Michels Stephan, Kurz-Levin Malaika
Augenklinik, Universitätsspital Zürich.
Ther Umsch. 2009 Mar;66(3):189-95. doi: 10.1024/0040-5930.66.3.189.
Today age-related macular degeneration (AMD) is the most frequent cause for legal blindness in western industrialized countries. The prevalence of this disease rises with increasing age. A multifactorial pathogenesis of AMD is postulated including genetic predisposition and environmental risk factors. The most relevant modifiable risk factor is smoking. Up to today there is no cure of this chronic disease. Prophylaxis, including a healthy diet and antioxidants as nutrional supplements for selected patients, aims to slow down the disease progression. Significant progress has been made in the treatment of the neovascular form of the disease using inhibitors of the vascular endothelial growth factor (VEGF).
如今,年龄相关性黄斑变性(AMD)是西方工业化国家法定失明最常见的病因。这种疾病的患病率随年龄增长而上升。AMD的发病机制被认为是多因素的,包括遗传易感性和环境风险因素。最相关的可改变风险因素是吸烟。到目前为止,这种慢性病尚无治愈方法。预防措施,包括健康饮食和为特定患者提供抗氧化剂作为营养补充剂,旨在减缓疾病进展。在使用血管内皮生长因子(VEGF)抑制剂治疗该疾病的新生血管形式方面已取得重大进展。