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Smith RT, Olsen TW, Chong V, Kim J, Hammer M, Lema G, Deobhakta A, Tan A, Tong Y, Tai K, Fei Y, Mordechaev E, Ledesma-Gil G, Otero-Marquez O, Rosen RB, Bhuiyan A, Sivaprasad S, Rosenfeld PJ. Subretinal drusenoid deposits, age-related macular degeneration, and cardiovascular disease. Asia Pac J Ophthalmol (Phila) 2024; 13:100036. [PMID: 38244930 DOI: 10.1016/j.apjo.2024.100036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/04/2024] [Accepted: 01/09/2024] [Indexed: 01/22/2024] Open
Abstract
Decades of studies on age-related macular degeneration (AMD), cardiovascular disease and stroke have not found consistent associations between AMD and systemic vascular disease. This study suggests that there is in fact no general relationship, but instead a strong, specific association between only the subretinal drusenoid deposit (SDD) phenotype of AMD on retinal imaging and certain co-existent vascular diseases that are high risk for compromised cardiac output or internal carotid artery stenosis. Future screening initiatives for these high -risk vascular diseases (HRVDs) with fast, inexpensive retinal imaging could make a significant contribution to public health and save lives. Likewise, screening patients with known HRVDs for unrecognized AMD of the SDD form could enable needed treatment and save vision.
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Affiliation(s)
- R Theodore Smith
- Department of Ophthalmology, New York Eye and Ear Infirmary at Mount Sinai, New York, NY, United States.
| | | | - Victor Chong
- Institute of Ophthalmology, University College London, London, United Kingdom
| | - Judy Kim
- Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Martin Hammer
- Department of Ophthalmology, University of Jena, DE, United States
| | - Gareth Lema
- New York Eye and Ear Infirmary, New York, NY, United States
| | | | | | - Yuehong Tong
- New York Eye and Ear Infirmary, New York, NY, United States
| | - Katy Tai
- New York Eye and Ear Infirmary, New York, NY, United States
| | - Yang Fei
- New York Eye and Ear Infirmary, New York, NY, United States
| | | | | | | | - Richard B Rosen
- Department of Ophthalmology, New York Eye and Ear Infirmary at Mount Sinai, New York, NY, United States
| | - Alauddin Bhuiyan
- New York Eye and Ear Infirmary at Mount Sinai, New York, NY, United States
| | - Sobha Sivaprasad
- Moorfields NIHR Biomedical Research Centre, Moorfields Eye Hospital and UCL, London, United Kingdom
| | - Philip J Rosenfeld
- Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, FL, United States
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