Home LiteratureArticle Details
PMID: 14561043 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Review

Epidemiology of age-related maculopathy: a review.

European journal of epidemiology ·Vol. 18 ·No. 9 ·2003-00-00 ·Pages 845-54

van Leeuwen R, Klaver CC, Vingerling JR, Hofman A, de Jong PT

Abstract

Age-related maculopathy (ARM) is a degenerative disease of the retina and the leading cause of incurable blindness and visual impairment in industrialized countries. By definition, ARM is confined to the age-category above 50 years. The aetiology of ARM is still unknown, despite intensive research on many fronts. In this paper, we provide a review of the epidemiology of ARM. The most prominent findings were an exponential increase in frequency with age, a significant familial and genetic component, and a strong association with smoking. Other risk factors that were found less consistently were atherosclerosis, low intake of antioxidant nutrients, and cataract extraction. Future studies, both observational and experimental, will hopefully identify more risk factors that are amenable to prevention.

MeSH Terms
Age of Onset Comorbidity Diet Environmental Exposure Humans Macular Degeneration/diagnosis,epidemiology,etiology,genetics Risk Factors
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
van Leeuwen Redmer
Department of Epidemiology and Biostatistics, Erasmus Medical Centre, Rotterdam, The Netherlands.
Klaver Caroline C W
Vingerling Johannes R
Hofman Albert
de Jong Paulus T V M
References (122)
122 references, click to expand
  1. Antioxidant status and neovascular age-related macular degeneration. Eye Disease Case-Control Study Group.
    Arch Ophthalmol. 1993 Jan;111(1):104-9 PMID: 7678730
  2. Early age-related maculopathy in the cardiovascular health study.
    Ophthalmology. 2003 Jan;110(1):25-33 PMID: 12511342
  3. Associations of cardiovascular disease and its risk factors with age-related macular degeneration: the POLA study.
    Ophthalmic Epidemiol. 2001 Sep;8(4):237-49 PMID: 11471092
  4. Oral zinc in macular degeneration.
    Arch Ophthalmol. 1988 Feb;106(2):192-8 PMID: 3277606
  5. The role of oxidative stress in the pathogenesis of age-related macular degeneration.
    Surv Ophthalmol. 2000 Sep-Oct;45(2):115-34 PMID: 11033038
  6. The grading and prevalence of macular degeneration in Chesapeake Bay watermen.
    Arch Ophthalmol. 1989 Jun;107(6):847-52 PMID: 2786408
  7. The association between cigarette smoking and ocular diseases.
    Surv Ophthalmol. 1998 May-Jun;42(6):535-47 PMID: 9635902
  8. Do we have a nutritional treatment for age-related cataract or macular degeneration?
    Arch Ophthalmol. 1990 Oct;108(10):1403-5 PMID: 2222272
  9. A prospective study of alcohol consumption and the risk of age-related macular degeneration.
    Ann Epidemiol. 1999 Apr;9(3):172-7 PMID: 10192649
  10. Genetic risk of age-related maculopathy. Population-based familial aggregation study.
    Arch Ophthalmol. 1998 Dec;116(12):1646-51 PMID: 9869796
  11. Solar radiation and age-related macular degeneration.
    Surv Ophthalmol. 1988 Jan-Feb;32(4):252-69 PMID: 3279560
  12. Further evidence for an association of ABCR alleles with age-related macular degeneration. The International ABCR Screening Consortium.
    Am J Hum Genet. 2000 Aug;67(2):487-91 PMID: 10880298
  13. Prospective study of zinc intake and the risk of age-related macular degeneration.
    Ann Epidemiol. 2001 Jul;11(5):328-36 PMID: 11399447
  14. Smoking and age-related macular degeneration. The POLA Study. Pathologies Oculaires Liées à l'Age.
    Arch Ophthalmol. 1998 Aug;116(8):1031-5 PMID: 9715683
  15. The prevalence of age-related maculopathy by geographic region and ethnicity. The Colorado-Wisconsin Study of Age-Related Maculopathy.
