J Korean Ophthalmol Soc > Volume 51(4); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(4):516-523.
DOI: https://doi.org/10.3341/jkos.2010.51.4.516    Published online April 15, 2010.
The Results of Nation-Wide Registry of Age-related Macular Degeneration in Korea.
Kyu Hyung Park, Su Jeong Song, Won Ki Lee, Hee Sung Yoon, Hyoung Jun Koh, Chul Gu Kim, Yun Young Kim, Se Woong Kang, Ha Kyoung Kim, Byung Ro Lee, Dong Heun Nam, Pill Young Lee, Hyoung Su Kim, Hyeoung Chan Kim, Si Yeol Kim, In Young Kim, Gwang Su Kim, Kuhl Huh, Jae Ryung Oh, Shin Dong Kim, Sang Jun Lee, Young Duk Kim, Soon Hyun Kim, Tae Gon Lee, Sung Won Joe, Dong Cho Lee, Mu Hwan Chang, Si Dong Kim, Young Wok Joe, Sun Ryang Bae, Ju Eun Lee, Boo Sup Oum, Ill Han Yoon, Soon Ill Kwon, Jae Hoon Kang, Jong In Kim, Sang Woong Moon, Hyeong Gon Yu, Young Hee Yoon, Gwang Yul Chang, Sung Chul Lee, Sung Jin Lee, Tae Kwan Park, Young Hun Ohn, Oh Woong Kwon, Woo Hyok Chang, Yeon Sik Yang, Suk Jun Lee, Su Young Lee, Chang Ryong Kim, Jung Hee Lee, Yeon Sung Moon, Jae Kyoun Ahn, Nam Chun Joe, Gwang Ju Choi, Young Joon Joe, Sang Kook Kim, Sung Pyo Park, Woo Hoo Nam, Hee Yoon Joe, Jun Hyun Kim, Hum Chung
The Korean Retinal Society, Korea. chungh@snu.ac.kr
국내의 나이관련황반변성에 대한 기초역학조사
박규형ㆍ송수정ㆍ이원기ㆍ윤희성ㆍ고형준ㆍ김철구ㆍ김윤영ㆍ강세웅ㆍ김하경ㆍ이병로ㆍ남동흔ㆍ이필영ㆍ김형수ㆍ 김형찬ㆍ김시열ㆍ정인영ㆍ김광수ㆍ허걸ㆍ오재령ㆍ김신동ㆍ이상준ㆍ김영덕ㆍ김순현ㆍ이태곤ㆍ조성원ㆍ이동초ㆍ 장무환ㆍ김시동ㆍ조영욱ㆍ배선량ㆍ이주은ㆍ엄부섭ㆍ윤일한ㆍ권순일ㆍ강재훈ㆍ김종인ㆍ문상웅ㆍ유형곤ㆍ윤영희ㆍ 장광열ㆍ이성철ㆍ이성진ㆍ박태관ㆍ온영훈ㆍ권오웅ㆍ장우혁ㆍ양연식ㆍ이석준ㆍ이수영ㆍ김창룡ㆍ이정희ㆍ문연성ㆍ 안재균ㆍ조남천ㆍ최광주ㆍ조영준ㆍ김상국ㆍ박성표ㆍ남우호ㆍ조희윤ㆍ김준현ㆍ정흠
The Korean Retinal Society, Korea
Abstract
PURPOSE
To evaluate the incidence and clinical features of age-related macular degeneration (AMD) in Korea. METHODS: Web-based (www.armd-nova.or.kr) registration was conducted for AMD patients aged 50 or more who were newly diagnosed by retinal specialists in Korea from August 20, 2005 to August 20, 2006. Patient data including ophthalmologic examination, fundus photography, fluorescein angiogram and/or indocyanin green angiogram (ICG), past medical history, behavioral habit, combined systemic diseases were up-loaded. RESULTS: Among finally enrolled 1,141 newly diagnosed AMD patients, 690 patients (60.5%) were male and 451 patients (39.5%) were female. The average age of AMD patients was 69.7+/-8.0. Early AMD was observed in 190 patients and 951 patients had late AMD. Classic choroidal neovascular membrane (CNVM) was observed in 18.6% of exudative AMD patients and 63.4 % had occult CNVM. Subfoveal CNVM was observed in 80.4% of the patients with CNVM. Among the 580 exudative AMD eyes that performed indocyanin green angiography (ICG), 184 eyes (31.7%) had polypoidal choroidal vasculopathy (PCV) and 36 eyes (6.2%) showed retinal angiomatous proliferation (RAP). Age, male gender, smoking, diabetes and hypertension significantly increased the risk of the AMD among Koreans. CONCLUSIONS: Because of the low rate of participation by retinal specialists, definite incidence of AMD was not obtainable. However, the estimated 1-year AMD incidence in the Pusan area of Korea is at least 0.4%. In contrast to Western people, 31.7% of exudative AMD cases were revealed to be PCV and 6.2% were revealed to be RAP. This discrepancy between ethnic groups should be considered in the diagnosis and treatment modality selection of Korean AMD patients.
Key Words: Age-related macular degeneration;Choroidal neovascular membrane;Korean;Polypoidal choroidal vasculopathy


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