Retinal Artery Occlusion and Its Impact on the Incidence of Stroke, Myocardial Infarction, and All-Cause Mortality during 12-Year Follow-Up

The aim of the study was to evaluate the incidence of ischemic stroke, myocardial infarction, and all-cause mortality in patients with retinal artery occlusion (RAO). This single-center retrospective study included 139 patients diagnosed with RAO between 2009 and 2020. The control group included 139...

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Bibliographic Details
Published in:Journal of clinical medicine 2022-07, Vol.11 (14), p.4076
Main Authors: Roskal-Wałek, Joanna, Wałek, Paweł, Biskup, Michał, Sidło, Jacek, Cieśla, Elżbieta, Odrobina, Dominik, Mackiewicz, Jerzy, Wożakowska-Kapłon, Beata
Format: Article
Language:English
Subjects:
Cardiovascular disease
Clinical medicine
Diabetes
Embolisms
Eye surgery
Heart attacks
Hospitalization
Hypertension
Mortality
Ophthalmology
Patients
Population
Risk factors
Software
Stroke
Veins & arteries
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Summary:The aim of the study was to evaluate the incidence of ischemic stroke, myocardial infarction, and all-cause mortality in patients with retinal artery occlusion (RAO). This single-center retrospective study included 139 patients diagnosed with RAO between 2009 and 2020. The control group included 139 age- and sex-matched patients without RAO who underwent cataract surgery. The year of the surgery corresponded to the year of RAO onset. During the 12-year follow-up, patients with RAO had a shorter time to death (49.95 vs. 15.74 months; p = 0.043), a higher all-cause mortality rate (log-rank p = 0.026, and a higher rate of the composite endpoint, including ischemic stroke, myocardial infarction, and all-cause mortality (log-rank p = 0.024), as compared with controls. Patients with RAO younger than 75 years showed a higher risk of cerebral ischemic stroke (log-rank p = 0.008), all-cause mortality (log-rank p = 0.023), and the composite endpoint (log-rank p = 0.001) than controls. However, these associations were not demonstrated for patients aged 75 years or older. Our study confirms that patients with RAO have a higher risk of all-cause mortality than those without RAO. Moreover, patients with RAO who are younger than 75 years are significantly more likely to experience ischemic stroke, death, or the composite endpoint after an occlusion event, as compared with individuals without RAO.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11144076