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  Vol. 112 No. 8, August 1994 TABLE OF CONTENTS
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  Epidemiology and Biostatistics
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Symptomatic Choroidal Neovascularization in Blacks

Antonio Capone, Jr, MD; R. Trent Wallace, MD; Travis A. Meredith, MD

Arch Ophthalmol. 1994;112(8):1091-1097.


Abstract



Objective
To acquire descriptive clinical information regarding choroidal neovascularization (CNV) in black Americans.

Design
Retrospective review of 1308 fluorescein angiograms obtained during a 4-year interval. Color photographs and clinical records of all black patients with angiographically apparent CNV were subsequently reviewed.

Setting
Retina service of an inner-city county hospital in Atlanta, Ga, serving a predominantly black population.

Results
Thirty blacks with CNV (36 of 59 eyes) were identified, 26 (87%) of whom were female. Active, exudative neovascularization was present in at least one eye of 21 patients (70%). Patients were assigned to one of four diagnostic groups for analysis. Group 1 was made up of 13 patients (43%) with age-related macular degeneration with CNV. Women outnumbered men 5.5:1. Choroidal neovascularization was peripapillary in seven (54%) of these 13 patients. Group 2 was made up of six patients (20%) with idiopathic CNV, which was peripapillary in all eyes. Group 3 consisted of three women (10%) with idiopathic polypoidal choroidal vasculopathy. Group 4 was composed of eight patients (27%) with secondary CNV. The CNV was peripapillary in three (33%) of nine eyes, and women outnumbered men 7:1.

Conclusions
The spectrum of neovascular maculopathy in blacks in the current study differed from that typically seen in whites, both clinically and demographically. Clinically, CNV was most commonly juxtapapillary (13 [68%] of 19 patients) and unilateral (12[92%] of 13 patients) among the age-related macular degeneration and idiopathic groups, while six (20%) of 30 patients (all older than 50 years) had CNV in the absence of drusen or other known predisposing conditions. Disciform-stage CNV in both groups was associated with a greater degree of pigment proliferation than that typically noted in whites. Demographically, female predominance (87% overall) was dramatic compared with prior studies.



Author Affiliations



From the Retina Service, Department of Ophthalmology, Emory University, Atlanta, Ga. Dr Wallace is currently with Vanderbilt University, Nashville, Tenn. Dr Meredith is currently with Retina Consultants Ltd, St Louis, Mo.



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Polypoidal Choroidal Vasculopathy: Incidence, Demographic Features, and Clinical Characteristics
Sho et al.
Arch Ophthalmol 2003;121:1392-1396.
ABSTRACT | FULL TEXT  

Clinicopathologic Correlation of Idiopathic Polypoidal Choroidal Vasculopathy
Rosa et al.
Arch Ophthalmol 2002;120:502-508.
FULL TEXT  

The Expanding Clinical Spectrum of Idiopathic Polypoidal Choroidal Vasculopathy
Yannuzzi et al.
Arch Ophthalmol 1997;115:478-485.
ABSTRACT  





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