ArticleOphthalmology2022
Impact of Smoking on Visual Field Progression in a Long-term Clinical Follow-up.
Article in Ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 33 citations in OpenAlex.
- Mitochondrial insufficiencies and neuroprotection in glaucoma.International ophthalmology · 2026Review
- Modeling variable interactions using Bayesian networks to identify direct predictors of radiation-induced optic neuropathy after proton therapy: implications for personalized toxicity risk stratification.Physics in medicine and biology · 2026Article
- Diet, Exercise, and Lifestyle in Glaucoma: Current Evidence and Future Perspectives.Nutrients · 2025Review
- Evaluation of the therapeutic effects of smoking cessation on chronic central serous chorioretinopathy.Scientific reports · 2025Article
- Nationwide cohort study of primary open angle glaucoma risk and cardiovascular factors among in Korean glaucoma suspects.Scientific reports · 2025Article
- Relationship Between Glaucoma and Chronic Stress Quantified by Allostatic Load Score in the All of Us Research Program.American journal of ophthalmology · 2025Article
- Global burden of vision impairment due to smoking-related cataract: A descriptive study of spatiotemporal trends based on GBD secondary data and projections to 2050.Tobacco induced diseases · 2025Article
- Social history and glaucoma progression: the effect of body mass index, tobacco and alcohol consumption on the rates of structural change in patients with glaucoma.The British journal of ophthalmology · 2024Article
- In Utero/Childhood/ Adolescence Exposure to Tobacco Smoke and Elderly-Onset Cataract: A Large Prospective Cohort Study.Translational vision science & technology · 2024Article
- Former smoking as a risk factor for visual field progression in exfoliation glaucoma patients in Sweden.European journal of ophthalmology · 2024Article
- Association of smoking cessation patterns and untreated smoking with glaucoma, cataract, and macular degeneration: a population-based retrospective study.Scientific reports · 2024Article
- Adding Genetics to the Risk Factors Model Improved Accuracy for Detecting Visual Field Progression in Newly Diagnosed Exfoliation Glaucoma Patients.Biomedicines · 2024Article
- Modeling complex age-related eye disease.Progress in retinal and eye research · 2024Review
- Natural History and Risk Factors for Glaucoma Progression in Chinese Patients With Normal-Tension Glaucoma.Investigative ophthalmology & visual science · 2024Observational
- Disparities in Eye Care Utilization Among Refugee and Migrant Populations.Translational vision science & technology · 2024Article
- Intraocular pressure increases the rate of macular vessel density loss in glaucoma.The British journal of ophthalmology · 2024Observational
- Associations of smoking and alcohol consumption with the development of open angle glaucoma: a retrospective cohort study.BMJ open · 2023Observational
- Impact of smoking on choroidal microvasculature dropout in glaucoma: a cross-sectional study.BMJ open ophthalmology · 2023Article
- Epidemiology and factors associated with cannabis use among patients with glaucoma in theHeliyon · 2023Article
- Genetic Associations Between Smoking- and Glaucoma-Related Traits.Translational vision science & technology · 2023Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
purposeTo investigate the effect of smoking on rates of progressive visual field (VF) damage over time in glaucoma.
designRetrospective cohort study.
participantsFive hundred eleven eyes of 354 patients with glaucoma followed up from multicenter glaucoma registries.
methodsIn this longitudinal study, 354 patients with primary open-angle glaucoma with a minimum of 3 years of follow-up and 5 VF tests were enrolled from the Diagnostic Innovations in Glaucoma Study and the African Descent and Glaucoma Evaluation Study. Univariate and multivariate linear mixed models were used to investigate the effects of smoking on rates of 24-2 VF mean deviation loss. Visual field progression was defined using pointwise linear and significant negative VF mean deviation loss. Logistic regression was used to identify baseline factors and whether different levels of smoking intensity were associated with VF progression. Kaplan-Meier survival analysis and the log-rank test were used to compare the cumulative risk ratio of progression between smoker and never smoker groups.
main outcome measuresVisual field progression.
resultsFive hundred eleven eyes of 354 patients were included over the median follow-up of 12.5 years. Median baseline age was 64.8 years. Of the 354 patients, 124 (35%) were Black, and 149 (42.1%) and 168 (59.8%) had reported a history of smoking or alcohol consumption, respectively. In a multivariate model, higher smoking intensity was associated with faster VF loss (coefficient, -0.05 decibels (dB)/year per 10 pack-years; 95% confidence interval [CI], -0.08 to -0.01 dB/year per 10 pack-years; P = 0.010). Developing VF progression in eyes of heavy smokers (≥ 20 pack-years) was 2.2 times more than in eyes of patients without smoking history (odds ratio, 2.21; 95% CI, 1.02-4.76; P = 0.044). Statistically significant differences were found between heavy smokers (≥ 20 pack-years) and never smokers by Kaplan-Meier analysis (P = 0.011, log-rank test).
conclusionsHeavy smokers are more likely to sustain VF loss in eyes with glaucoma. The prospective longitudinal design of this study supports the hypothesis that levels of smoking may be a significant predictor for glaucoma progression. Additionally, this information can be used for clinically relevant tobacco prevention and intervention messages.
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