PURPOSE To determine the relationship between positive family history (FH) and primary open-angle glaucoma (POAG) diagnosis and clinical presentation in the Primary Open-Angle African American Glaucoma Genetics (POAAGG) cohort. METHODS FH of POAG in first-degree relatives was assessed in 2365 subjects in the POAAGG cohort. A standardized interview was used to assess FH of glaucoma, demographic characteristics, lifestyle choices, and medical and ocular comorbidities. RESULTS Positive FH was associated with increased risk of POAG (age-adjusted odds ratio and 95% confidence interval 3.4 [2.8, 4.1]). In age-adjusted analysis among POAG cases, positive FH was associated with younger age (P < .001), female sex (P < .001), hypertension (P = .006), use of hypertension medication (P = .03), and prior glaucoma surgery (P = .02). Cases with positive FH also had thicker retinal nerve fiber layers (P = .03). CONCLUSIONS The risk conferred by positive FH suggests strong genetic underpinnings for some patients with this disease, which will be investigated by genome-wide association studies and whole exome sequencing. NOTE: Publication of this article is sponsored by the American Ophthalmological Society.
Family History in the Primary Open-Angle African American Glaucoma Genetics Study Cohort.
J. O'Brien,R. Salowe,Raymond Fertig,Julia Salinas,M. Pistilli,P. Sankar,E. Miller-Ellis,Amanda Y. Lehman,Windell Murphy,Melissa P. Homsher,K. Gordon,G. Ying
Published 2018 in American journal of ophthalmology-glaucoma
ABSTRACT
PUBLICATION RECORD
- Publication year
2018
- Venue
American journal of ophthalmology-glaucoma
- Publication date
2018-03-16
- Fields of study
Medicine
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
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