Shi Song Rong1, Yi Peng1, Yuan Bo Liang2, Di Cao1, Vishal Jhanji3. 1. Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong, China. 2. The Eye Hospital of Wenzhou Medical University, Zhejiang Eye Hospital, Wenzhou, Zhejiang Province, China. 3. Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong, China The Shantou University/Chinese University of Hong Kong Joint Shantou International Eye Center, Shantou, Guangdong Province, China Centre for Eye Research Australia, University of Melbourne, Victoria, Australia.
Abstract
PURPOSE: To determine the association of cigarette smoking with pterygium. METHODS: Potentially eligible studies published from the year 1946 to December 28, 2013 were identified from MEDLINE, EMBASE, and Cochrane Library databases, and reference lists. All studies that evaluated smoking as an independent factor for pterygium were identified. Study-specific odds ratios (ORs) were combined using the random-effects model when P < 0.1 in the test for heterogeneity, or otherwise the fixed-effects model was used. Meta-regression, sensitivity analysis, and evaluation of potential biases were undertaken. The ORs with 95% confidence intervals (CIs) of smoking as an associated factor for pterygium were analyzed. RESULTS: We included 24 articles incorporating 95,279 participants from 20 cross-sectional studies, 2 hospital-based case-control studies, and 2 population-based cohort studies. The combined OR of cigarette smoking (current or ever smoked) for risk of pterygium was 0.82 (95% CI, 0.69-0.97; P = 0.025). The results remained consistent among current smokers (OR, 0.68; 95% CI, 0.61-0.76; P = 4.57 × 10(-12)), but not in ex-smokers (OR, 1.05; 95% CI, 0.87-1.27; P = 0.59). The impact of ultraviolet light (UV) exposure (P = 0.082) and sex (P = 0.553) on the effect of smoking was insignificant in meta-regression. Sensitivity analysis confirmed the protective effect and nonrelevance of these two study-level variables. Begg's funnel plots and Egger's test showed minimal publication bias. CONCLUSIONS: The results of this meta-analysis show that cigarette smoking was associated with a reduced risk of pterygium, especially in current smokers. This effect may be independent of UV exposure and sex. Investigations are needed to unveil its molecular basis serving therapeutic purposes. Copyright 2014 The Association for Research in Vision and Ophthalmology, Inc.
PURPOSE: To determine the association of cigarette smoking with pterygium. METHODS: Potentially eligible studies published from the year 1946 to December 28, 2013 were identified from MEDLINE, EMBASE, and Cochrane Library databases, and reference lists. All studies that evaluated smoking as an independent factor for pterygium were identified. Study-specific odds ratios (ORs) were combined using the random-effects model when P < 0.1 in the test for heterogeneity, or otherwise the fixed-effects model was used. Meta-regression, sensitivity analysis, and evaluation of potential biases were undertaken. The ORs with 95% confidence intervals (CIs) of smoking as an associated factor for pterygium were analyzed. RESULTS: We included 24 articles incorporating 95,279 participants from 20 cross-sectional studies, 2 hospital-based case-control studies, and 2 population-based cohort studies. The combined OR of cigarette smoking (current or ever smoked) for risk of pterygium was 0.82 (95% CI, 0.69-0.97; P = 0.025). The results remained consistent among current smokers (OR, 0.68; 95% CI, 0.61-0.76; P = 4.57 × 10(-12)), but not in ex-smokers (OR, 1.05; 95% CI, 0.87-1.27; P = 0.59). The impact of ultraviolet light (UV) exposure (P = 0.082) and sex (P = 0.553) on the effect of smoking was insignificant in meta-regression. Sensitivity analysis confirmed the protective effect and nonrelevance of these two study-level variables. Begg's funnel plots and Egger's test showed minimal publication bias. CONCLUSIONS: The results of this meta-analysis show that cigarette smoking was associated with a reduced risk of pterygium, especially in current smokers. This effect may be independent of UV exposure and sex. Investigations are needed to unveil its molecular basis serving therapeutic purposes. Copyright 2014 The Association for Research in Vision and Ophthalmology, Inc.
Authors: Shu Min Tang; Rachel Y T Chan; Shi Bin Lin; Shi Song Rong; Henry H W Lau; Winnie W Y Lau; Wilson W K Yip; Li Jia Chen; Simon T C Ko; Jason C S Yam Journal: Sci Rep Date: 2016-10-12 Impact factor: 4.379
Authors: Kah Hie Wong; Shi Song Rong; Kelvin K L Chong; Alvin L Young; Chi Pui Pang; Li Jia Chen Journal: Sci Rep Date: 2015-11-18 Impact factor: 4.379
Authors: Shi Song Rong; Sarah Tsz Ue Ma; Xin Ting Yu; Li Ma; Wai Kit Chu; Tommy Chung Yan Chan; Yu Meng Wang; Alvin L Young; Chi Pui Pang; Vishal Jhanji; Li Jia Chen Journal: Sci Rep Date: 2017-07-04 Impact factor: 4.379