The association between bariatric surgery and cataract: a propensity score-matched cohort study

Burkard, Theresa; Holmberg, Dag; Thorell, Anders; Hafezi, Farhad; Burden, Andrea M.

doi:10.1016/j.soard.2021.10.021

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…A recent prospective controlled study of adults with Class III obesity found that sleeve gastrectomy improved macular and peripapillary choroidal thickness, total choroidal area, and choroidal vascularity index and may be protective against AMD 69 . Bariatric surgery, in particular Roux‐en‐Y gastric bypass and duodenal switch in individuals younger than 60 years, has also been found to significantly reduce the risk of cataract development (HR 0.52, 95% CI 0.44–0.75) 70 . Bariatric surgery has also been associated with reduced meibomian gland dropout, although this relationship did not achieve significance 71 .…”

Section: Resultsmentioning

confidence: 99%

“…69 Bariatric surgery, in particular Roux-en-Y gastric bypass and duodenal switch in individuals younger than 60 years, has also been found to significantly reduce the risk of cataract development (HR 0.52, 95% CI 0.44-0.75). 70 Bariatric surgery has also been associated with reduced meibomian gland dropout, although this relationship did not achieve significance. 71 The impact of bariatric surgery on DR is unclear; some studies have reported a reduction in DR progression in post-surgical patients, whereas others have suggested that there may be a short-term worsening of DR after bariatric surgery.…”

Section: Bariatric Surgery and Eye Healthmentioning

confidence: 98%

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Shedding light on eye disease in obesity: A review

et al. 2023

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SummaryObesity is known to be associated with numerous ocular manifestations, including but not limited to, diabetic retinopathy (DR), age‐related macular degeneration (AMD), cataracts, glaucoma, and dry eye disease. This review aims to provide an overview of the ophthalmological findings in obesity. A literature search was conducted using PubMed and Cochrane databases for studies describing randomized clinical trials, meta‐analyses, systematic reviews, and observational studies published from 1 January 2017 to 1 April 2023. The search terms used included relevant keywords such as ‘obesity’, ‘body mass index’, ‘waist‐to‐hip ratio’, ‘bariatric’, ‘ophthalmology’, ‘eye disease’, ‘myopia’, ‘retinopathy’, ‘glaucoma’, and ‘cataract’. This literature search was performed on 1 April 2023. Obesity is associated with increased risk of developing DR, a sight‐threatening complication of diabetes mellitus. Similarly, obesity has been shown to increase risk of AMD, cataracts, glaucoma, and ocular surface disease. Multiple mechanisms linking obesity to ophthalmic disease have been proposed. Adipose tissue produces various inflammatory cytokines that can affect ocular tissues, leading to disease progression. Additionally, obesity is associated with systemic metabolic changes that can influence ocular health. Bariatric surgery has been shown to be protective against development of ophthalmic disease. Obesity is a significant risk factor for several ophthalmological diseases. Healthcare providers should encourage weight loss in patients with overweight or obesity to prevent or delay the onset of ocular complications. Further research is needed to better understand the underlying mechanisms of this association, and to identify effective strategies for preventing or managing ophthalmic disease in patients with obesity.

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Section: Resultsmentioning

confidence: 99%

Section: Bariatric Surgery and Eye Healthmentioning

confidence: 98%

Shedding light on eye disease in obesity: A review

et al. 2023

View full text Add to dashboard Cite

show abstract

Comment on: The association between bariatric surgery and cataract: a propensity-score-matched cohort study

Dan

2022

Surgery for Obesity and Related Diseases

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Incidence of ocular pathology following bariatric surgery for with morbid obesity across a large United States National Database

Russell,

Kumar,

et al. 2024

Eye

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Background/Objectives Bariatric surgery, as indicated for treatment of morbid obesity, has been studied in association with short term effects on ocular pathology. However, effects of surgery on postoperative disease incidence is largely unknown. Subjects/Methods In this retrospective cohort study, the TriNetX United States Collaborative Network national database, was queried for patients with an ICD-10 code for morbid obesity and a procedural code for bariatric surgery. Patients were propensity score matched across baseline demographics at the time of surgery and compared to those presenting with an ICD10 code for morbid obesity with no records of a procedural code for bariatric surgery, identifying 42,408 patients per cohort. New diagnoses or procedural codes found after the surgical index date for diabetic retinopathy, age-related macular degeneration, glaucoma, low vision, and blindness along with pertinent treatment metrics were monitored. Results Bariatric surgery was found to be associated with reduced future risk of diabetic retinopathy (RR: 0.283; 95% CI: 0.252–0.319), macular edema (RR: 0.224; 95% CI: 0.170–0.297), vitreous hemorrhage (RR: 0.459; 95% CI: 0.323–0.653), ocular hypertension (RR: 0.387; 95% CI: 0.387–0.487), glaucoma (RR: 0.360; 95% CI: 0.326–0.399), use of ocular pressure lowering medications (RR: 0.565; 95% CI: 0.496–0.644), age-related macular degeneration (RR: 0.628; 95% CI: 0.447–0.882), cataract surgery (RR: 0.524; 95% CI: 0.448–0.612), and low vision and blindness (RR: 0.328; 95% CI: 0.294–0.365) compared to patients not surgically managed. Conclusions The present analysis comprising a large US cohort of patients suggests that bariatric surgery is associated with a decreased risk of future ocular morbidity and mortality.

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The association between bariatric surgery and cataract: a propensity score-matched cohort study

Cited by 4 publications

References 34 publications

Shedding light on eye disease in obesity: A review

Shedding light on eye disease in obesity: A review

Comment on: The association between bariatric surgery and cataract: a propensity-score-matched cohort study

Incidence of ocular pathology following bariatric surgery for with morbid obesity across a large United States National Database

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