Evidence mapPaperPMID 42397591Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Association between probiotic prescriptions and the incidence of primary open-angle glaucoma in patients with documented dry eye.

Chien-Yun Tsai, Chien-Hsiang Weng, Yi Jing Sheen, Jun-Peng Chen, Hsian-Min Chen, Ching-Yao Tsai, I-Jong Wang, Chien-Chih Chou

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Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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8 authors.

Chien-Yun TsaiSchool of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Chien-Hsiang WengDepartment of Family Medicine, Brown University Warren Alpert Medical School, Providence, RI, USA.
Yi Jing SheenDivision of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Jun-Peng ChenBiostatistics Group, Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Hsian-Min ChenCenter for Quantitative Imaging in Medicine, Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Ching-Yao TsaiDepartment of Ophthalmology, Taipei City Hospital, Taipei, Taiwan.
I-Jong WangGraduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan.
Chien-Chih ChouSchool of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. doctorccc@gmail.com.ORCID http://orcid.org/0000-0003-3332-0900

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the association between probiotic prescriptions and the risk of developing primary open-angle glaucoma (POAG).

methodsA retrospective cohort study was conducted using the TriNetX multinational database. Adults aged ≥ 40 years with a diagnosis of dry eye and no prior history of glaucoma were included. Participants were categorized into probiotic and non-probiotic groups based on prescription records. Propensity score matching (1:1) was performed to balance demographics, comorbidities, and medication use. Cox proportional hazards models estimated hazard ratios (HRs) with 95% confidence intervals (CIs), and Kaplan-Meier analyses assessed five-year cumulative incidence. Sensitivity and subgroup analyses were performed to examine robustness and consistency across clinical subgroups.

resultsAmong 15,613 matched pairs, probiotic prescriptions were associated with lower risks of POAG (HR: 0.44; 95% CI: 0.32-0.61). These associations remained consistent in sensitivity analyses and were observed across multiple subgroups stratified by age, sex, race, diabetes status, and obesity.

conclusionsProbiotic prescriptions were associated with a reduced risk of POAG in this large real-world cohort. These findings highlight the need for prospective studies to confirm causality and explore underlying mechanisms.

Indexed as

GlaucomaGut–Eye AxisProbiotics

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.