Hearing in older adults with exfoliation syndrome/exfoliation glaucoma or primary open-angle glaucoma

Geir Tryggvason, Fridbert Jonasson*, Mary Frances Cotch, Chuan Ming Li, Howard J. Hoffman, Christa L. Themann, Gudny Eiriksdottir, Jõhanna Eyrún Sverrisdottir, Tamara B. Harris, Lenore J. Launer, Vilmundur Gudnason, Hannes Petersen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Purpose To determine whether adults, aged 66-96 years, with exfoliation syndrome (XFS)/exfoliation glaucoma (XFG), or primary open-angle glaucoma (POAG) have poorer hearing than controls of similar age. Methods Case (XFS/XFG and POAG) and control status was diagnosed in the Reykjavik Glaucoma Studies (RGS) using slit-lamp examination, visual field testing and optic disc photographs; the RGS data were merged with the Age, Gene/Environment Susceptibility-Reykjavik Study that collected hearing data using air-conduction, pure-tone thresholds obtained at 0.5, 1, 2, 3, 4, 6 and 8 kHz categorized by better ear and worse ear, based on pure-tone averages (PTAs) calculated separately for low and middle frequencies (PTA512 - mean of thresholds at 0.5, 1 and 2 kHz) and high frequencies (PTA3468 - mean of thresholds at 3, 4, 6 and 8 kHz). Multivariable linear regression was used to test for differences in PTAs between cases and controls. Results The mean age for 158 XFS/XFG cases (30.4% male) was 77.4 years, 95 POAG cases (35.8% male) was 77.9 years, and 123 controls (46.3% male) was 76.8 years. Using multivariable linear regression analysis, there were no consistent, statistically significant differences in PTAs between the two case groups and controls in either the low- or high-frequency range, even when stratified by age group. Conclusion Among the older individuals examined in this study hearing loss is highly prevalent and strongly associated with male gender and increasing age. As we did not find consistent statistically significant difference in hearing between cases and controls the diagnosis of XFS/XFG or POAG does not as such routinely call for audiological evaluation.

Original languageEnglish
Pages (from-to)140-146
Number of pages7
JournalActa Ophthalmologica
Issue number2
Publication statusPublished - 1 Mar 2016

Bibliographical note

Publisher Copyright:
© 2015 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Other keywords

  • adjustment for age and sex
  • exfoliation glaucoma
  • hearing
  • primary open-angle glaucoma
  • Gláka
  • Heyrnarskerðing
  • Heyrn
  • Aldraðir
  • Karlar
  • OTO12
  • OPH12
  • Exfoliation Syndrome
  • Glaucoma, Open-Angle
  • Aged
  • Male


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