Macular and Plasma Xanthophylls Are Higher in Age-related Macular Degeneration than in Normal Aging

Autor: Gerald McGwin, Jr., PhD, Deepayan Kar, MS, Andreas Berlin, MD, Mark E. Clark, MEng, Thomas A. Swain, MPH, Jason N. Crosson, MD, Kenneth R. Sloan, PhD, Cynthia Owsley, PhD, MSPH, Christine A. Curcio, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Ophthalmology Science, Vol 3, Iss 2, Pp 100263- (2023)
Druh dokumentu: article
ISSN: 2666-9145
DOI: 10.1016/j.xops.2022.100263
Popis: Purpose: Quantification of retinal xanthophyll carotenoids in eyes with and without age-related macular degeneration (AMD) via macular pigment optical volume (MPOV), a metric for xanthophyll abundance from dual wavelength autofluorescence, plus correlations to plasma levels, could clarify the role of lutein (L) and zeaxanthin (Z) in health, AMD progression, and supplementation strategies. Design: Cross-sectional observational study (NCT04112667). Participants: Adults ≥ 60 years from a comprehensive ophthalmology clinic, with healthy maculas or maculas meeting fundus criteria for early or intermediate AMD. Methods: Macular health and supplement use was assessed by the Age-related Eye Disease Study (AREDS) 9-step scale and self-report, respectively. Macular pigment optical volume was measured from dual wavelength autofluorescence emissions (Spectralis, Heidelberg Engineering). Non-fasting blood draws were assayed for L and Z using high-performance liquid chromatography. Associations among plasma xanthophylls and MPOV were assessed adjusting for age. Main Outcome Measures: Age-related macular degeneration presence and severity, MPOV in fovea-centered regions of radius 2.0° and 9.0°; plasma L and Z (μM/ml). Results: Of 809 eyes from 434 persons (89% aged 60–79, 61% female), 53.3% eyes were normal, 28.2% early AMD, and 18.5% intermediate AMD. Macular pigment optical volume 2° and 9° were similar in phakic and pseudophakic eyes, which were combined for analysis. Macular pigment optical volume 2° and 9° and plasma L and Z were higher in early AMD than normal and higher still in intermediate AMD (P
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