PMID- 29146987 OWN - NLM STAT- MEDLINE DCOM- 20190705 LR - 20190705 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 7 IP - 1 DP - 2017 Nov 16 TI - Homocysteine in retinal artery occlusive disease: A meta-analysis of cohort studies. PG - 15708 LID - 10.1038/s41598-017-16065-2 [doi] LID - 15708 AB - Few studies have reported the relationship between retinal artery occlusion (RAO) and plasma homocysteine (Hcy) levels. Our goal was to evaluate the association between the plasma Hcy level and the risk of RAO disease. Several databases were searched for all published studies that involved Hcy and RAO. Six studies evaluated hyperhomocysteinemia (hHcy) in retinal artery occlusion patients and controls; the incidence of hHcy in patients with RAO was higher than the control and the pooled odds ratio (OR) was 6.64 (95% confidence interval (CI): 3.42, 12.89). Subgroup analyses showed that the ORs were 4.77 (95% CI: 2.69, 8.46) in Western countries, 22.19 (95% CI: 2.46, 200.37) in Asian countries, 9.70 (95% CI: 4.43, 21.20) in the age matched group, 11.41 (95% CI: 3.32, 39.18) in the sex matched group, 9.70 (95% CI: 4.37, 21.53) in the healthy control group, and 6.82 (95% CI: 4.19, 11.10) in the sample size >30. The mean plasma Hcy level from 5 case-control studies was higher than controls, and the weighted mean difference (WMD) was 6.54 (95% CI: 2.79, 10.29). Retinal artery occlusion is associated with elevated plasma Hcy levels. Our study results suggest that hHcy is probably an independent risk factor for RAO. FAU - Huang, Xuetao AU - Huang X AD - Department of Ophthalmology, Changsha Aier Hospital, Aier School of Ophthalmology, Central South University, Changsha, 410007, China. AD - Department of Ophthalmology, Huaihe Hospital of Henan University, Kaifeng, 475000, China. FAU - Yang, Yezhen AU - Yang Y AD - Department of Ophthalmology, Changsha Aier Hospital, Aier School of Ophthalmology, Central South University, Changsha, 410007, China. FAU - Duan, Yiqin AU - Duan Y AD - Department of Ophthalmology, Changsha Aier Hospital, Aier School of Ophthalmology, Central South University, Changsha, 410007, China. FAU - Kuang, Yi-Qun AU - Kuang YQ AUID- ORCID: 0000-0002-1452-4388 AD - Institute of Infection and Immunity, Henan University & Centre for Translational Medicine, Huaihe Clinical College, Huaihe Hospital of Henan University, Kaifeng, 475000, China. yqkuang@henu.edu.cn. FAU - Lin, Ding AU - Lin D AD - Department of Ophthalmology, Changsha Aier Hospital, Aier School of Ophthalmology, Central South University, Changsha, 410007, China. dinglinoph@126.com. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20171116 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Aged MH - Cohort Studies MH - Female MH - Homocysteine/blood/*metabolism MH - Humans MH - Hyperhomocysteinemia/blood MH - Male MH - Middle Aged MH - Odds Ratio MH - Publication Bias MH - Retinal Artery Occlusion/blood/*metabolism MH - Risk Factors MH - Sensitivity and Specificity PMC - PMC5691205 COIS- The authors declare that they have no competing interests. EDAT- 2017/11/18 06:00 MHDA- 2019/07/06 06:00 PMCR- 2017/11/16 CRDT- 2017/11/18 06:00 PHST- 2016/08/11 00:00 [received] PHST- 2017/11/07 00:00 [accepted] PHST- 2017/11/18 06:00 [entrez] PHST- 2017/11/18 06:00 [pubmed] PHST- 2019/07/06 06:00 [medline] PHST- 2017/11/16 00:00 [pmc-release] AID - 10.1038/s41598-017-16065-2 [pii] AID - 16065 [pii] AID - 10.1038/s41598-017-16065-2 [doi] PST - epublish SO - Sci Rep. 2017 Nov 16;7(1):15708. doi: 10.1038/s41598-017-16065-2.