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Socio-economic deprivation and visual acuity at presentation in exudative Age Related Macular Degeneration
  1. Nachiketa Acharya (nachiketa{at}nachiketa.plus.com),
  2. Noemi Lois (noemilois{at}aol.com),
  3. John Townend (j.townend{at}abdn.ac.uk),
  4. Sarah Zaher (sarah_zaher{at}hotmail.com),
  5. Michael Gallagher (mjgallagher{at}doctors.org.uk),
  6. Mike Gavin (mike.gavin{at}northglasgow.scot.nhs.uk)
  1. Department of Ophthalmology, Grampian University Hospitals-NHS Trust, Aberdeen, United Kingdom
  2. Department of Ophthalmology, Grampian University Hospitals-NHS Trust, Aberdeen, United Kingdom
  3. Department of Public Health, University of Aberdeen, Aberdeen, Scotland, United Kingdom
  4. MRCOphth, United Kingdom
  5. Department of Ophthalmology, Gartnavel General Hospital, Glasgow, United Kingdom
  6. Department of Ophthalmology, Gartnavel General Hospital, Glasgow, United Kingdom

    Abstract

    Aim: Evaluate the influence of socioeconomic factors on visual acuity (VA) at presentation in exudative age-related macular degeneration (AMD).

    Methods: The medical records of all consecutive patients with newly diagnosed exudative AMD examined at the Ophthalmology Departments of Grampian University Hospitals-NHS Trust, Aberdeen, and Gartnavel General Hospital, Glasgow, between July-2004 and June-2005, were reviewed. Demographics, duration of symptoms, VA in study and fellow eye, exudative AMD characteristics, status of fellow eye, and patient home address, used to determine the Scottish Index of Multiple Deprivation (SIMD) score, were recorded. The effect of these parameters on VA at presentation was investigated using general linear modelling.

    Results: Two-hundred and forty patients (median age 79 years) were included in this study; forty-four (18.3%) belonged to the lowest 20% SIMD score (most deprived). Age and location and type of the choroidal neovascularization were statistically significantly associated with VA at presentation (p = 0.003, p < 0.001, and p < 0.001 respectively). Neither SIMD scores (p = 0.959 ), area (Glasgow/Aberdeen) (0.247) or VA in the fellow eye (p = 0.056) were associated with presenting vision.

    Conclusions: Age, location and type of CNV, but not socio-economic deprivation were associated with VA at presentation in exudative AMD.

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