| Title: |
Smoking, Corneal Biomechanics, and Glaucoma: Results From Two Large Population-Based Cohorts |
| Authors: |
Stuart, Kelsey V; Madjedi, Kian M; Luben, Robert N; Biradar, Mahantesh I; Wagner, Siegfried K; Warwick, Alasdair N; Sun, Zihan; Hysi, Pirro G; Simcoe, Mark J; Foster, Paul J; Khawaja, Anthony P; Modifiable Risk Factors for Glaucoma Collaboration and the UK Bi |
| Source: |
Investigative Ophthalmology and Visual Science (IOVS) , 65 (1) , Article 11. (2024) |
| Publisher Information: |
Association for Research in Vision and Ophthalmology (ARVO) |
| Publication Year: |
2024 |
| Collection: |
University College London: UCL Discovery |
| Subject Terms: |
Modifiable Risk Factors for Glaucoma Collaboration and the UK Biobank Eye and Vision Consortium |
| Description: |
PURPOSE: Smoking may influence measured IOP through an effect on corneal biomechanics, but it is unclear whether this factor translates into an increased risk for glaucoma. This study aimed to examine the association of cigarette smoking with corneal biomechanical properties and glaucoma-related traits, and to probe potential causal effects using Mendelian randomization (MR). METHODS: Cross-sectional analyses within the UK Biobank (UKB) and Canadian Longitudinal Study on Aging (CLSA) cohorts. Multivariable linear and logistic regression models were used to assess associations of smoking (status, intensity, and duration) with corneal hysteresis (CH), corneal resistance factor, IOP, inner retinal thicknesses, and glaucoma. Two-sample MR analyses were performed. RESULTS: Overall, 68,738 UKB (mean age, 56.7 years; 54.7% women) and 22 845 CLSA (mean age, 62.7 years; 49.1% women) participants were included. Compared with nonsmokers, smokers had a higher CH (UKB, +0.48 mm Hg; CLSA, +0.57 mm Hg; P < 0.001) and corneal resistance factor (UKB, +0.47 mm Hg; CLSA, +0.60 mm Hg; P < 0.001) with evidence of a dose-response effect in both studies. Differential associations with Goldmann-correlated IOP (UKB, +0.25 mm Hg; CLSA, +0.36 mm Hg; P < 0.001) and corneal-compensated IOP (UKB, -0.28 mm Hg; CLSA, -0.32 mm Hg; P ≤ 0.001) were observed. Smoking was not associated with inner retinal thicknesses or glaucoma status in either study. MR provided evidence for a causal effect of smoking on corneal biomechanics, especially higher CH. CONCLUSIONS: Cigarette smoking seems to increase corneal biomechanical resistance to deformation, but there was little evidence to support a relationship with glaucoma. This outcome may result in an artefactual association with measured IOP and could account for discordant results with glaucoma in previous epidemiological studies. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
https://discovery.ucl.ac.uk/id/eprint/10185027/ |
| Availability: |
https://discovery.ucl.ac.uk/id/eprint/10185027/1/i1552-5783-65-1-11_1704197793.72178.pdf; https://discovery.ucl.ac.uk/id/eprint/10185027/ |
| Rights: |
open |
| Accession Number: |
edsbas.3E7D28DC |
| Database: |
BASE |