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IJCRR. 2013; 5(18): 54-59


EVALUATION OF AGE RELATED MACULAR DEGENERATION AMONG PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN A TERTIARY HEALTH CARE CENTRE

Somanath Dash, Satish K., Mishra S. K., P.Harshavardhan V..

Abstract
Chronic obstructive pulmonary disease (COPD) is one of the leading causes of human morbidity and mortality globally. Its significant extra pulmonary effects have been well evidenced by many studies by different researchers. Age related macular degeneration (ARMD) which is a very common cause of blindness in elderly people is a common occurrence in many COPD cases in our clinical practice. The present study was attempted to find the existence of age related macular degeneration (ARMD) in elderly COPD patients. The study was conducted in a medical college hospital of Andhra Pradesh which is a tertiary care centre. The study was conducted among 107 COPD patients above 50 years of age. All the patients were subjected to examination of the fundus of their eyes. All statistical analyses were performed by MS Excel 2007. In twenty three subjects evidence of age related macular degeneration was found. The ARMD was more in severe and very severe stage of COPD. It was also observed more in the current smokers, especially those who are smoking more number of cigars per day. Among all the smokers 22.6% were having ARMD. Even the ARMD was also found in 24% of former smokers, those who have already stopped smoking earlier. In two non-smoker COPD subjects also ARMD was detected. The present study attempted to establish a causal relationship between these two disease entities and many significant observations were made.

Key words: COPD, GOLD Staging, ARMD



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