Since 1874, when it was first described in the medical literatureas "symmetrical central choroido-retinal disease occurring insenile persons,"1 age-related macular degeneration has alsobeen referred to as senile, or diskiform, macular degeneration,among many other terms. About 25 years ago, the term "age-relatedmaculopathy" was coined and its end stage was acknowledged asage-related macular degeneration. In this review, I use thecommonly accepted age-related macular degeneration, althoughI have reservations about its appropriateness. After brieflydescribing the clinical features of age-related macular degeneration,I turn to the physiology of the aging macula and to mechanismsimplicated in . . . [Full Text of this Article]
Clinical Signs and Symptoms
The Outer Retina and Adjacent Tissues
The Retinal Pigment Epithelium
Phagocytosis by RPE Cells
Lipofuscin and A2E
Chromophores
Bruch's Membrane
Ruysch's Complex
Mechanisms
Genetics
Smoking
Light-Induced Toxic Effects
Converging Risk Factors
A Final Note on Nomenclature
Source Information
From the Department of Ophthalmogenetics, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Arts and Sciences, Amsterdam; the Department of Ophthalmology, Academic Medical Center, University of Amsterdam, Amsterdam; and the Department of Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam all in the Netherlands.
Address reprint requests to Dr. de Jong at the Department of Ophthalmogenetics, Netherlands Institute for Neuroscience, KNAW, Meibergdreef 47, 1105 BA Amsterdam, the Netherlands, or at p.dejong@nin.knaw.nl.
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