Detection of Macular Function Changes in Early (AREDS 2) and Intermediate (AREDS 3) Age-Related Macular Degeneration

Background/Aim: To evaluate if retinal sensitivity values obtained with a dedicated (screening) device can be used to functionally identify early and intermediate age-related macular degeneration (ARMD). Methods: A fully automatic fundus perimeter combined with an image-stabilized scanning laser oph...

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Veröffentlicht in:Ophthalmologica (Basel) 2011-01, Vol.225 (3), p.155-160
Hauptverfasser: Vujosevic, Stela, Smolek, Michael K., Lebow, Kenneth A., Notaroberto, Neil, Pallikaris, Aristophanis, Casciano, Margherita
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container_end_page 160
container_issue 3
container_start_page 155
container_title Ophthalmologica (Basel)
container_volume 225
creator Vujosevic, Stela
Smolek, Michael K.
Lebow, Kenneth A.
Notaroberto, Neil
Pallikaris, Aristophanis
Casciano, Margherita
description Background/Aim: To evaluate if retinal sensitivity values obtained with a dedicated (screening) device can be used to functionally identify early and intermediate age-related macular degeneration (ARMD). Methods: A fully automatic fundus perimeter combined with an image-stabilized scanning laser ophthalmoscope was used in 200 ARMD patients (319 eyes) in 5 study sites. The age-matched control group consisted of 200 normals. Sensitivity point values (S values), mean retinal sensitivity, number of points below 24 dB (K value, cutoff for normal values) and fixation stability were recorded. Results: Of 319 eyes, 164 were classified as early (AREDS 2) and 155 as intermediate (AREDS 3) ARMD. Mean retinal sensitivity was significantly reduced in ARMD patients versus normals (p < 0.001). K values were different between normals and ARMD patients (p < 0.001). Fixation stability did not differ between early and intermediate ARMD patients. Conclusions: Macular sensitivity is reduced in patients with early and intermediate ARMD when compared to age-matched normals. These changes may be detected with a screening device.
doi_str_mv 10.1159/000320340
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Methods: A fully automatic fundus perimeter combined with an image-stabilized scanning laser ophthalmoscope was used in 200 ARMD patients (319 eyes) in 5 study sites. The age-matched control group consisted of 200 normals. Sensitivity point values (S values), mean retinal sensitivity, number of points below 24 dB (K value, cutoff for normal values) and fixation stability were recorded. Results: Of 319 eyes, 164 were classified as early (AREDS 2) and 155 as intermediate (AREDS 3) ARMD. Mean retinal sensitivity was significantly reduced in ARMD patients versus normals (p &lt; 0.001). K values were different between normals and ARMD patients (p &lt; 0.001). Fixation stability did not differ between early and intermediate ARMD patients. Conclusions: Macular sensitivity is reduced in patients with early and intermediate ARMD when compared to age-matched normals. 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Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-39f7ddf641d1de8b89bb8b6e82f0e1b166fa3f0095512e81ba9407fdb35ab5723</citedby><cites>FETCH-LOGICAL-c428t-39f7ddf641d1de8b89bb8b6e82f0e1b166fa3f0095512e81ba9407fdb35ab5723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2427,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23972994$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21150232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vujosevic, Stela</creatorcontrib><creatorcontrib>Smolek, Michael K.</creatorcontrib><creatorcontrib>Lebow, Kenneth A.</creatorcontrib><creatorcontrib>Notaroberto, Neil</creatorcontrib><creatorcontrib>Pallikaris, Aristophanis</creatorcontrib><creatorcontrib>Casciano, Margherita</creatorcontrib><title>Detection of Macular Function Changes in Early (AREDS 2) and Intermediate (AREDS 3) Age-Related Macular Degeneration</title><title>Ophthalmologica (Basel)</title><addtitle>Ophthalmologica</addtitle><description>Background/Aim: To evaluate if retinal sensitivity values obtained with a dedicated (screening) device can be used to functionally identify early and intermediate age-related macular degeneration (ARMD). 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Methods: A fully automatic fundus perimeter combined with an image-stabilized scanning laser ophthalmoscope was used in 200 ARMD patients (319 eyes) in 5 study sites. The age-matched control group consisted of 200 normals. Sensitivity point values (S values), mean retinal sensitivity, number of points below 24 dB (K value, cutoff for normal values) and fixation stability were recorded. Results: Of 319 eyes, 164 were classified as early (AREDS 2) and 155 as intermediate (AREDS 3) ARMD. Mean retinal sensitivity was significantly reduced in ARMD patients versus normals (p &lt; 0.001). K values were different between normals and ARMD patients (p &lt; 0.001). Fixation stability did not differ between early and intermediate ARMD patients. Conclusions: Macular sensitivity is reduced in patients with early and intermediate ARMD when compared to age-matched normals. These changes may be detected with a screening device.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>21150232</pmid><doi>10.1159/000320340</doi><tpages>6</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Biological and medical sciences
EURETINA - Original Paper
Female
Humans
Macula Lutea - physiopathology
Macular Degeneration - diagnosis
Macular Degeneration - physiopathology
Male
Medical sciences
Middle Aged
Miscellaneous
Ophthalmology
Prospective Studies
Retinopathies
Tomography, Optical Coherence
Visual Acuity - physiology
Visual Field Tests
Visual Fields - physiology
title Detection of Macular Function Changes in Early (AREDS 2) and Intermediate (AREDS 3) Age-Related Macular Degeneration
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