| Choroidal blood flow and progression of age-related macular degeneration in the fellow eye in patients with unilateral choroidal neovascularization. | |
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MedLine Citation:
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PMID: 20484590 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Cardiovascular risk factors such as smoking, hypertension, and atherosclerosis seem to play an important role in the development of choroidal neovascularization (CNV). Recent studies have also provided evidence suggesting that choroidal and retinal blood flow is decreased in patients with AMD. On the basis of these results, the hypothesis for this study was that lower choroidal blood flow is associated with an increased risk of CNV in patients with AMD. METHODS: Forty-one patients with unilateral choroidal neovascular AMD were included in this observational longitudinal study. The fellow eyes of the patients served as study eyes. Subfoveal choroidal blood flow (FLOW) and fundus pulsation amplitude (FPA) were assessed with laser Doppler flowmetry and laser interferometry, respectively. A multivariate COX-regression model was used to test the hypothesis that low choroidal perfusion parameters are associated with the development of CNV. RESULTS: Of the 37 patients that were followed up until the end of the study, 17 developed CNV and 20 did not. The univariate COX-regression analysis shows that lower FLOW, systolic blood pressure, intraocular pressure, and FPA are risk factors for development of CNV. Moreover, the more advanced the AMD in the study eye, the higher the risk for CNV to develop in the fellow eye. Multivariate COX regression analysis indicated that only FLOW (P = 0.0071), FPA (P = 0.0068), and staging (P = 0.031) had statistically significant influences on the progression to CNV. CONCLUSIONS: The present study indicates that lower choroidal perfusion is a risk factor for the development of CNV in the fellow eye of patients with unilateral CNV. |
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Authors:
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Agnes Boltz; Alexandra Luksch; Barbara Wimpissinger; Noemi Maar; Günther Weigert; Sophie Frantal; Werner Brannath; Gerhard Garhöfer; Erdem Ergun; Michael Stur; Leopold Schmetterer |
Publication Detail:
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Type: Journal Article Date: 2010-05-19 |
Journal Detail:
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Title: Investigative ophthalmology & visual science Volume: 51 ISSN: 1552-5783 ISO Abbreviation: Invest. Ophthalmol. Vis. Sci. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-23 Completed Date: 2010-08-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7703701 Medline TA: Invest Ophthalmol Vis Sci Country: United States |
Other Details:
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Languages: eng Pagination: 4220-5 Citation Subset: IM |
Affiliation:
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Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Blood Flow Velocity / physiology Blood Pressure / physiology Choroid / blood supply* Choroidal Neovascularization / physiopathology* Disease Progression Female Follow-Up Studies Humans Interferometry Intraocular Pressure Laser-Doppler Flowmetry Macular Degeneration / physiopathology* Male Middle Aged Regional Blood Flow / physiology Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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