Evidence map›Paper›PMID 34632075›Full record

SynthesisBMJ open ophthalmology2021

Role of hypertension as a risk factor for open-angle glaucoma: a systematic review and meta-analysis.

Ririn Nislawati, Ahmad Taufik Fadillah Zainal, Abrar Ismail, Noro Waspodo, Firdaus Kasim, Andi Muh Aunul Khaliq Gunawan

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Observational
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  13. Role of reactive oxygen species and oxidative stress in the pathomechanism of glaucoma.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ririn NislawatiDepartment of Ophthalmology, Hasanuddin University, Makassar, Indonesia.
Ahmad Taufik Fadillah ZainalFaculty of Medicine, Hasanuddin University, Makassar, Indonesia ahmadtaufik2014004@gmail.com.ORCID http://orcid.org/0000-0002-3480-7692
Abrar IsmailDepartment of Ophthalmology, Hasanuddin University, Makassar, Indonesia.
Noro WaspodoDepartment of Ophthalmology, Hasanuddin University, Makassar, Indonesia.
Firdaus KasimDepartment of Community Medicine, Hasanuddin University, Makassar, Indonesia.
Andi Muh Aunul Khaliq GunawanFaculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Hasanuddin University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glaucoma is the leading cause of irreversible blindness. It is estimated that as many as 3.2 million people worldwide experience blindness due to glaucoma, including open-angle glaucoma (OAG). Until now, there is no definite mechanism related to the incidence of OAG. However, increased intraocular pressure (IOP) is considered to be the most important risk factor. Several current studies show that there is a significant relationship between hypertension (HTN) and IOP. In particular, several epidemiological studies have shown that an increase in systemic blood pressure (BP) is associated with an increase in IOP. However, several studies report that high BP provides a protective effect at a young age against the incidence of OAG. Therefore, this literature aims to explore the effect of HTN on the incidence of OAG. In this review, search for the literature using keywords that match the topic, then a gradual screening was carried out with the predetermined eligibility criteria. From 3711 studies, 16 studies matched the criteria having a total sample size of 72 212 and then a quantitative meta-analysis was conducted. The results showed a risk ratio of 1.69 (95% CI 1.50 to 1.90) in the HTN group. However, from our qualitative synthesis, we found that people who have an unstable diastolic blood pressure (DBP), either high or low, are both able to increase the risk of OAG events. In conclusion, we found that HTN was able to increase the risk of OAG and DBP instability, whether high or low, can also increase the risk of OAG incidence.

Indexed as

blood pressurehypertensionintraocular pressureopen-angle glaucomarisk factor

Identifiers

PMID34632075
PMCPMC8479953
OpenAlexW3203593200

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.