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Sex-Specific Association Between Serum Uric Acid and Retinal Microvessels

Qiaowei Li, Fan Lin, Zhonghai Gao, Feng Huang, Pengli Zhu

Department of Geriatric Medicine, Fujian Provincial Hospital, Fujian Provincial Center for Geriatrics, Fujian Provincial Key Laboratory of Geriatric Disease, The Provincial Clinical Medical College of Fujian Medical University, Fuzhou, Fujian, China (mainland)

Med Sci Monit 2019; 25:9973-9980

DOI: 10.12659/MSM.919972

Available online:

Published: 2019-12-25


BACKGROUND: As epidemiological findings are still controversial, animal experiments have probed into the potential link between uric acid and damage to microvessels. The present study examined the association of serum uric acid (SUA) with the retinal vascular caliber and retinal vascular fractal dimension (Df) in males and females utilizing a cross-sectional study design.
MATERIAL AND METHODS: A total of 2169 subjects from 7 sampling units were enrolled. Retinal vascular parameters were analyzed with a semi-automated computer-based program. The central retinal arteriolar equivalent, central retinal venular equivalent, and Df were linearly and categorically measured in males and females and at various SUA levels.
RESULTS: The analysis revealed that per SD SUA increase was associated with an increase of 0.848 µm in the arteriolar caliber, and an increase of 1.618 µm in the venular caliber only in females. No significant correlation was found between Df and SUA in females or in males. Further adjusted for more cardiovascular risk factors did not change the results.
CONCLUSIONS: By exploring a Chinese coastal population, we elucidate the association between SUA with retinal arterioles and venules in females. Df, as a mathematical index of retinal blood vascular complexity, is not correlated with SUA or hyperuricemia.

Keywords: Microvessels, Retinal Artery, Retinal Vein, Uric Acid



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