Does Smoke Get in Your Eyes? FREE

Sheila West, PhD

[+] Author Affiliations

Reprint requests to the Dana Center for Preventive Ophthalmology, 116 Wilmer, The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-9019 (Dr West).

JAMA. 1992;268(8):1025-1026. doi:10.1001/jama.1992.03490080099033

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References

ABSTRACT

ABSTRACT | REFERENCES

The two prospective studies of smoking and risk of cataract and cataract extraction in this issue of JAMA add significantly to the growing evidence that cigarette smoking is linked to cataractogenesis.^1,2 The findings of Christen et al² of an increased risk in male physicians of opacification in the lens nucleus among current smokers is consistent with previous studies that found a dose-response relationship between amount smoked and cataract,^3-5 and a risk for past smokers similar to nonsmokers.³ Two previous studies found no association between cataract and cigarette smoking, but both had difficulties that may have produced null findings.⁶ One study categorized current smokers and past smokers together, thus reducing the risk estimate for current smokers.⁶ The other study, conducted in the Indian subcontinent, did not limit smoking to cigarettes alone but included other products (not further defined).⁷ With the prospective data from the

REFERENCES

ABSTRACT | REFERENCES

Hankinson SE, Willett WC, Colditz GA, et al. A prospective study of cigarette smoking and risk of cataract surgery in women. JAMA . 1992;;268:994-998.

Christen WG, Manson JE, Seddon JM, et al. A prospective study of cigarette smoking and risk of cataract in men. JAMA . 1992;;268:989-993.

West S, Muñoz B, Emmett EA, Taylor HR. Cigarette smoking and risk of nuclear cataracts. Arch Ophthalmol . 1989;;107:1166-1169.

Flaye DE, Sullivan KN, Cullinan TR, Silver JH, Whitelocke RAF. Cataracts and cigarette smoking: the City Eye Study. Eye . 1989;;3:379-384.

Leske MC, Chylack LT, Wu S-Y, et al. The Lens Opacities Case-Control Study: risk factors for cataract. Arch Ophthalmol . 1991;;109:244-251.

The Italian-American Cataract Study Group. Risk factors for age-related cortical, nuclear, and PSC cataracts. Am J Epidemiol . 1991;;133:541-553.

Mohan M, Sperduto RD, Angra SK, et al. India-US case-control study of age-related cataracts. Arch Ophthalmol . 1989;;107:670-676.

Newcomb PA, Carbone PP. Health consequences of smoking. Med Clin North Am . 1992;;71:305-331.

West S, Muñoz B, Vitale S, et al. Watermen Study, II: smoking and nuclear opacities. Invest Ophthalmol Vis Sci . 1992;;33( (suppl) ):1097.

Adamsons I, Muñoz B, Enger C, Taylor HR. Prevalence of lens opacities in surgical and general populations. Arch Ophthalmol . 1991;;109:993-997.

Bochow TW, West SK, Azar A, Muñoz B, Sommer A, Taylor HR. Ultraviolet light exposure and risk of posterior subcapsular cataracts. Arch Ophthalmol . 1989;; 107:369-372.

Muñoz B, Tajchman U, Bochow T, West S. Alcohol use and risk of posterior subcapsular cataract. Arch Ophthalmol . In press.

Centers for Disease Control. Cigarette smoking among adults—United States, 1990. MMWR . 1992;;41:354-362.

Armitage P, Berry G. Statistical Methods in Medical Research . 2nd ed. Oxford, England: Blackwell Scientific Publications; 1985;:469.

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