Białek-Szymańska Anna, Misiuk-Hojło Marta, Witkowska Kamila
Katedry i Kliniki Okulistyki Akademii Medycznej we Wrocławiu.
Klin Oczna. 2007;109(4-6):127-30.
Age-related macular degeneration (AMD) is a leading cause of irreversible loss of central vision in developing countries. Study of risk factors seems to be more significant because of the lack of effective treatment. Exact recognition especially of modifiable risk factors of AMD development could increase prevention and decrease development and progression. The aim of our study was to evaluate selected modifiable and non-modifiable risk factors of AMD. The examination included 44 AMD patients and 30 healthy subjects in control group. In both groups age, sex, eye color, smoking, UV exposition, blood pressure, cholesterol level, type of diet, family history of AMD and cataract surgeries in anamnesis, were defined. The most significant risk factors of AMD development, in presented study were female gender and UV exposition. They increased a risk accordingly 1.55 and 3 times. Iris color and low vitamin and high fat intake in diet were also essential. There was no dependence on approved risk factor such smoking and AMD appearance.
年龄相关性黄斑变性(AMD)是发展中国家导致中心视力不可逆丧失的主要原因。由于缺乏有效的治疗方法,对风险因素的研究似乎更为重要。准确识别尤其是AMD发生的可改变风险因素,可以增加预防并减少其发生和进展。我们研究的目的是评估AMD的选定可改变和不可改变风险因素。检查包括44例AMD患者和30例作为对照组的健康受试者。在两组中,均对年龄、性别、眼睛颜色、吸烟、紫外线暴露、血压、胆固醇水平、饮食类型、AMD家族史以及既往白内障手术史进行了界定。在本研究中,AMD发生的最显著风险因素是女性性别和紫外线暴露。它们分别使风险相应增加了1.55倍和3倍。虹膜颜色以及饮食中维生素含量低和脂肪摄入量高也很重要。未发现与诸如吸烟和AMD出现等公认风险因素存在相关性。