Cited by 251Retinal Diseases and TreatmentsRetinal Imaging and AnalysisOcular Diseases and Behçet’s Syndrome

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The Grading and Prevalence of Macular Degeneration in Chesapeake Bay Watermen

Bressler, Neil M.·1989·Archives of Ophthalmology

DOI 10.1001/archopht.1989.01070010869032

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Abstract

A new grading scheme was developed to classify the fundus features of macular degeneration. This scheme identifies the earliest fundus changes associated with macular degeneration, as well as specific drusen characteristics felt to be associated with an increased risk of developing the exudative forms of this disease. Agreement between two graders using this scheme indicated good interobserver reliability. Using this scheme, fundus photographs of 777 participants were graded in a population-based study of watermen from the eastern shore of Maryland. The prevalence of at least one druse within 1500 microns of the foveal center was extremely common (over 80% in each age group over 30 years of age) and not age related. The prevalence of large, confluent, or soft drusen was relatively uncommon and was age related; by the eighth decade, 26% of all participants had large or soft drusen, and 17% of them had confluent drusen. These latter characteristics are more likely to be markers of early changes consistent with age-related macular degeneration rather than simply the presence of a few drusen.

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Authors: Bressler, N. M.
Affiliations: Johns Hopkins University (US)
Corresponding author: Bressler, Neil M.
ORCID: Bressler, Neil M.
Venue: Archives of Ophthalmology
Publisher: American Medical Association (AMA)
Published: 1989-06-01
Volume: 107
Issue: 6
Pages: 847
ISSN: 0003-9950 (ISSN-L)
DOI: 10.1001/archopht.1989.01070010869032
OpenAlex: W2081972722
Cited by: 251
References: 11
Citations by year: 2025: 1 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 6 · 2016: 3 · 2015: 5 · 2014: 4 · 2013: 3 · 2012: 11
FWCI: 8.74
Type: journal article
Language: en
Open access: closed
Locations: Archives of Ophthalmology (publishedVersion)
PubMed (publishedVersion)
Funders: National Eye Institute (EY-04547)
Topics: Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal Imaging and Analysis
Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
Keywords: age-related macular degeneration, drusen, prevalence, watermen, Chesapeake Bay, inter-rater reliability, fundus photography, soft drusen
MeSH terms: Adult, Age Factors, Aged, Atrophy, Cross-Sectional Studies, Exudates and Transudates, Humans, Hyperplasia, Macular Degeneration, Male, Maryland, Middle Aged, Ophthalmoscopy, Photography, Pigment Epithelium of Eye, Population Surveillance, Retina, Retinitis Pigmentosa, Risk Factors

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The Grading and Prevalence of Macular Degeneration in Chesapeake Bay Watermen

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