Makulare Drusen. Veranderungen des retinalen Pigmentepithels und angiographische Charakteristika als prognostische Merkmale. [Macular drusen. Changes in the retinal pigment epithelium and angiographic characteristics as prognostic markers]
Détails
ID Serval
serval:BIB_2B565579E6DA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Makulare Drusen. Veranderungen des retinalen Pigmentepithels und angiographische Charakteristika als prognostische Merkmale. [Macular drusen. Changes in the retinal pigment epithelium and angiographic characteristics as prognostic markers]
Périodique
Ophthalmologe
ISSN
0941-293X (Print)
Statut éditorial
Publié
Date de publication
12/1994
Volume
91
Numéro
6
Pages
735-40
Notes
English Abstract
Journal Article --- Old month value: Dec
Journal Article --- Old month value: Dec
Résumé
Drusen in the macular area may precede other manifestations of age-related macular disease associated with severe visual loss. To identify fundus changes that might be predictive of advanced age-related maculopathy, we examined 79 patients with drusen for up to 3 years. Fundus photographs and fluorescein angiograms were independently analysed by two readers in a masked fashion using a standardized grading scheme. Fourteen patients (17.7%) developed a new exudative or nonexudative lesion involving the fovea. Delayed choroidal perfusion on the fluorescein angiogram, interpreted as an indicator for diffuse thickening of Bruch's membrane and relative atrophy of the choriocapillaris, was observed in 12 patients, 5 of whom developed geographic atrophy of the retinal pigment epithelium during follow-up (P < 0.009). Additional predictive characteristics included focal hyperpigmentations (P < 0.005) and focal extrafoveal areas of atrophy of the retinal pigment epithelium within 1600 microns of the center of the fovea (P < 0.031). These ocular features allow identification of patients with macular drusen at high risk for the development of complicating macular lesions.
Mots-clé
Aged
Atrophy
Bruch Membrane/pathology
Choroid/pathology
Female
*Fluorescein Angiography
Humans
Macular Degeneration/*diagnosis/pathology
Male
Pigment Epithelium of Eye/*pathology
Prognosis
Retinal Drusen/*diagnosis/pathology
Vision, Low/diagnosis/pathology
Pubmed
Création de la notice
28/01/2008 14:05
Dernière modification de la notice
20/08/2019 14:10