Evolution of soft drusen in age-related macular degeneration

The pathways by which soft drusen are formed are illustrated by representative clinical and clinicopathological cases. One type is derived from small hard drusen which first tend to aggregate into clusters and then fuse, forming larger deposits termed hard clusters. Breakdown of the hard drusen resu...

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Published inEye (London) Vol. 8; no. 3; pp. 269 - 283
Main Authors SARKS, J. P, SARKS, S. H, KLIINGSWORTH, M. C
Format Journal Article
LanguageEnglish
Published Basingstoke Nature Publishing Group 01.01.1994
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Abstract The pathways by which soft drusen are formed are illustrated by representative clinical and clinicopathological cases. One type is derived from small hard drusen which first tend to aggregate into clusters and then fuse, forming larger deposits termed hard clusters. Breakdown of the hard drusen results in varying degrees of softening and confluence. These soft clusters may appear in middle age and, like the preceding hard drusen, remain a focal pathology. Soft clusters commonly lead to the atrophic form of age-related macular degeneration. Another type of soft drusen is formed from membranous debris as part of a diffuse disturbance of the retinal pigment epithelium. These membranous soft drusen first appear in the seventh decade and are commonly associated with choroidal neovascularisation.
AbstractList The pathways by which soft drusen are formed are illustrated by representative clinical and clinicopathological cases. One type is derived from small hard drusen which first tend to aggregate into clusters and then fuse, forming larger deposits termed hard clusters. Breakdown of the hard drusen results in varying degrees of softening and confluence. These soft clusters may appear in middle age and, like the preceding hard drusen, remain a focal pathology. Soft clusters commonly lead to the atrophic form of age-related macular degeneration. Another type of soft drusen is formed from membranous debris as part of a diffuse disturbance of the retinal pigment epithelium. These membranous soft drusen first appear in the seventh decade and are commonly associated with choroidal neovascularisation.
Author SARKS, S. H
KLIINGSWORTH, M. C
SARKS, J. P
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https://www.ncbi.nlm.nih.gov/pubmed/7525362$$D View this record in MEDLINE/PubMed
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Issue 3
Keywords Human
Pathology
Macula
Eye disease
Retinopathy
Drusen
Pathogenesis
Exploration
Retina
Maculopathy
Degeneration
Elderly
Language English
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Snippet The pathways by which soft drusen are formed are illustrated by representative clinical and clinicopathological cases. One type is derived from small hard...
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pubmed
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nature
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StartPage 269
SubjectTerms Adult
Aged
Aged, 80 and over
Aging - pathology
Biological and medical sciences
Female
Fluorescein Angiography
Humans
Macular Degeneration - complications
Macular Degeneration - pathology
Male
Medical sciences
Microscopy, Electron
Middle Aged
Neovascularization, Pathologic - pathology
Ophthalmology
Retina - ultrastructure
Retinal Detachment - etiology
Retinal Drusen - etiology
Retinal Drusen - pathology
Retinopathies
Title Evolution of soft drusen in age-related macular degeneration
URI http://dx.doi.org/10.1038/eye.1994.57
https://www.ncbi.nlm.nih.gov/pubmed/7525362
https://search.proquest.com/docview/76824754
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