    Arch Ophthalmol. 1997 Feb;115(2):242-50 PMID: 9046260
  16. The five-year incidence and progression of age-related maculopathy: the Beaver Dam Eye Study.
    Ophthalmology. 1997 Jan;104(1):7-21 PMID: 9022098
  17. The association of cataract and cataract surgery with the long-term incidence of age-related maculopathy: the Beaver Dam eye study.
    Arch Ophthalmol. 2002 Nov;120(11):1551-8 PMID: 12427071
  18. Risk factors for choroidal neovascularization in the second eye of patients with juxtafoveal or subfoveal choroidal neovascularization secondary to age-related macular degeneration. Macular Photocoagulation Study Group.
    Arch Ophthalmol. 1997 Jun;115(6):741-7 PMID: 9194725
  19. Hypertension, cardiovascular disease, and age-related macular degeneration. Age-Related Macular Degeneration Risk Factors Study Group.
    Arch Ophthalmol. 2000 Mar;118(3):351-8 PMID: 10721957
  20. Associations between antioxidant and zinc intake and the 5-year incidence of early age-related maculopathy in the Beaver Dam Eye Study.
    Am J Epidemiol. 1998 Jul 15;148(2):204-14 PMID: 9676703
  21. Ten-year incidence of age-related maculopathy and smoking and drinking: the Beaver Dam Eye Study.
    Am J Epidemiol. 2002 Oct 1;156(7):589-98 PMID: 12244027
  22. Alcohol consumption and the 5-year incidence of age-related maculopathy: the Beaver Dam eye study.
    Ophthalmology. 1998 May;105(5):789-94 PMID: 9593377
  23. Allelic variation in ABCR associated with Stargardt disease but not age-related macular degeneration.
    Nat Genet. 1998 Dec;20(4):328-9 PMID: 9843201
  24. Senile disciform macular degeneration and smoking.
    Can J Ophthalmol. 1978 Apr;13(2):67-71 PMID: 647465
  25. Genetic association of manganese superoxide dismutase with exudative age-related macular degeneration.
    Am J Ophthalmol. 2000 Dec;130(6):769-73 PMID: 11124296
  26. Sibling correlations and segregation analysis of age-related maculopathy: the Beaver Dam Eye Study.
    Genet Epidemiol. 1994;11(1):51-67 PMID: 8013888
  27. Systemic hypertension and age-related maculopathy in the Framingham Study.
    Arch Ophthalmol. 1986 Feb;104(2):216-9 PMID: 3947296
  28. Is age-related maculopathy related to hearing loss?
    Arch Ophthalmol. 1998 Mar;116(3):360-5 PMID: 9514490
  29. Prevalence of age-related maculopathy in Australia. The Blue Mountains Eye Study.
    Ophthalmology. 1995 Oct;102(10):1450-60 PMID: 9097791
  30. The relationship of cardiovascular disease and its risk factors to age-related maculopathy. The Beaver Dam Eye Study.
    Ophthalmology. 1993 Mar;100(3):406-14 PMID: 8460013
  31. A prospective study of cigarette smoking and age-related macular degeneration in women.
    JAMA. 1996 Oct 9;276(14):1141-6 PMID: 8827966
  32. Smoking and age-related maculopathy. The Blue Mountains Eye Study.
    Arch Ophthalmol. 1996 Dec;114(12):1518-23 PMID: 8953988
  33. Mutation of the Stargardt disease gene (ABCR) in age-related macular degeneration.
    Science. 1997 Sep 19;277(5333):1805-7 PMID: 9295268
  34. Oxidative damage and protection of the RPE.
    Prog Retin Eye Res. 2000 Mar;19(2):205-21 PMID: 10674708
  35. Are sex hormones associated with age-related maculopathy in women? The Beaver Dam Eye Study.
    Trans Am Ophthalmol Soc. 1994;92:289-95; discussion 295-7 PMID: 7886868
  36. Plasma fibrinogen levels, other cardiovascular risk factors, and age-related maculopathy: the Blue Mountains Eye Study.
