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Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration
Published on: May 26, 2023
The Relationship between Age-Related Macular Degeneration and Cardiovascular Disease: A Meta-Analysis
Jungmin Lee1, Heuy Sun Suh2, In Cheol Hwang2
1Department of Cognitive Science, University of California, Berkeley, CA, USA.
Insights
Age-related macular degeneration (AMD) is a significant risk factor for cardiovascular disease (CVD), particularly stroke. Early detection and treatment of AMD may offer unexplored benefits for preventing CVD.
Area of Science:
- Ophthalmology
- Cardiology
- Epidemiology
Background:
- Age-related macular degeneration (AMD) and cardiovascular disease (CVD) share common underlying pathological mechanisms.
- The temporal relationship between AMD and CVD has not been clearly established.
- Understanding this relationship is crucial for patient management and public health.
Purpose of the Study:
- To conduct a meta-analysis of longitudinal studies.
- To evaluate the interactive association between AMD and CVD.
- To determine the lead-lag relationship between these conditions.
Main Methods:
- Comprehensive literature search of PubMed, Embase, and Cochrane Library up to February 2019.
- Pooled estimates based on study quality and specific types of AMD and CVD.
- Assessed publication bias using Begg's test.
Main Results:
- Nine studies examined the risk of AMD in CVD patients; ten studies examined the risk of CVD in AMD patients.
- Evidence indicates AMD is a risk factor for CVD, with late AMD showing a stronger association.
- Stroke demonstrated a closer link to AMD compared to coronary heart disease.
Conclusions:
- AMD is confirmed as a risk factor for CVD, predominantly driven by an elevated stroke risk in individuals with late AMD.
- Screening for CVD in AMD patients and potential AMD treatments may hold significant, yet unexplored, clinical benefits.
Background:
Age-related macular degeneration (AMD) and cardiovascular disease (CVD) share pathogenic mechanisms, and their lead-lag relationship remains unclear. We performed a meta-analysis of data from longitudinal studies to evaluate the interactive association between age-related macular degeneration (AMD) and cardiovascular disease (CVD).
Methods:
A literature search was performed in PubMed, Embase, and Cochrane Library up to Feb 2019. Estimates were pooled by study quality and type of AMD and CVD. Publication bias was assessed by Begg's test.
Results:
We identified nine studies for the risk of AMD in CVD and ten studies for the risk of CVD in AMD. Overall, evidence for the risk of CVD in AMD patients was most robust. Both early and late AMD preceded CVD, but more solid significance existed in late AMD. Among the types of CVD, stroke was more tightly associated with AMD than coronary heart disease. Publication bias was not significant in either direction.
Conclusion:
AMD is a risk factor for CVD, which is primarily driven by the increased risk of stroke in patients with late AMD. Moreover, these results suggested that AMD treatment and screening for CVD in AMD patients may have unexplored clinical benefits.
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