April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Demographic, Clinical, Angiographic and Tomographical Characteristics of Patients with Exudative Age-Related Macular Degeneration at Presentation in Costa Rica
Author Affiliations & Notes
  • Dhariana Acon
    Instituto Cirugia Ocular, San Jose, Costa Rica
  • Lihteh Wu
    Instituto Cirugia Ocular, San Jose, Costa Rica
  • Footnotes
    Commercial Relationships Dhariana Acon, None; Lihteh Wu, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 653. doi:
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      Dhariana Acon, Lihteh Wu; Demographic, Clinical, Angiographic and Tomographical Characteristics of Patients with Exudative Age-Related Macular Degeneration at Presentation in Costa Rica. Invest. Ophthalmol. Vis. Sci. 2014;55(13):653.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

Currently there is a dearth of epidemiological data of age-related macular degeneration (AMD) in Latin America. The purpose of the current study is to report the presenting demographic, clinical, angiographic and tomographic characteristics of patients with exudative AMD seen in a retina referral practice in Costa Rica

 
Methods
 

Retrospective study of 152 patients (197 eyes) diagnosed with exudative age-related macular degeneration that were evaluated with fluorescein angiography, indocyanine green angiography and optical coherence tomography.

 
Results
 

This cohort consisted of 86 female and 66 male patients, 45 (29.6%) patients presented with bilateral disease. The mean age was of 73.4 ± 8.2 yrs. Systemic co-morbidities included 20 (13.2%) with diabetes mellitus, 1 with stroke, and 102 (67.1%) with systemic hypertension. The mean logMAR BCVA at baseline was 0.94 ± 0.72. There were 15 (7.6%) RAP lesions, 4 peripapillary CNV, 33 (16.8%) PCV lesions, 55 (27.9%) type 2 CNV and 90 (45.7%) type 1 CNV. PEDs were seen in 118 (60%), 102 (51.8%) eyes had subretinal fluid present, 14 (7.1%) had an epiretinal membrane, 11 (5.6%) had cystoid macular edema, only 2 (1%) had vitreomacular traction and 20 (10.2%) had atrophy and 90 (45.7%) had disruption of the outer retina.

 
Conclusions
 

Most patients with exudative AMD suffer from systemic hypertension and present with advanced disease. The most common type of CNV is type 1 and the most common lesion type seen was a PED.

 
Keywords: 412 age-related macular degeneration  
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