CLINICAL STUDY OF AGE RELATED MACULAR
Age-related macular degeneration (ARMD) is a common disorder affecting the macula in the eye. This study examines the risk factors and stages of ARMD through clinical examinations and patient data analysis. Risk factors include age, hypertension, smoking, high-fat diet, and female sex. The study includes findings from patients above 50 years old with hypertension and smoking habits, showcasing visual acuity changes and fundus characteristics.
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Manoj Mathur E-Poster 9thAnnual State Ophthalmological Conference TOSCON 2024 12thto 14thJuly, 2024 at Katriya Hotel & Towers, Hyderabad CLINICAL STUDY OF AGE RELATED MACULAR DEGENERATION AND IT S RISK FACTORS MAIN AUTHOR: DR.SYEDA NABEELAH HUSSAIN LMW1749 CO-AUTHORS: DR.SURESH RAMANA RAO LM92 DR.FAZILATUNISSA LMW1399
Manoj Mathur E-Poster [Title of the E-Poster] [Presenting Author s Name] 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad INTRODUCTION Age related macular degeneration is a disorder of the macula with presence of drusens and RPE changes in the absence of any other underlying disease[1] The disease has been staged into four groups based on clinical examination of the macula:[2] Group 1 (No ARMD): no drusen or 5 15 small drusen (<63 microns in diameter) in the absence of any other stage of ARMD. Group 2 (Early-stage ARMD): more than 15 small drusen or less than 20 medium-sized (63-124 micron in diameter) indistinct soft drusen or pigment abnormalities but not geographic atrophy. Group 3 (Intermediate stage): the presence of at least one large druse ( >125 microns in diameter), or presence of numerous medium-sized drusen (approximately 20 or more drusen with indistinct boundaries and 65 or more drusen with distinct boundaries) or presence of non-central geographic atrophy i.e., atrophy not involving the fovea. Group 4 (Advanced stage): central geographic atrophy that involves the fovea or presence of neovascular ARMD. It's risk factors include age,hypertension,smoking,high fat diet, female sex[1]
Manoj Mathur E-Poster [Title of the E-Poster] [Presenting Author s Name] 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad MATERIALS AND METHODS A cluster of 5 patients above 50 years of age with risk factors such as hypertension and smoking were examined in the ophthalmic OPD at SIMS Patients came to the OPD with complaints of decreased visual acuity and underwent dilated examination After ruling out other causes a diagnosis was made of age related macular degeneration based on fundus findings
Manoj Mathur E-Poster [Title of the E-Poster] [Presenting Author s Name] 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad EXAMINATION PATIENT 1,84 yrs PATIENT 2, 55yr PATIENT 3, 65yrs PATIENT 4, 58yrs PATIENT 5, 62yrs OD OS OD OS OD OS OD OS OD OS CF-2M 6/60 CFCF CF-2M 6/60 6/36 CF-1M CF-1M CF- 1/2M 6/60 VISUAL ACUITY NOT 6/36 CF-1M NOT 6/36 NOT NOT 6/12 6/60 6/9 BCVA IMPROVING IMPROVING IMPROVING IMPROVING NS2 NS 1, PCC NS 2-3, CENTRAL PSC NS 1 NS 1 CLEAR NS 2 EARLY NS NS 1 EARLY NS LENS TESEELATED FUNDUS, CNVM + OLD CNVM SCAR NORMAL FUNDUS TESSELATED FUNDUS, DRUSENS AT MACULA DRUSENS NEAR OD T EMPORAL LY DRUSENS+, RPE CHANG ES CNVM+ PPCRA+ , NORMAL FUNDUS FINDINGS MANY DRUSENS ALONG TEMPORAL SIDE NORMAL FUNDUS FINDINGS FUNDUS FINDINGS AGE, HYPERTENSIVE, FEMALE, CATARACT AGE, CATARACR, SMOKER AGE, CATARACT, FEMALE, HIGH FAT DIET AGE, HYPERTENSION, SMOKER AGE, HYPERTENSION, SMOKER RISK FACTORS
Manoj Mathur E-Poster [Title of the E-Poster] [Presenting Author s Name] 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad DISCUSSION In my study of 5 cases, 2 were of wet type and 3 of dry type WET AMD Dry AMD is characterized by numerous intermediate to large soft drusen's, sharp circumscribed areas of RPE atrophy[1] Wet AMD is associated with more rapid progression to advanced sight loss. The main clinical entities are CNVM, pigmented epithelium detachment[1] DRY AMD
Manoj Mathur E-Poster [Title of the E-Poster] [Presenting Author s Name] 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad CONCLUSION In my study of 5 patients, 3 patients with AMD were associated with the risk factor of hypertension, all were associated with age, 3 were smokers We can conclude that AMD is associated with risk factors such as hypertension, smoking and age According to AREDS2 patients with AMD must be supplemented with lutein(10 mg), zeaxanthin (2mg), zinc(25- 80mg),copper (2mg), vitamin E(400 IU), vitamin C (500 mg)[1] REFERENCES [1]. KANSKI CLINICAL OPHTHALMOLOGY 9TH EDITION [2].Age-Related Eye Disease Study Research Group. The Age-Related Eye Disease Study system for classifying age-related macular degeneration from stereoscopic color fundus photographs: the Age-Related Eye Disease Study Report Number 6. Am J Ophthalmol. 2001 Nov;132(5):668-81.
