J Korean Ophthalmol Soc > Volume 59(5); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(5):444-450.
DOI: https://doi.org/10.3341/jkos.2018.59.5.444    Published online May 15, 2018.
Characteristics of Patients Older than 90 Years Diagnosed with Neovascular Age-related Macular Degeneration.
Youn Gon Lee, Sang Yun Han, Jae Wook Han, Jong Woo Kim, Chul Gu Kim, Dong Won Lee, Jae Hui Kim
Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. kjh7997@daum.net
습성 나이관련황반변성으로 진단된 90세 이상 초고령 환자의 특성
이윤곤⋅한상윤⋅한재욱⋅김종우⋅김철구⋅이동원⋅김재휘
건양대학교 의과대학 김안과병원 안과학교실
Correspondence:  Jae Hui Kim,
Email: kjh7997@daum.net
Received: 16 November 2017   • Revised: 2 February 2018   • Accepted: 19 April 2018
Abstract
PURPOSE
To evaluate the characteristics of patients aged ≥ 90 years who were diagnosed with neovascular age-related macular degeneration (AMD). METHODS: A retrospective review of medical records was performed for 44 patients aged ≥ 90 years diagnosed with neovascular AMD. History of cerebrovascular or cardiovascular disorder and visual acuity at diagnosis were assessed. Fellow eye visual acuity data were also collected. When the fellow eye visual acuity was worse than 0.5, the primary reason for the visual deterioration was identified. RESULTS: The mean patient age was 91.5 ± 1.5 years (range: 90–95 years). Ten (22.7%) patients had histories of cerebrovascular or cardiovascular disorders. The mean logarithm of the minimal angle of resolution (logMAR) of visual acuity was 1.11 ± 0.51 and the visual acuity was worse than 0.1 in 20 eyes (45.5%). The fellow eye visual acuity was worse than 0.5 in 26 eyes (59.1%). The primary reason was neovascular or atrophic AMD in 23 eyes (88.5%). CONCLUSIONS: The incidence of cerebrovascular or cardiovascular disorders was relatively high in patients aged ≥ 90 years. Patients also had poor visual acuity at diagnosis and a high incidence of fellow eye visual deterioration. These systemic conditions should be considered when treating these patients. Additionally, a regular ophthalmic examination is recommended for the early detection of these disorders.
Key Words: Age-related macular degeneration;Characteristics;Choroidal neovascularization;Old


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