    Arch Ophthalmol. 1998 May;116(5):583-7 PMID: 9596493
  37. Risk factors for neovascular age-related macular degeneration. The Eye Disease Case-Control Study Group.
    Arch Ophthalmol. 1992 Dec;110(12):1701-8 PMID: 1281403
  38. Risk factors for age-related macular degeneration.
    Prog Retin Eye Res. 2001 Mar;20(2):227-53 PMID: 11173253
  39. Visible light and risk of age-related macular degeneration.
    Trans Am Ophthalmol Soc. 1990;88:163-73; discussion 173-8 PMID: 2095019
  40. Genetic association of apolipoprotein E with age-related macular degeneration.
    Am J Hum Genet. 1998 Jul;63(1):200-6 PMID: 9634502
  41. Senile macular degeneration and risk factors: a case-control study.
    Ann Ophthalmol. 1979 Aug;11(8):1197-1201 PMID: 556147
  42. Macular pigment and melanin in age-related maculopathy in a general population.
    Invest Ophthalmol Vis Sci. 2002 Jun;43(6):1928-32 PMID: 12037001
  43. Alcohol intake and age-related maculopathy.
    Am J Ophthalmol. 1996 Nov;122(5):743-5 PMID: 8909224
  44. Dietary fat and fish intake and age-related maculopathy.
    Arch Ophthalmol. 2000 Mar;118(3):401-4 PMID: 10721964
  45. Analysis of lipid deposits extracted from human macular and peripheral Bruch's membrane.
    Arch Ophthalmol. 1994 Mar;112(3):402-6 PMID: 8129668
  46. Paraoxonase gene polymorphisms and plasma oxidized low-density lipoprotein level as possible risk factors for exudative age-related macular degeneration.
    Am J Ophthalmol. 2001 Aug;132(2):191-5 PMID: 11476678
  47. Lack of an association of apolipoprotein E gene polymorphisms with familial age-related macular degeneration.
    Arch Ophthalmol. 2003 May;121(5):679-83 PMID: 12742846
  48. Risk factors for age-related macular degeneration: Pooled findings from three continents.
    Ophthalmology. 2001 Apr;108(4):697-704 PMID: 11297486
  49. Association of zinc and antioxidant nutrients with age-related maculopathy.
    Arch Ophthalmol. 1996 Aug;114(8):991-7 PMID: 8694736
  50. Diabetes, hyperglycemia, and age-related maculopathy. The Beaver Dam Eye Study.
    Ophthalmology. 1992 Oct;99(10):1527-34 PMID: 1454318
  51. Serum beta carotene, alpha tocopherol, and age-related maculopathy: the Blue Mountains Eye Study.
    Am J Ophthalmol. 1997 Dec;124(6):838-40 PMID: 9402831
  52. Is age-related maculopathy associated with cataracts?
    Arch Ophthalmol. 1994 Feb;112(2):191-6 PMID: 8311771
  53. Exposure to sunlight and other risk factors for age-related macular degeneration.
    Arch Ophthalmol. 1989 Jun;107(6):875-9 PMID: 2786410
  54. Dietary carotenoids, vitamins A, C, and E, and advanced age-related macular degeneration. Eye Disease Case-Control Study Group.
    JAMA. 1994 Nov 9;272(18):1413-20 PMID: 7933422
  55. Five-year incidence of age-related maculopathy lesions: the Blue Mountains Eye Study.
    Ophthalmology. 2002 Jun;109(6):1092-7 PMID: 12045049
  56. Sunlight and the 5-year incidence of early age-related maculopathy: the beaver dam eye study.
    Arch Ophthalmol. 2001 Feb;119(2):246-50 PMID: 11176987
  57. Serum antioxidants and age-related macular degeneration in a population-based case-control study.
    Arch Ophthalmol. 1995 Dec;113(12):1518-23 PMID: 7487619
  58. Is there a direct association between age-related eye diseases and mortality? The Rotterdam Study.
    Ophthalmology. 2003 Jul;110(7):1292-6 PMID: 12867381
  59. Oral zinc and the second eye in age-related macular degeneration.
    Invest Ophthalmol Vis Sci. 1996 Jun;37(7):1225-35 PMID: 8641826
  60. Hyperopia and neovascularization in age-related macular degeneration.
    Ophthalmology. 1993 Jul;100(7):1009-13 PMID: 7686644
  61. Iris color, skin sun sensitivity, and age-related maculopathy. The Blue Mountains Eye Study.
    Ophthalmology. 1998 Aug;105(8):1359-63 PMID: 9709743
  62. Age-related maculopathy in a multiracial United States population: the National Health and Nutrition Examination Survey III.
