Age-related macular degeneration associated with optic disc drusen

ObjectiveThe aim of this study was to investigate the risk of age-related macular degeneration (AMD) in association with optic disc drusen (ODD).DesignThis was an observational, cross-sectional study.ParticipantsParticipants were consecutive patients with and without ODD from the neuro-ophthalmology...

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Main Authors: Anas Alkhabaz, Min Young Kim, Rishita Pujari, Jamie Zhang, Yulan Ren, Loh-Shan Bryan Leung, Yaping Joyce Liao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Ophthalmology
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Online Access:https://www.frontiersin.org/articles/10.3389/fopht.2025.1620616/full
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author Anas Alkhabaz
Min Young Kim
Min Young Kim
Rishita Pujari
Jamie Zhang
Yulan Ren
Loh-Shan Bryan Leung
Yaping Joyce Liao
author_facet Anas Alkhabaz
Min Young Kim
Min Young Kim
Rishita Pujari
Jamie Zhang
Yulan Ren
Loh-Shan Bryan Leung
Yaping Joyce Liao
author_sort Anas Alkhabaz
collection DOAJ
description ObjectiveThe aim of this study was to investigate the risk of age-related macular degeneration (AMD) in association with optic disc drusen (ODD).DesignThis was an observational, cross-sectional study.ParticipantsParticipants were consecutive patients with and without ODD from the neuro-ophthalmology clinic. Ten patients with concomitant ODD-AMD were sub-analyzed.MethodsThe two cohorts were identified from a prospectively recruited dataset between July 2022 and June 2024. Patients received formal diagnoses of ODD and AMD after ophthalmic and imaging assessment. A logistic regression model was utilized in calculating AMD risk to account for demographic differences.ResultsA total of 94 patients with ODD (median age: 44 [Q1: 20, Q3: 69], 64% women) and 100 patients without ODD (median age: 60 [Q1: 44, Q3: 69], 48% women) were identified. AMD was observed in 9.6% and 3% of the ODD and non-ODD cohorts, respectively. The risk of AMD was higher in the ODD group (OR = 3.93, 95% CI: 0.89–21.85, p = 0.084). Although the association was not statistically significant, a logistic regression model attributed that to the age difference between the two cohorts. Of the 10 patients with ODD-AMD, 70% had a family history of AMD. These patients were all Caucasians and had a median age of 75 years (range: 56–91); 70% were women. Only 30% were smokers. On optic disc imaging, 70% of eyes demonstrated moderate-to-severe ODD.ConclusionPatients with ODD might be at a higher risk of AMD compared to patients without ODD, and AMD screening might be warranted. A family history of AMD is often present, indicating shared genetic risk factors.
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spelling doaj-art-bf3318c912614ba198fcd65276f6fa0b2025-08-20T02:38:30ZengFrontiers Media S.A.Frontiers in Ophthalmology2674-08262025-07-01510.3389/fopht.2025.16206161620616Age-related macular degeneration associated with optic disc drusenAnas Alkhabaz0Min Young Kim1Min Young Kim2Rishita Pujari3Jamie Zhang4Yulan Ren5Loh-Shan Bryan Leung6Yaping Joyce Liao7Department of Ophthalmology, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Ophthalmology, Stanford University School of Medicine, Stanford, CA, United StatesOakland University William Beaumont School of Medicine, Rochester, MI, United StatesDepartment of Ophthalmology, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Ophthalmology, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Ophthalmology, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Ophthalmology, Stanford University School of Medicine, Stanford, CA, United StatesDepartment of Ophthalmology, Stanford University School of Medicine, Stanford, CA, United StatesObjectiveThe aim of this study was to investigate the risk of age-related macular degeneration (AMD) in association with optic disc drusen (ODD).DesignThis was an observational, cross-sectional study.ParticipantsParticipants were consecutive patients with and without ODD from the neuro-ophthalmology clinic. Ten patients with concomitant ODD-AMD were sub-analyzed.MethodsThe two cohorts were identified from a prospectively recruited dataset between July 2022 and June 2024. Patients received formal diagnoses of ODD and AMD after ophthalmic and imaging assessment. A logistic regression model was utilized in calculating AMD risk to account for demographic differences.ResultsA total of 94 patients with ODD (median age: 44 [Q1: 20, Q3: 69], 64% women) and 100 patients without ODD (median age: 60 [Q1: 44, Q3: 69], 48% women) were identified. AMD was observed in 9.6% and 3% of the ODD and non-ODD cohorts, respectively. The risk of AMD was higher in the ODD group (OR = 3.93, 95% CI: 0.89–21.85, p = 0.084). Although the association was not statistically significant, a logistic regression model attributed that to the age difference between the two cohorts. Of the 10 patients with ODD-AMD, 70% had a family history of AMD. These patients were all Caucasians and had a median age of 75 years (range: 56–91); 70% were women. Only 30% were smokers. On optic disc imaging, 70% of eyes demonstrated moderate-to-severe ODD.ConclusionPatients with ODD might be at a higher risk of AMD compared to patients without ODD, and AMD screening might be warranted. A family history of AMD is often present, indicating shared genetic risk factors.https://www.frontiersin.org/articles/10.3389/fopht.2025.1620616/fulloptic disc drusenage-related macular degenerationmultimodal imagingmacular drusencalcification
spellingShingle Anas Alkhabaz
Min Young Kim
Min Young Kim
Rishita Pujari
Jamie Zhang
Yulan Ren
Loh-Shan Bryan Leung
Yaping Joyce Liao
Age-related macular degeneration associated with optic disc drusen
Frontiers in Ophthalmology
optic disc drusen
age-related macular degeneration
multimodal imaging
macular drusen
calcification
title Age-related macular degeneration associated with optic disc drusen
title_full Age-related macular degeneration associated with optic disc drusen
title_fullStr Age-related macular degeneration associated with optic disc drusen
title_full_unstemmed Age-related macular degeneration associated with optic disc drusen
title_short Age-related macular degeneration associated with optic disc drusen
title_sort age related macular degeneration associated with optic disc drusen
topic optic disc drusen
age-related macular degeneration
multimodal imaging
macular drusen
calcification
url https://www.frontiersin.org/articles/10.3389/fopht.2025.1620616/full
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