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Epidemiology of vitreomacular interface abnormalities using macular spectral-domain optical coherence tomography in an elderly population (the Montrachet study)

Abstract : PURPOSE: The aim of this study was to investigate the prevalence of vitreomacular interface abnormalities (VMIAs) and to identify associated factors in an elderly population in Europe. METHODS: The MONTRACHET (Maculopathy Optic Nerve nuTRition neurovAsCular and HEarT diseases) Study is a population-based study, conducted in subjects older than 75 years. Vitreomacular adhesions, vitreomacular tractions, macular holes, epiretinal membranes, and macular cysts were assessed on spectral-domain optical coherence tomography examinations. The prevalence of VMIAs was estimated. We studied the association of demographic and clinical factors with VMIAs. RESULTS: The mean age of the participants was 82.3 (SD, 3.8) years, and 37.3% were men. The prevalence rates of VMIAs were vitreomacular adhesions (17.7%), vitreomacular tractions (1.4%), lamellar macular holes (1.0%), full-thickness macular holes (0.2%), macular pseudoholes (0.4%), epiretinal membranes (38.9%), and macular cysts (5.8%). In multivariate analysis, vitreomacular adhesions were positively associated with male sex (P < 0.001) and negatively associated with older age (P < 0.001) and cataract extraction (P < 0.001). Epiretinal membranes were positively associated with older age (P < 0.001) and cataract extraction (P < 0.001). CONCLUSION: The prevalence of VMIAs based on spectral-domain optical coherence tomography analysis was high in subjects older than 75 years.
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https://hal.inrae.fr/hal-02869553
Déposant : Sabine Julien <>
Soumis le : mardi 16 juin 2020 - 10:09:44
Dernière modification le : mercredi 17 juin 2020 - 03:27:12

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Inès Ben Ghezala, Alassane Seydou, Pierre-Henry Gabrielle, Jacques Bouche-Pillon, Christine Binquet, et al.. Epidemiology of vitreomacular interface abnormalities using macular spectral-domain optical coherence tomography in an elderly population (the Montrachet study). RETINA, Lippincott, Williams & Wilkins, In press, Publish Ahead of Print, ⟨10.1097/iae.0000000000002802⟩. ⟨hal-02869553⟩

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