1992) Adana, Turkey 1356 Clinic-based cross-sectional study Male gender predominance <0.001
Jonas 2013 Central India 4711 with 69 XFS Population-based, cross-sectional study Lower body mass index 0.88 (0.82-0.95) P=0.001
Arnarsson (2010) Reykjavik, Iceland 1045 Reykjavik Eye Study population based study Fruit intake 0.20 (0.04-0.91) P=0.04
Pasquale 2012 USA 78,977 women from nurses’ health study and 41,202 men from health professionals follow-up study with 360 XFS Longitudinal population-based study Caffeine intake ≥3 cuPs coffee daily increased risk of XFS glaucoma 1.66 (1.09-2.54) P=0.02
Kang 2014 USA 78,977 women from nurses’ health study and 41,202 men from health professionals follow-up study with 360 XFS Longitudinal population-based study Folate intake XFS glaucoma
associated with highest quintile (Q5; ≥ 654 µg/day) 0.75 (0.54-1.04) P=0.02
Tijani 2017 Rabat, Morocco 260 scheduled for cataract surgery Retrospective clinic-based Smoking 5.2 (1.35-20.15) P=0.01
Pasquale 2014 USA and Israel 118 XFS and 106 controls; Israel 67 XFS and 72 controls Clinic-based, case-control studies Higher latitude Each degree of latitude away from equator associated with 11% increased odds of XFS 1.11 (1.05-1.17); P<0.001
Pasquale 2014 USA and Israel United States: 118 XFS and 106 controls; Israel: 67 XFS and 72 controls Clinic-based, case-control studies Solar exposure Every hour weekly sPent outdoors during summer, over lifetime 1.04 (1.00-1.07) P=0.03
Arakaki 2020 Kumejima, Okinawa, Japan 3762 Population-based survey ≥40 years Working outdoor 2.18 (0.99-4.82) P=0.04
Wirostko 2016 Utah, USA 132,772 women in Utah Medicare Cross-sectional analysis Pelvic Organ Prolapse 1.56 (1.42-1.72)
Besch 2018 Utah, USA Hospital charts compared with population controls Chart review University of Utah Healthcare medical records Indirect Inguinal Hernia 2.3 (1.4-3.5) (P=0.03)
Sorkhabi (2012) Tabriz, Iran 30 XFS and 30 controls Clinic-based prospective comparative study Markers of inflammation and peripheral endothelial dysfunction 0.002
Dursun (2015) Sivas, Turkey 26 XFS, 26 XFS with glaucoma, 26 controls with cataract Clinic-based prospective comparative study Increased oxidative stress <0.05
Yazdani (2008) Tehran, Iran (Caucasian race) 83 subjects with XFS and 83 controls Prospective clinic-based case-control study Sensorineural hearing loss 6.69 (3.49-11.79) P<0.001
Papadopoulos (2012) Patras, Greece (Caucasian race) 94 XFS and 44 controls Prospective clinic-based case-control Sensorineural hearing loss 0.007
Sarenac-Vulovic (2014) Kragujevac, Serbia 20 XFS, 20 XFS with glaucoma, 20 controls Clinic-based cross-sectional study Sensorineural hearing loss 6.5 (P=0.03)
Singham (2014) Kuala Lumpur, Malaysia 68 XFS and 55 controls Prospective clinic-based case-control study Sensorineural hearing loss 3.00 (1.25-7.19) P=0.01
Cumurcu (2013) Turgut, Turkey (Caucasian race) 67 XFS and 67 controls Clinic-based cross-sectional study Alzheimer neurodegenerative impediment P<0.001
Linnér (2001) Goteborg, Sweden 11 of 39 Alzheimer had XFS (clinic) versus 23 of 476 (population survey) had XFS Clinic-based versus population survey Alzheimer neurodegenerative impairment 5.84 (2.87-11.98)
Turgut Coba (2018) Antalya, Turkey 31 XFS and 31 controls Case-control study Peripheral Neurosensory impairment <0.05
Arnarsson (2010) Reykjavik, Iceland 1045 Reykjavik Eye Study population-based study Asthma 1.91 (1.00-3.62)
Batur (2018) Van, Turkey 60 XFS and 52 controls Clinic-based comparative study Decreased pulmonary function tests 0.036
Yaşar (2019) Eskişehir, Turkey 2009 with 100 XFS Population-based, cross-sectional study Depressive disorder 0.024
Cumurcu (2006) Tokat, Turkey 41 XFS glaucoma, 32 POAG and 40 controls Clinic-based comparative study Depressive disorder 007
Scharfenberg (2019) Leipzig, Germany (Caucasian) Patients with ophthalmological operations Hospital-based retrospective case-control study Benign prostatic hypertrophy 2.3 (1.4-3.7)
Gökce (2015) Ankara, Turkey 34 XFS and 58 controls Clinic-based comparative study Erectile dysfunction 0.002

XFS: Pseudoexfoliation, CI: Confidence interval, OR: Odds ratio, POAG: Primary open-angle glaucoma