Abstract

Objective: To investigate the association between statin use and cataract development by using Pentacam HR Scheimpflug camera system. Material and Methods: Total 208 age and sex matched participants were included in this prospective, case-control study. 104 long-term statin users as study group and 104 non-statin users as control group constituted to the study. Lens densitometry measurements were performed with the Pentacam HR® (Oculus, Wetzlar, Germany) from three areas (anterior, nuclear, and posterior). These measurements were compared between the groups. Results: There were no significant difference at the basic clinical variables (p=0.121, p=0.778). The mean duration of statin use of the study group was 5,4±4,3 years. The mean value of lens densitometry measurement at nuclear area tended to be lower in statin users than controls, but difference was not statistically significant (9.20±1.00 vs 9.35±1.20; p:0.346). However, the mean lens densitometry values at the anterior and posterior areas of statin users were found to be significantly higher than controls (10.44±1.32 vs 9.16±1.09;p<0.001; 7.86±0.49 vs 7.63±0.38; p<0.001,respectively). Conclusion: The current study finds that long-term statin use seems to be associated with an increased risk of cortical cataracts (anterior-posterior) but not incidence of nuclear cataracts.

Highlights

  • Cataract is the leading cause of low vision and blindness in the world [1]

  • The mean value of lens densitometry measurement at nuclear area tended to be lower in statin users than controls, but difference was not statistically significant (9.20±1.00 vs 9.35±1.20; p:0.346)

  • The mean lens densitometry values at the anterior and posterior areas of statin users were found to be significantly higher than controls (10.44±1.32 vs 9.16±1.09;p

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Summary

Introduction

Because of the growing elderly population, the incidence of cataract is likely to increase. The exact mechanisms and pathogenesis of cataract formation are not completely understood. Statins are widely prescribed drugs for their lipidlowering effect. They may have antioxidant effects and anti-inflammatory actions on the lens [3]. While oxidative damage to the lens epithelium may induce cataract formation, statins may be protective against cataractogenesis. Recent studies showed controversial results, with some suggesting an increased risk of cataracts with statin use [2,4,5] while others appear to show a beneficial effect of statins on cataract risk [5,6,7]

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