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Br J Ophthalmol 2001;85:1153-1157 doi:10.1136/bjo.85.10.1153
  • World view

Prevalence of age related maculopathy in a representative Japanese population: the Hisayama study

  1. Yuji Oshimaa,
  2. Tatsuro Ishibashia,
  3. Toshinori Murataa,
  4. Yoshihisa Taharaa,
  5. Yutaka Kiyoharab,
  6. Toshiaki Kubotaa
  1. aDepartment of Ophthalmology, Faculty of Medicine, Kyushu University, Fukuoka, Japan, bSecond Department of Internal Medicine
  1. Tatsuro Ishibashi, MD, Department of Ophthalmology, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japanishi{at}eye.med.kyushu-u.ac.jp
  • Accepted 30 April 2001

Abstract

AIM To determine the prevalence of age related maculopathy (ARM) in a representative older Japanese population.

METHODS 1486 residents of Hisayama town, Fukuoka, Japan, aged 50 years or older were examined and the presence of ARM was determined by grading from fundus examination by indirect ophthalmoscope, slit lamp, and colour fundus photographs.

RESULTS The prevalence rate of drusen, which occurred with comparable frequency in men and women, was 9.6%. The frequency of drusen increased with age (p <0.01). Hyperpigmentation and/or hypopigmentation of the retina was present in 3.2%, geographic atrophy in 0.2%, and neovascular age related macular degeneration in 0.67%. The frequency of neovascular age related macular degeneration was significantly higher in the men (1.2% v 0.34%, p <0.01).

CONCLUSIONS Early and late stage ARM is less common among Japanese people than among white people in Western countries, while late stage ARM is more common among Japanese than among black people.

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