Starzycka M, Słomska J, Górniak-Bednarz A, Ortyl E
Katedry i Kliniki Okulistyki Collegium Medicum UJ w Krakowie.
Klin Oczna. 1997;99(4):249-51.
To present the results of examinations of the risk factors for age-related macular degeneration (AMD) carried out in the last 3 years.
Our clinical material comprised 119 patients, 69 women and 50 men, aged 43-85, mean age 70 years. Using classification according to the worse eye, there were 20 patients with drusen, 27 with atrophic changes and 72 with exudative form and AMD. The following risk factors were evaluated: age, sex, body mass index, history of general medical conditions, cigarette smoking, sun exposure, family history of AMD and ocular conditions such as iris color, lens opacities, hyperopia, gerontoxon and changes in retinal vessels.
The significant relationships were found between the development of AMD and the age of patients, as well as between the advanced forms of AMD and the history of cardiovascular diseases and sclerotic changes in retinal vessels, 87% of examined patients have light iris and 52% body mass index above 26.
The studies confirmed the role of age in the development of AMD and indicated cardiovascular disturbances, increased body mass index and light iris as the possible risk factors for AMD that are most worth further studying. The special attention should be also paid to drusen as the risk factor of AMD.
介绍过去3年中对年龄相关性黄斑变性(AMD)危险因素进行检查的结果。
我们的临床资料包括119例患者,69例女性和50例男性,年龄43 - 85岁,平均年龄70岁。根据病情较重的眼睛进行分类,有20例患有玻璃膜疣,27例有萎缩性改变,72例有渗出性形式和AMD。评估了以下危险因素:年龄、性别、体重指数、一般病史、吸烟、日晒、AMD家族史以及眼部状况,如虹膜颜色、晶状体混浊、远视、老年环和视网膜血管变化。
发现AMD的发生与患者年龄之间存在显著关系,以及AMD的晚期形式与心血管疾病史和视网膜血管硬化改变之间存在显著关系,87%的受检患者虹膜颜色浅,52%的患者体重指数高于26。
研究证实了年龄在AMD发生中的作用,并指出心血管紊乱、体重指数增加和虹膜颜色浅是最值得进一步研究的AMD可能危险因素。还应特别关注玻璃膜疣作为AMD的危险因素。