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The Retinal Vasculature in Macular Degeneration

The Retinal Vasculature in Macular Degeneration Abstract A clear understanding of the pathogenesis of macular degeneration would be a major addition to our knowledge of pathology, and more important, would give us the possibility of a rational therapy. Past work on this subject has pointed to changes in the lamina vitrea and changes in the choriocapillaris as possible origins of the breakdown that occurs.1-4 Routine histological sections of the retina have failed to show any significant alteration in the retinal vascular system in relation to this disease process. Our population of aged persons has grown tremendously in the last few years and statistical studies have shown macular degeneration after age 65 to involve to some degree almost one third of all eyes studied.5 Macular degeneration as seen in the early years of life on the basis of heredodegenerative disease is relatively a rarity. The macula does become involved in the generalized retinopathy of such conditions References 1. Kornzweig, A.L.; Feldstein, M.; and Schneider, J.: The Pathogenesis of Senile Macular Degeneration , Amer J Ophthal 48:22-28, 1959. 2. Elwyn, H.: Heredo-degeneration and Heredo-constitutional Defects of the Retina , Arch Ophthal 53:619-633, 1955.Crossref 3. Klien, B.A.: Heredo-degeneration of the Macula Lutea , Amer J Ophthal 33:371-379, 1950. 4. Hogan, M.J., and Zimmerman, L.E., eds., Ophthalmic Pathology: An Atlas and Textbook , ed 2, Philadelphia: W.B. Saunders Co., 1962, p 535. 5. Kornzweig, A.L.; Feldstein, M.; and Schneider, J.: Eye in Old Age: IV. Ocular Survey of Over 1000 Aged Persons with Special Reference to Normal and Disturbed Visual Function , Amer J Ophthal , 44:29-37, 1957. 6. Kuwabara, T., and Cogan, D.G.: Studies of Retinal Vascular Patterns: I. Normal Architecture . Arch Ophthal , 64:904-911, 1960.Crossref 7. Kornzweig, A.L.; Eliasoph, I.; and Feldstein, M.: Retinal Vasculature in the Aged , Bull NY Acad Med , 40:116-129, 1964. 8. Reinecke, R.D., et al: Retinal Vascular Patterns: V. Experimental Ischemia of the Cat Eye . Arch Ophthal , 67:470-475, 1962.Crossref 9. Kornzweig, A.L.; Eliasoph, I.; and Feldstein, M.: Occlusive Disease of Retinal Vasculature . Arch Ophthal 71:542-551, 1964.Crossref 10. Kuwabara, T.; Carroll, J.M.; and Cogan, D.G.: Retinal Vascular Patterns: III. Age, Hypertension, Absolute Glaucoma and Injury , Arch Ophthal 65:708, 1961.Crossref 11. Ashton, N.: " Diabetic Retinopathy ," in Disorders of Carbohydrate Metabolism, proceedings of conference at Royal College of Physicians, London, March, 1962 . D. A. Pyke, (ed.), London: Pitman Medical Publishers Co., 1962, pp 195-206. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

The Retinal Vasculature in Macular Degeneration

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1966.00970050328005
Publisher site
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Abstract

Abstract A clear understanding of the pathogenesis of macular degeneration would be a major addition to our knowledge of pathology, and more important, would give us the possibility of a rational therapy. Past work on this subject has pointed to changes in the lamina vitrea and changes in the choriocapillaris as possible origins of the breakdown that occurs.1-4 Routine histological sections of the retina have failed to show any significant alteration in the retinal vascular system in relation to this disease process. Our population of aged persons has grown tremendously in the last few years and statistical studies have shown macular degeneration after age 65 to involve to some degree almost one third of all eyes studied.5 Macular degeneration as seen in the early years of life on the basis of heredodegenerative disease is relatively a rarity. The macula does become involved in the generalized retinopathy of such conditions References 1. Kornzweig, A.L.; Feldstein, M.; and Schneider, J.: The Pathogenesis of Senile Macular Degeneration , Amer J Ophthal 48:22-28, 1959. 2. Elwyn, H.: Heredo-degeneration and Heredo-constitutional Defects of the Retina , Arch Ophthal 53:619-633, 1955.Crossref 3. Klien, B.A.: Heredo-degeneration of the Macula Lutea , Amer J Ophthal 33:371-379, 1950. 4. Hogan, M.J., and Zimmerman, L.E., eds., Ophthalmic Pathology: An Atlas and Textbook , ed 2, Philadelphia: W.B. Saunders Co., 1962, p 535. 5. Kornzweig, A.L.; Feldstein, M.; and Schneider, J.: Eye in Old Age: IV. Ocular Survey of Over 1000 Aged Persons with Special Reference to Normal and Disturbed Visual Function , Amer J Ophthal , 44:29-37, 1957. 6. Kuwabara, T., and Cogan, D.G.: Studies of Retinal Vascular Patterns: I. Normal Architecture . Arch Ophthal , 64:904-911, 1960.Crossref 7. Kornzweig, A.L.; Eliasoph, I.; and Feldstein, M.: Retinal Vasculature in the Aged , Bull NY Acad Med , 40:116-129, 1964. 8. Reinecke, R.D., et al: Retinal Vascular Patterns: V. Experimental Ischemia of the Cat Eye . Arch Ophthal , 67:470-475, 1962.Crossref 9. Kornzweig, A.L.; Eliasoph, I.; and Feldstein, M.: Occlusive Disease of Retinal Vasculature . Arch Ophthal 71:542-551, 1964.Crossref 10. Kuwabara, T.; Carroll, J.M.; and Cogan, D.G.: Retinal Vascular Patterns: III. Age, Hypertension, Absolute Glaucoma and Injury , Arch Ophthal 65:708, 1961.Crossref 11. Ashton, N.: " Diabetic Retinopathy ," in Disorders of Carbohydrate Metabolism, proceedings of conference at Royal College of Physicians, London, March, 1962 . D. A. Pyke, (ed.), London: Pitman Medical Publishers Co., 1962, pp 195-206.

Journal

Archives of Ophthalmology – American Medical Association

Published: Mar 1, 1966

References

  • The Pathogenesis of Senile Macular Degeneration
    Kornzweig , A.L.; Feldstein, M.; and Schneider, J.
  • Heredo-degeneration and Heredo-constitutional Defects of the Retina
    Elwyn , H.
  • Heredo-degeneration of the Macula Lutea
    Klien , B.A.
  • Ophthalmic Pathology: An Atlas and Textbook
    Hogan , M.J., and Zimmerman, L.E., eds.,
  • Eye in Old Age: IV. Ocular Survey of Over 1000 Aged Persons with Special Reference to Normal and Disturbed Visual Function
    Kornzweig , A.L.; Feldstein, M.; and Schneider, J.
  • Studies of Retinal Vascular Patterns: I. Normal Architecture
    Kuwabara , T., and Cogan, D.G.
  • Retinal Vasculature in the Aged
    Kornzweig , A.L.; Eliasoph, I.; and Feldstein, M.
  • Retinal Vascular Patterns: V. Experimental Ischemia of the Cat Eye
    Reinecke , R.D., et al
  • Occlusive Disease of Retinal Vasculature
    Kornzweig , A.L.; Eliasoph, I.; and Feldstein, M.
  • Retinal Vascular Patterns: III. Age, Hypertension, Absolute Glaucoma and Injury
    Kuwabara , T.; Carroll, J.M.; and Cogan, D.G.
  • Disorders of Carbohydrate Metabolism, proceedings of conference at Royal College of Physicians, London, March, 1962
    Ashton , N.: "