Symptomatic age-related macular degeneration in Asian patients

Retina. 1998;18(5):435-8. doi: 10.1097/00006982-199805000-00009.

Abstract

Purpose: To characterize retinal and fluorescein angiographic findings of Asian patients with symptoms secondary to age-related macular degeneration (ARMD).

Methods: We retrospectively reviewed 453 consecutive medical records corresponding to fluorescein angiograms performed between November 1992 and November 1995 to identify Asian patients with symptomatic ARMD. Presenting visual symptoms, best-corrected Snellen visual acuities, and retinal examination findings were determined from the medical records. Fundus photos and fluorescein angiograms were reviewed.

Results: There were 26 symptomatic eyes in 19 Asian patients with a median age of 73 years. Presenting visual symptoms included decreased visual acuity (19 eyes), metamorphopsia (5 eyes), or scotoma (2 eyes). Retinal findings included occult choroidal neovascularization (CNV) in 5 (19%) eyes, serous pigment epithelial detachment (PED) in 8 (31%) eyes, PED with CNV in 5 (19%) eyes, drusen in 5 (19%) eyes, retinal pigment epithelial atrophy in 1 (4%) eye, vitreous hemorrhage in 1 (4%) eye, and a disciform scar in 1 (4%) eye.

Conclusion: In this cohort of Asian patients with ARMD, the majority of symptomatic eyes had either CNV (46%) or serous PED (31%).

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Asian Americans*
  • Choroidal Neovascularization / diagnosis
  • Choroidal Neovascularization / ethnology
  • Choroidal Neovascularization / etiology
  • Far East / ethnology
  • Female
  • Fluorescein Angiography
  • Follow-Up Studies
  • Fundus Oculi
  • Humans
  • Macular Degeneration / complications
  • Macular Degeneration / diagnosis*
  • Macular Degeneration / ethnology*
  • Male
  • Middle Aged
  • Retinal Detachment / diagnosis
  • Retinal Detachment / ethnology
  • Retinal Detachment / etiology
  • Retrospective Studies
  • Vitreous Hemorrhage / diagnosis
  • Vitreous Hemorrhage / ethnology
  • Vitreous Hemorrhage / etiology