Fatty Liver Is an Independent Risk Factor for Elevated Intraocular Pressure

Jun Hyuk Lee, Yu Jin Kwon, Hye Sun Lee, Jee Hye Han, Boyoung Joung, Sung Jin Kim

Research output: Contribution to journalArticlepeer-review


Elevated intraocular pressure (EIOP) is a major risk factor for glaucoma. Both EIOP and fatty liver share metabolic risk factors, which implies a possible link between EIOP and fatty liver. We aimed to determine the association of fatty liver with EIOP and estimate the effect of fatty liver on EIOP directly and indirectly through insulin resistance. Data from 16,240 adults who underwent health examinations at a single center were analyzed. Multiple logistic regression analyses revealed that fully adjusted odds ratio (OR) and 95% confidence interval (CI) for EIOP in the fatty liver group compared to the non-fatty liver group were 1.36 and 1.08–1.71. Alcoholic liver disease was associated with EIOP in subgroup analysis (OR = 1.80, 95% CI: 1.27–2.56). There was a linear dose–response relationship between EIOP and the severity of fatty liver. Mediation analysis revealed that the total effect of fatty liver on intraocular pressure was 0.90 (0.81–0.99), with a direct effect of 0.81 (0.71–0.90) and an indirect effect of 0.09 (0.06–0.11) through insulin resistance. Fatty liver is independently associated with EIOP. It primarily has a direct effect on intraocular pressure. This suggests that evaluation of EIOP should be considered in patients with fatty liver.

Original languageEnglish
Article number4455
Issue number21
Publication statusPublished - 2022 Nov

Bibliographical note

Funding Information:
This research was supported by a grant from the Patient-Centered Clinical Research Coordinating Center (PACEN) funded by the Ministry of Health and Welfare, Republic of Korea (grant HC19C0130).

Publisher Copyright:
© 2022 by the authors.

All Science Journal Classification (ASJC) codes

  • Food Science
  • Nutrition and Dietetics


Dive into the research topics of 'Fatty Liver Is an Independent Risk Factor for Elevated Intraocular Pressure'. Together they form a unique fingerprint.

Cite this