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PREVALENCE OF VITREOMACULAR ADHESION IN PATIENTS WITHOUT MACULOPATHY OLDER THAN 40 YEARS
- Source :
- Retina. 38:2056-2063
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- To determine the prevalence and factors influencing vitreomacular adhesion (VMA) or vitreomacular traction (VMT) in subjects without maculopathy older than age 40 years.In a prospective cross-sectional study, 1,950 eyes in 1,090 participants aged 40 to 89 years representing various ethnic groups from 14 centers in the United States underwent a comprehensive eye examination, including spectral domain optical coherence tomography. A team of independent, masked readers classified the presence or absence of VMA/VMT on spectral domain optical coherence tomography based on the International Vitreomacular Traction Study Group rubric.Across all eyes, the prevalence of VMA or VMT was 39% or 1%, respectively. For every 1-year increase in age, there was a statistically significant 7% decreased odds of having VMA or VMT (95% confidence interval [CI]: 0.89-0.96; P0.001), whereas African Americans had 55% significantly reduced odds of having VMA or VMT when than whites (95% CI: 0.23-0.90; P = 0.025). Vitreomacular adhesion1,500 μm was significantly more likely than VMA1,500 μm in younger adults (95% CI: 0.70-0.86; P0.001), hyperopes versus emmetropes (95% CI: 1.49-35.9; P = 0.01), primary eye care versus tertiary practices (95% CI: 0.03-0.92; P = 0.04), and patients without hyperlipidemia (95% CI: 0.04-0.83; P = 0.03).Vitreomacular adhesion is highly prevalent among middle-aged adults. Diagnostic screening with spectral domain optical coherence tomography may help to accurately detect VMA or VMT, prompting routine monitoring and timely therapeutic intervention.
- Subjects :
- Adult
Male
medicine.medical_specialty
Cross-sectional study
Tissue Adhesions
Vitreomacular traction
Eye care
Vitreous Detachment
03 medical and health sciences
0302 clinical medicine
Retinal Diseases
Risk Factors
Ophthalmology
Prevalence
medicine
Humans
In patient
Prospective Studies
Prospective cohort study
Aged
Aged, 80 and over
business.industry
General Medicine
Middle Aged
medicine.disease
Vitreomacular adhesion
United States
eye diseases
Confidence interval
Vitreous Body
Cross-Sectional Studies
030221 ophthalmology & optometry
Maculopathy
Female
sense organs
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 0275004X
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- Retina
- Accession number :
- edsair.doi.dedup.....9db70280b08ea38dced0574cca4bc8a0