    Ophthalmology. 1999 Jun;106(6):1056-65 PMID: 10366071
  63. Refractive error and age-related maculopathy: the Blue Mountains Eye Study.
    Invest Ophthalmol Vis Sci. 1998 Oct;39(11):2167-71 PMID: 9761297
  64. Insights into the function of Rim protein in photoreceptors and etiology of Stargardt's disease from the phenotype in abcr knockout mice.
    Cell. 1999 Jul 9;98(1):13-23 PMID: 10412977
  65. Prospective cohort study of antioxidant vitamin supplement use and the risk of age-related maculopathy.
    Am J Epidemiol. 1999 Mar 1;149(5):476-84 PMID: 10067908
  66. The prevalence of age-related maculopathy in iceland: Reykjavik eye study.
    Arch Ophthalmol. 2003 Mar;121(3):379-85 PMID: 12617709
  67. Increased prevalence of disciform macular degeneration after cataract extraction with implantation of an intraocular lens.
    Br J Ophthalmol. 1994 Jun;78(6):441-5 PMID: 8060925
  68. Age-related maculopathy: an expanded genome-wide scan with evidence of susceptibility loci within the 1q31 and 17q25 regions.
    Am J Ophthalmol. 2001 Nov;132(5):682-92 PMID: 11704029
  69. A whole-genome screen of a quantitative trait of age-related maculopathy in sibships from the Beaver Dam Eye Study.
    Am J Hum Genet. 2003 Jun;72(6):1412-24 PMID: 12717633
  70. Risk factors for age-related maculopathy: the Visual Impairment Project.
    Arch Ophthalmol. 2001 Oct;119(10):1455-62 PMID: 11594944
  71. Dietary fat and age-related maculopathy.
    Arch Ophthalmol. 1995 Jun;113(6):743-8 PMID: 7786215
  72. Association of the apolipoprotein E gene with age-related macular degeneration: possible effect modification by family history, age, and gender.
    Mol Vis. 2000 Dec 31;6:287-93 PMID: 11141572
  73. Are antioxidants or supplements protective for age-related macular degeneration?
    Arch Ophthalmol. 1994 Feb;112(2):222-7 PMID: 8311777
  74. Is age-related maculopathy associated with Alzheimer's Disease? The Rotterdam Study.
    Am J Epidemiol. 1999 Nov 1;150(9):963-8 PMID: 10547142
  75. A prospective study of cigarette smoking and risk of age-related macular degeneration in men.
    JAMA. 1996 Oct 9;276(14):1147-51 PMID: 8827967
  76. Relationship between refraction and prevalent as well as incident age-related maculopathy: the Rotterdam Study.
    Invest Ophthalmol Vis Sci. 2003 Sep;44(9):3778-82 PMID: 12939291
  77. Relation of smoking to the incidence of age-related maculopathy. The Beaver Dam Eye Study.
    Am J Epidemiol. 1998 Jan 15;147(2):103-10 PMID: 9456998
  78. Effects of cholesterol and apolipoprotein E on retinal abnormalities in ApoE-deficient mice.
    Invest Ophthalmol Vis Sci. 2001 Jul;42(8):1891-900 PMID: 11431458
  79. Age-related macular degeneration: etiology, pathogenesis, and therapeutic strategies.
    Surv Ophthalmol. 2003 May-Jun;48(3):257-93 PMID: 12745003
  80. Age-related macular degeneration and smoking. The Rotterdam Study.
    Arch Ophthalmol. 1996 Oct;114(10):1193-6 PMID: 8859077
  81. Prospective study of alcohol consumption and the risk of age-related macular degeneration.
    Arch Ophthalmol. 2000 May;118(5):681-8 PMID: 10815161
  82. The apolipoprotein E epsilon4 allele is unlikely to be a major risk factor of age-related macular degeneration in Chinese.
