Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish Population

Objectives: To investigate the relationship between age-related macular degeneration (AMD) and refractive error and axial length, as well as the socio-demographic characteristics and biochemical variables that may affect this relationship. Materials and Methods: A total of 196 eyes of 98 patients o...

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Main Authors: Öznur Gürbüz Yurtseven, Sibel Aksoy, Aysu Karatay Arsan, Yelda Buyru Özkurt, Hatice Kübra Kökçen
Format: Article
Language:English
Published: Galenos Yayinevi 2018-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://cms.galenos.com.tr/Uploads/Article_19892/TJO-48-238-En.pdf
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author Öznur Gürbüz Yurtseven
Sibel Aksoy
Aysu Karatay Arsan
Yelda Buyru Özkurt
Hatice Kübra Kökçen
author_facet Öznur Gürbüz Yurtseven
Sibel Aksoy
Aysu Karatay Arsan
Yelda Buyru Özkurt
Hatice Kübra Kökçen
author_sort Öznur Gürbüz Yurtseven
collection DOAJ
description Objectives: To investigate the relationship between age-related macular degeneration (AMD) and refractive error and axial length, as well as the socio-demographic characteristics and biochemical variables that may affect this relationship. Materials and Methods: A total of 196 eyes of 98 patients over 50 years of age who were diagnosed with AMD at our clinic were included in this cross-sectional study. Early and late AMD findings were categorized according to the age-related eye disease study grading scale. Objective refractive error was measured by autorefractometer, confirmed by subjective examination, and spherical equivalent was calculated. Refractive errors of -0.50 D to 0.50 D were classified as emmetropia, <-0.50 D as myopia, and >0.50 D as hyperopia. Axial length was measured by ultrasonic biometry and values ≤23.00 mm were classified as short, >23.00 and <24.00 mm as normal, and ≥24.00 mm as long axial length. Demographic, systemic, and biochemical parameters of all patients were also investigated. Results: Hypermetropic refractive error and shorter axial length were significantly more common than the other groups (p<0.01). No differences were observed between early and late stage groups in terms of refractive error and axial length. Patients with myopia had significantly lower values for total cholesterol, triglyceride, fasting blood glucose, and proportion of smokers. Rates of oral nutritional supplement use and fish consumption were significantly higher in the early AMD group. The most common comorbidity among the AMD patients in our study was essential hypertension. Conclusion: Hyperopic refractive error and shorter axial length were found to be associated with AMD. Longitudinal studies including larger patient numbers are needed to elucidate the causal and temporal relationship between hyperopic refractive error and AMD.
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spelling doaj.art-f95da4bf8cb74752807ca70a11b588d32023-02-15T16:12:29ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612018-10-0148523824410.4274/tjo.97254Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish PopulationÖznur Gürbüz Yurtseven0Sibel Aksoy1Aysu Karatay Arsan2Yelda Buyru Özkurt3Hatice Kübra Kökçen4Gebze Fatih State Hospital, Ophthalmology Clinic, Kocaeli, TurkeyUniversity of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ophthalmology Clinic, İstanbul, TurkeyUniversity of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Ophthalmology Clinic, İstanbul, TurkeyUniversity of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ophthalmology Clinic, İstanbul, TurkeyAtaşehir Modern Medical Center, Ophthalmology Clinic, İstanbul, TurkeyObjectives: To investigate the relationship between age-related macular degeneration (AMD) and refractive error and axial length, as well as the socio-demographic characteristics and biochemical variables that may affect this relationship. Materials and Methods: A total of 196 eyes of 98 patients over 50 years of age who were diagnosed with AMD at our clinic were included in this cross-sectional study. Early and late AMD findings were categorized according to the age-related eye disease study grading scale. Objective refractive error was measured by autorefractometer, confirmed by subjective examination, and spherical equivalent was calculated. Refractive errors of -0.50 D to 0.50 D were classified as emmetropia, <-0.50 D as myopia, and >0.50 D as hyperopia. Axial length was measured by ultrasonic biometry and values ≤23.00 mm were classified as short, >23.00 and <24.00 mm as normal, and ≥24.00 mm as long axial length. Demographic, systemic, and biochemical parameters of all patients were also investigated. Results: Hypermetropic refractive error and shorter axial length were significantly more common than the other groups (p<0.01). No differences were observed between early and late stage groups in terms of refractive error and axial length. Patients with myopia had significantly lower values for total cholesterol, triglyceride, fasting blood glucose, and proportion of smokers. Rates of oral nutritional supplement use and fish consumption were significantly higher in the early AMD group. The most common comorbidity among the AMD patients in our study was essential hypertension. Conclusion: Hyperopic refractive error and shorter axial length were found to be associated with AMD. Longitudinal studies including larger patient numbers are needed to elucidate the causal and temporal relationship between hyperopic refractive error and AMD.http://cms.galenos.com.tr/Uploads/Article_19892/TJO-48-238-En.pdfAxial lengthrefractive errorrisk factorsage related macular degeneration
spellingShingle Öznur Gürbüz Yurtseven
Sibel Aksoy
Aysu Karatay Arsan
Yelda Buyru Özkurt
Hatice Kübra Kökçen
Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish Population
Türk Oftalmoloji Dergisi
Axial length
refractive error
risk factors
age related macular degeneration
title Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish Population
title_full Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish Population
title_fullStr Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish Population
title_full_unstemmed Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish Population
title_short Evaluation of the Relationship Between Age-related Macular Degeneration and Refractive Error, Socio-demographic Features, and Biochemical Variables in a Turkish Population
title_sort evaluation of the relationship between age related macular degeneration and refractive error socio demographic features and biochemical variables in a turkish population
topic Axial length
refractive error
risk factors
age related macular degeneration
url http://cms.galenos.com.tr/Uploads/Article_19892/TJO-48-238-En.pdf
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AT aysukaratayarsan evaluationoftherelationshipbetweenagerelatedmaculardegenerationandrefractiveerrorsociodemographicfeaturesandbiochemicalvariablesinaturkishpopulation
AT yeldabuyruozkurt evaluationoftherelationshipbetweenagerelatedmaculardegenerationandrefractiveerrorsociodemographicfeaturesandbiochemicalvariablesinaturkishpopulation
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