Profile of Age related macular degeneration in a Kashmiri population-A hospital based study in Tertiary care hospital in Kashmir, India

Purpose To assess the profile of age related macular degeneration Material and Methods In a cross-sectional, prospective study 164 eyes of 100 ARMD patients were taken up for evaluation. Relevant clinical examination and FFA was done.Patients of wet ARMD were taken for OCT. Instruments used were Di...

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Bibliographic Details
Main Authors: Tariq Qureshi, Majid Nazir, Nausheen Abdullah, Anjum Fazili, Rashid Maqbool, Rahila Ramzan
Format: Article
Language:English
Published: Makhdoomi Printers 2013-05-01
Series:Global Journal of Medicine and Public Health
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Online Access:http://www.gjmedph.org/uploads/O3-Vo2No2.pdf
Description
Summary:Purpose To assess the profile of age related macular degeneration Material and Methods In a cross-sectional, prospective study 164 eyes of 100 ARMD patients were taken up for evaluation. Relevant clinical examination and FFA was done.Patients of wet ARMD were taken for OCT. Instruments used were Direct Ophthalmoscope (Heinz) slit lamp biomicroscope (Zeiss), Fundus camera (Zeiss) and spectral domain optical coherence tomography (Zeiss). Observation Out of 100 patients 63 were male and 37 were females. 64 patients had bilateral involvement while as 36 patients had unilateral involvement at presentation. 35 patients were in the age group of 61 to 65 yrs.95% of patients presented with the symptom of diminution of vision. 26% of patients had associated systemic ailments, 29.88% of patients had a visual acuity of < 6/60. On FFA, 82.32% (135 eyes) were having non exudative (dry) ARMD and 17.68 % (29 eyes) had exudative (wet) ARMD. In dry ARMD 95.55% had drusens and only 4.44% had geographic atrophy.Out of 29 eyes of wet ARMD,on FFA, 17 eyes 58.62% had classic CNV, Two eyes (6.9%) had occult CNV and 10 (34.48%) had serous PED. OCT findings suggested classic CNV in 17 eyes (58.62%), occult CNV in 4 eyes (13.79%) and serous PED in 8 eyes (27.58%) Conclusion ARMD is usually a bilateral condition affecting mostly in the early 5th decade. Dry ARMD is commoner than wet ARMD. FFA is the golden tool for screening wet ARMD. OCT is more specific in detecting early sub- retinal neo vascular membrane.
ISSN:2277-9604