    Ophthalmologica. 2000;214(4):289-91 PMID: 10859513
  83. Senile macular degeneration: a case-control study.
    Am J Epidemiol. 1983 Aug;118(2):213-27 PMID: 6881127
  84. Age-related macular degeneration after extracapsular cataract extraction with intraocular lens implantation.
    Ophthalmology. 1996 Oct;103(10):1546-54 PMID: 8874425
  85. Macular degeneration and early menopause: a case-control study.
    BMJ. 1995 Jun 17;310(6994):1570-1 PMID: 7787646
  86. Factors associated with age-related macular degeneration. An analysis of data from the first National Health and Nutrition Examination Survey.
    Am J Epidemiol. 1988 Oct;128(4):700-10 PMID: 3421236
  87. An international classification and grading system for age-related maculopathy and age-related macular degeneration. The International ARM Epidemiological Study Group.
    Surv Ophthalmol. 1995 Mar-Apr;39(5):367-74 PMID: 7604360
  88. Relationship of senile macular degeneration to ocular pigmentation.
    Am J Ophthalmol. 1985 Feb 15;99(2):185-7 PMID: 3970124
  89. Blood pressure, atherosclerosis, and the incidence of age-related maculopathy: the Rotterdam Study.
    Invest Ophthalmol Vis Sci. 2003 Sep;44(9):3771-7 PMID: 12939290
  90. Prevalence of age-related maculopathy. The Beaver Dam Eye Study.
    Ophthalmology. 1992 Jun;99(6):933-43 PMID: 1630784
  91. The relation of cardiovascular disease and its risk factors to the 5-year incidence of age-related maculopathy: the Beaver Dam Eye Study.
    Ophthalmology. 1997 Nov;104(11):1804-12 PMID: 9373110
  92. The prevalence of age-related maculopathy in the Rotterdam Study.
    Ophthalmology. 1995 Feb;102(2):205-10 PMID: 7862408
  93. Drusen associated with aging and age-related macular degeneration contain proteins common to extracellular deposits associated with atherosclerosis, elastosis, amyloidosis, and dense deposit disease.
    FASEB J. 2000 May;14(7):835-46 PMID: 10783137
  94. Risk factors associated with age-related macular degeneration. A case-control study in the age-related eye disease study: Age-Related Eye Disease Study Report Number 3.
    Ophthalmology. 2000 Dec;107(12):2224-32 PMID: 11097601
  95. Essential fatty acids, plasma cholesterol, and fat-soluble vitamins in subjects with age-related maculopathy and matched control subjects.
    Am J Clin Nutr. 1993 Mar;57(3):428-33 PMID: 8438779
  96. Apolipoprotein E polymorphisms in age-related macular degeneration in an Italian population.
    Ophthalmic Res. 2001 Nov-Dec;33(6):325-8 PMID: 11721184
  97. Decreasing stromal iris pigmentation as a risk factor for age-related macular degeneration.
    Am J Ophthalmol. 1994 Jan 15;117(1):19-23 PMID: 8291588
  98. Age-related maculopathy: its genetic basis.
    Eye (Lond). 2001 Jun;15(Pt 3):396-400 PMID: 11450764
  99. Dietary fat and risk for advanced age-related macular degeneration.
    Arch Ophthalmol. 2001 Aug;119(8):1191-9 PMID: 11483088
  100. Dietary antioxidant intake and incidence of early age-related maculopathy: the Blue Mountains Eye Study.
    Ophthalmology. 2002 Dec;109 (12 ):2272-8 PMID: 12466170
  101. Features of age-related macular degeneration in a black population. The Barbados Eye Study Group.
    Arch Ophthalmol. 1995 Jun;113(6):728-35 PMID: 7786213
  102. Ocular and facial skin exposure to ultraviolet radiation in sunlight: a personal exposure model with application to a worker population.
