Cited by 15Glaucoma and retinal disordersBlood Pressure and Hypertension StudiesCorneal surgery and disorders

Relationship between hematocrit levels and intraocular pressure in men and women: A population-based cross-sectional study

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Cohen, Eytan, Kramer, Michal, Shochat, Tzippy, Goldberg, Elad, Krause, Ilan·2017·Medicine

Abstract

To assess a possible relationship between hematocrit level and intraocular pressure (IOP) in both men and women.Data were collected from medical records of individuals examined at a screening center in Israel between the years 2000 and 2013. Hematocrit levels were categorized as low, normal, and high and by sex; IOP values were categorized as < 18 mmHg and ≥18 mmHg.Cross-sectional analysis was performed on 18,424 subjects of mean (standard deviation) age 46 (10) years (68% male). Normal-range hematocrit for men was 42% to 52% and 37% to 47% for women. In men, mean [95% confidence interval CI)] IOP values by hematocrit level were as follows: below-normal hematocrit, 13.3 mmHg (13.2-13.3), normal hematocrit, 13.5 mmHg (13.4-13.5), above-normal hematocrit, 14.3 mmHg (13.5-15.2) (P < .001). Corresponding values in women were 12.9 mmHg (12.8-13.0), 13.0 mmHg (13.0-13.1), and 14.2 mmHg (12.9-15.6) (P = .014). The difference remained significant for men (P < .001) after adjustment for age, hypertension, diabetes, and body mass index. Men (but not women) with a low hematocrit were found to have a significantly lower odds ratio (95% CI) of having IOP ≥18 mmHg than men with normal hematocrit: nonadjusted model, 0.761 (0.631-0.919); adjusted model, 0.771 (0.638-0.932) (P < .01).It is possible that a raised hematocrit level may also contribute to an elevated IOP in men in addition to the classic risk factors.

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Authors
Cohen, E., Kramer, M., Shochat, T., Goldberg, E., & Krause, I.
Affiliations
  • Tel Aviv University (IL)
  • Rabin Medical Center (IL)
Corresponding author
Cohen, Eytan
Venue
Medicine
Published
2017-10
Volume
96
Issue
41
Pages
e8290
ISSN
0025-7974 (ISSN-L)
OpenAlex
W2763420699
Cited by
15
References
18
Citations by year
2026: 1 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 4
FWCI
0.00
Type
journal article
Language
en
Open access
Licence
cc-by-nd
Locations
  • Medicine (publishedVersion, cc-by-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nd)
  • PubMed Central (publishedVersion, cc-by-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Corneal surgery and disorders
Keywords
hematocrit, intraocular pressure, sex differences, intraocular pressure elevation, ocular hypertension, blood viscosity, hypertension, diabetes mellitus, body mass index
MeSH terms
Adult, Cross-Sectional Studies, Diabetes Mellitus, Female, Hematocrit, Humans, Hypertension, Intraocular Pressure, Israel, Male, Middle Aged, Reference Values, Risk Factors, Sex Factors, Tonometry, Ocular, Body Mass Index, Risk Assessment

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