Cited by 815Retinal Diseases and TreatmentsRetinal Imaging and AnalysisOcular Diseases and Behçet’s Syndrome

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The Prevalence of Age-related Maculopathy in the Rotterdam Study

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Vingerling, Johannes R., Dielemans, Ida, Hofman, Albert, Grobbee, Diederick E., Hijmering, Michel, Kramer, Constantijn F.L., de Jong, Paulus T.V.M.·1995·Ophthalmology

DOI 10.1016/s0161-6420(95)31034-2

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Abstract

Purpose To determine the prevalence of age-related maculopathy in an elderly population in The Netherlands.Methods Fundus photographs of 6251 participants of the Rotterdam Study, a single-center prospective follow-up study in persons 55 to 98 years of age, were reviewed for the presence of drusen, pigmentary abnormalities, and atrophic or neovascular age-related macular degeneration.Results The prevalence of at least one drusen of 63 microns or larger increased from 40.8% in persons 55 to 64 years of age to 52.6% in those 85 years of age or older. Similarly, the prevalence of the following abnormalities increased significantly in these age categories: drusen of 125 microns or larger from 4.8% to 17.5%, retinal pigment epithelial hypopigmentations from 3.5% to 9.0%, and increased retinal pigment from 3.7% to 15.3%. Atrophic or neovascular age-related macular degeneration was present in 1.7% of the total population. Atrophic age-related macular degeneration increased from 0.1% in persons 55 to 64 years of age to 3.7% in those 85 years of age or older. Neovascular age-related macular degeneration increased from 0.1% to 7.4% in these age groups. No sex differences were observed for these lesions.Conclusions The prevalence of atrophic or neovascular age-related macular degeneration is 1.7%. In those 55 years of age or older, the prevalence increases strongly with age and it is similar in men and women. Neovascular age-related macular degeneration was twice as common as atrophic age-related macular degeneration. These findings suggest that age-related maculopathy may be less common in this European population than in similar populations in the United States.

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Authors: Vingerling, J. R., Dielemans, I., Hofman, A., Grobbee, D. E., Hijmering, M., Kramer, C. F. L., & de Jong, P. T. V. M.
Affiliations: Erasmus MC (NL)
ORCID: Vingerling, Johannes R.
Grobbee, Diederick E.
Venue: Ophthalmology
Publisher: Elsevier BV
Published: 1995-02
Volume: 102
Issue: 2
Pages: 205-210
ISSN: 0161-6420 (ISSN-L)
DOI: 10.1016/s0161-6420(95)31034-2
OpenAlex: W2165062842
Cited by: 815
References: 9
Citations by year: 2026: 7 · 2025: 4 · 2024: 14 · 2023: 16 · 2022: 15 · 2021: 14 · 2020: 22 · 2019: 12 · 2018: 27 · 2017: 24 · 2016: 19 · 2015: 35 · 2014: 21 · 2013: 33 · 2012: 31
FWCI: 21.27
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Ophthalmology (publishedVersion)
PubMed (publishedVersion)
KNAW research portal (Royal Academy of Art and Sciences (KNAW)) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
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 maculopathy, age-related macular degeneration, drusen, retinal pigment epithelium, retinal pigment, atrophic macular degeneration, neovascular age-related macular degeneration, prevalence, older adults, sex differences, age-related changes
MeSH terms: Aged, Aged, 80 and over, Female, Follow-Up Studies, Fundus Oculi, Humans, Macular Degeneration, Male, Middle Aged, Netherlands, Photography, Prospective Studies, Retinitis Pigmentosa, Retinal Drusen, Retinal Neovascularization, Prevalence

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