PT - JOURNAL ARTICLE AU - Halili, Andrim AU - Haxha, Saranda AU - Zareini, Bochra AU - Lund-Andersen, Casper AU - Kold Sørensen, Kathrine AU - Torp-Pedersen, Christian AU - Eroglu, Talip E AU - Bang, Casper Niels TI - Association between long-term statin use and cataract surgery: a nationwide study on 505 105 cataract surgery patients AID - 10.1136/bjo-2022-322409 DP - 2024 Jul 25 TA - British Journal of Ophthalmology PG - bjo-2022-322409 4099 - http://bjo.bmj.com/content/early/2024/07/25/bjo-2022-322409.short 4100 - http://bjo.bmj.com/content/early/2024/07/25/bjo-2022-322409.full AB - Aims To assess the association between statin use and cataract surgery according to different statin treatment durations in patients with different cardiovascular risk profiles.Methods and results We performed a nested case–control study using Danish registries, covering the period from 1 January 1996 to 31 December 2020. We defined cases as surgically treated cataract patients, matched in a 1:1 ratio by sex and age with controls not undergoing cataract surgery. The exposure of interest was statin use in different durations (1, 5 and 10 years) compared with never use of statins. Conditional logistic regression provided adjusted HRs and corresponding 95% CIs in subgroups defined by established atherosclerotic cardiovascular disease, diabetes, hypertension and individuals without these comorbidities. We identified 505 150 cataract surgery cases and found no increased HR of cataract surgery with statin treatment at any duration in any of the subgroups with established atherosclerotic cardiovascular disease, diabetes or hypertension.Conclusion Our findings do not support a possible association between long-term statin use and cataract in patients with established atherosclerotic cardiovascular disease, diabetes or hypertension. Although we found an association between statin use and cataract in individuals without these comorbidities, increasing durations of statin use did not yield higher cataract surgery rates.Data are available on reasonable request. We are able to provide the data used for conducting the present study on reasonable request as this requires special access to Statistics Denmark.