Vasculitis & polymyalgia rheumatica

Comparative risk of blindness and vision-threatening ocular comorbidities in patients with Behçet’s disease versus the general population

Rheumatology (Oxford)Published Population-based cohort study

Main finding · Blindness, incidence rate per 1000 person-yearsResult — go to the resultHazard ratio 10.73 95% CI 7.10–16.22

Authors' conclusion

In this large population-based cohort study, BD patients compared with the general population have a 10.73-fold risk of blindness in 10 years and also a substantially higher risk of diverse ocular comorbidities that pose potential threats to vision.

Study context

Population
Korea National Health Insurance Service database, 2002–2017: newly diagnosed Behçet's disease (BD) patients and matched non-BD controlsfollow-up 9.39 years
Participants
31,228 vs 156,140
Exposure
Newly diagnosed BD vs age- and sex-matched non-BD controls
  • BDn = 31,228
  • Controlsn = 156,140reference
Outcome
Blindness (best-corrected visual acuity ≤20/500 in the better-seeing eye)
Methodological detailsage- and sex-matched 1:5, Cox proportional hazards models
  • Age- and sex-matched 1:5
  • Cox proportional hazards models

Main finding

Blindness, incidence rate per 1000 person-years

Hazard ratio

10.73

95% CI 7.10–16.22

By group

BDvs Controls
HR 10.73 (95% CI 7.10–16.22)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

Cataract surgery

HR, BD vs controls
2.06 (95% CI 1.98, 2.15)

Glaucoma surgery

HR, BD vs controls
5.43 (4.57, 6.45)

Retinal surgery

HR, BD vs controls
2.71 (2.39, 3.07)

Incident uveitis

HR, BD vs controls
6.19 (95% CI 5.83, 6.58)

Blindness by sex (subgroup)

Males suffered a disproportionately higher risk of blindness than females due to greater severity rather than a lower incidence of uveitis

Uveitis and blindness by BD diagnosis age (subgroup)

Risk of uveitis and blindness decreased as BD diagnosis age increased

Original publication

Comparative risk of blindness and vision-threatening ocular comorbidities in patients with Behçet’s disease versus the general population. Rheumatology (Oxford). Published 14 September 2022. doi:10.1093/rheumatology/keac531

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