301. Clinical manifestations of cuticular drusen in Korean patients
- Author
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Don-Il Ham, Jong Chul Han, Dong Hoon Shin, Mingui Kong, and Gyule Han
- Subjects
Male ,0301 basic medicine ,genetic structures ,Fundus (eye) ,Cuticular drusen ,0302 clinical medicine ,Medicine ,Fluorescein Angiography ,Aged, 80 and over ,Multidisciplinary ,Eye Diseases, Hereditary ,Middle Aged ,Retinal diseases ,Vitelliform Macular Dystrophy ,Choroidal neovascularization ,Vision disorders ,Female ,medicine.symptom ,Tomography, Optical Coherence ,medicine.medical_specialty ,Fundus Oculi ,Science ,Retinal Drusen ,Drusen ,Retina ,Article ,03 medical and health sciences ,Geographic Atrophy ,Ophthalmology ,Republic of Korea ,Humans ,Aged ,Multimodal imaging ,business.industry ,Macular degeneration ,Retinal Detachment ,medicine.disease ,Choroidal Neovascularization ,eye diseases ,Geographic atrophy ,030104 developmental biology ,030221 ophthalmology & optometry ,Bruch Membrane ,sense organs ,Visual system ,business ,Complication - Abstract
Cuticular drusen show some similarities to and differences from soft drusen in age-related macular degeneration (AMD) and might thus be a unique AMD subtype. Previous studies on cuticular drusen were performed mainly in white ethnic groups, but AMD shows ethnic differences. We investigated clinical manifestations of cuticular drusen in Korean patients to evaluate possible ethnic differences. Clinical records of Korean patients with cuticular drusen were retrospectively reviewed. Fundus distribution pattern, imaging features, and presence of large drusen, drusenoid pigment epithelial detachment (PED), and macular complications, including geographic atrophy (GA), choroidal neovascularization (CNV), and acquired vitelliform lesion (AVL), were assessed via multimodal imaging in 162 eyes with cuticular drusen (n = 81 patients; 67 females; mean age: 66.6 ± 9.1 years). Diffuse distribution was found in 61.7% and peripapillary involvement in 75.3% of eyes. Large drusen, drusenoid PED, GA, CNV, and AVL were observed in 59.3%, 26.5%, 18.5%, 3.7%, and 1.2% of eyes, respectively. The macular complication prevalence was similar between patients ≤ 60 and those > 60 years old. In Korean patients, cuticular drusen were less frequently associated with macular complications than in white patients, and the proportion of macular complications differed significantly, with AVL representing an uncommon complication.
- Published
- 2020