Association of lipid-lowering agent use and dry eye disease: A nationwide matched case–control study in Taiwan, 2002–2016

Li Nien Chien, Yun I. Chou, Yuan Jen Tsai, Li Chin Sung, Hung Yi Liu, Meng Yin Lin, Tsung Jen Wang, I. Chan Lin

研究成果: 雜誌貢獻文章同行評審

摘要

Purpose: The purpose of this study is to evaluate the association between lipid-lowering agent use and the risks of diagnosed dry eye disease (DED). Methods: This retrospective, case–control study included 780 786 patients who received lipid-lowering agents in 2002–2016, of which 17 409 were newly diagnosed with DED during a ≥2-year follow-up period. These patients were matched 1:4 with control participants for age, sex, and comorbidities. Separate odds ratios (OR) were calculated for DED and each of statin and fibrate use. Results: Statin users had significantly higher odds of DED (adjusted OR = 1.12; 95% confidence interval (CI) = 1.08–1.16, p < 0.0001) than nonusers. Fibrate users did not show higher odds of DED than nonusers (adjusted OR = 1.04; 95% CI = 0.99–1.10, p = 0.125). The lipophilic statin users did not show higher odds of DED compared with the hydrophilic statin users (adjusted OR = 0.99, 95% CI = 0.93–1.06, p = 0.729). Among statin users, the odds of DED did not differ significantly between patients receiving statin therapy for >180 days vs. ≤90 days or patients receiving statin therapy for 91–180 days vs. ≤90 days (adjusted OR = 1.00, p = 0.922; adjusted OR = 0.94, p = 0.541, respectively). The odds of DED were not statistically different among patients receiving low-intensity, moderate-intensity, and high-intensity of statin therapy. Conclusions: Patients receiving statin therapy had a higher DED risk than patients not receiving statin therapy. The type of statin, the duration, and the intensity of statin use were not significantly associated with DED risks. Further studies are required to identify the relevant factors related to DED risks with statin.
原文英語
頁(從 - 到)729-736
頁數8
期刊Acta Ophthalmologica
101
發行號7
DOIs
出版狀態接受/付印 - 2023

ASJC Scopus subject areas

  • 眼科

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