    Health Phys. 1991 Jul;61(1):77-86 PMID: 2061052
  103. Age-related macular degeneration and antioxidant status in the POLA study. POLA Study Group. Pathologies Oculaires Liées à l'Age.
    Arch Ophthalmol. 1999 Oct;117(10):1384-90 PMID: 10532448
  104. Race, macular degeneration, and the Macular Photocoagulation Study.
    Arch Ophthalmol. 1992 Dec;110(12):1699-700 PMID: 1281402
  105. Reproductive exposures, incident age-related cataracts, and age-related maculopathy in women: the beaver dam eye study.
    Am J Ophthalmol. 2000 Sep;130(3):322-6 PMID: 11020411
  106. Vitamin E supplementation and macular degeneration: randomised controlled trial.
    BMJ. 2002 Jul 6;325(7354):11 PMID: 12098721
  107. Alcohol use and age-related maculopathy in the Beaver Dam Eye Study.
    Am J Ophthalmol. 1995 Aug;120(2):190-6 PMID: 7639303
  108. The risk and natural course of age-related maculopathy: follow-up at 6 1/2 years in the Rotterdam study.
    Arch Ophthalmol. 2003 Apr;121(4):519-26 PMID: 12695249
  109. Heredity and age-related macular degeneration. Observations in monozygotic twins.
    Arch Ophthalmol. 1994 Jul;112(7):932-7 PMID: 8031273
  110. Five-year incidence and disappearance of drusen and retinal pigment epithelial abnormalities. Waterman study.
    Arch Ophthalmol. 1995 Mar;113(3):301-8 PMID: 7534060
  111. A full genome scan for age-related maculopathy.
    Hum Mol Genet. 2000 May 22;9(9):1329-49 PMID: 10814715
  112. Sunlight and age-related macular degeneration. The Beaver Dam Eye Study.
    Arch Ophthalmol. 1993 Apr;111(4):514-8 PMID: 8470986
  113. Gender, oestrogen, hormone replacement and age-related macular degeneration: results from the Blue Mountains Eye Study.
    Aust N Z J Ophthalmol. 1997 May;25 Suppl 1:S13-5 PMID: 9267614
  114. Familial aggregation of age-related maculopathy.
    Am J Ophthalmol. 1997 Feb;123(2):199-206 PMID: 9186125
  115. The prevalence of age-related maculopathy by geographic region and ethnicity.
    Prog Retin Eye Res. 1999 May;18(3):371-89 PMID: 10192518
  116. A randomized, placebo-controlled, clinical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-related macular degeneration and vision loss: AREDS report no. 8.
    Arch Ophthalmol. 2001 Oct;119(10):1417-36 PMID: 11594942
  117. The pathogenesis of diabetic retinopathy: old concepts and new questions.
    Eye (Lond). 2002 May;16(3):242-60 PMID: 12032713
  118. Age-related macular degeneration is associated with atherosclerosis. The Rotterdam Study.
    Am J Epidemiol. 1995 Aug 15;142(4):404-9 PMID: 7625405
  119. The relationship of ocular factors to the incidence and progression of age-related maculopathy.
    Arch Ophthalmol. 1998 Apr;116(4):506-13 PMID: 9565051
  120. The epsilon4 allele of the apolipoprotein E gene as a potential protective factor for exudative age-related macular degeneration.
    Am J Ophthalmol. 1998 Mar;125(3):353-9 PMID: 9512153
  121. Pigmentation of the eye and hair in relation to age-related macular degeneration. An epidemiological study of 1000 aged individuals.
    Acta Ophthalmol (Copenh). 1990 Feb;68(1):53-8 PMID: 2336934
  122. Dietary antioxidants and age-related maculopathy: the Blue Mountains Eye Study.
    Ophthalmology. 1999 Apr;106(4):761-7 PMID: 10201600
Article Info
Journal
European journal of epidemiology
Abbr.
Eur J Epidemiol
ISSN
0393-2990
Published
2003-00-00
Pages
845-54
Language
English
Region
Netherlands
NLM ID
8508062
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com