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PURPOSE:An association between hypermetropia and hypertension was recently reported.We sought to verify this finding in the Blue Mountains Eye Study cohort(n=3654;ages 49 to 97 years).DESIGN:Cohort study.METHODS:We defined hypermetropia as mean spheric equivalent refraction(SER)>1.00 diopter,myopia as mean SER <-1.00 diopters,and emmetropia as mean SER ≤ 1.00 diopters and <-1.00 diopters,inclusive.We used the 2003 World Health Organization/International Society of Hypertension guidelines to define severe hypertension as grade 2 or higher.RESULTS:Of 1290 people who were at risk of the development of hypertension,378 people developed incident severe hypertension after five years.The multivariate-adjusted relative risk of incident hypertension in persons with hypermetropia compared with those with emmetropia was 1.06(95% CI,0.89 to 1.26);the relative risk in persons with myopia was 1.22(95% CI,0.96 to 1.56).CONCLUSION:Neither hypermetropia nor myopia was associated with incident hypertension in this older population.