PMID- 31747683 OWN - NLM STAT- MEDLINE DCOM- 20200131 LR - 20200131 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 60 IP - 14 DP - 2019 Nov 1 TI - Subretinal Drusenoid Deposits in the Elderly in a Population-Based Study (the Montrachet Study). PG - 4838-4848 LID - 10.1167/iovs.19-27283 [doi] AB - PURPOSE: The aim of this study was to investigate the prevalence of subretinal drusenoid deposits (SDD) and to identify associated factors in an elderly population. METHODS: The participants of the population-based Montrachet study underwent an exhaustive ophthalmologic examination, including color fundus photography and macular spectral domain-optical coherence tomography (SD-OCT), coupled with infrared reflectance imaging. The presence of SDD and other age-related macular degeneration lesions, according to the European Eye Epidemiology SD-OCT classification of macular diseases, and subfoveal choroidal thickness were recorded. Moreover, the association of SDD and both clinical and demographic factors as well as plasma levels of vitamin E and lutein/zeaxanthin (L/Z) were analyzed. RESULTS: The mean age of patients was 82.3 +/- 3.8 years and 62.7% were female. The prevalence of SDD was 18.1% (n = 205) in the subjects with at least one eye interpretable (n = 1135). In multivariate analysis, SDD was positively associated with increasing age (OR, 4.6; 95% CI, 2.8-7.7; P < 0.001 for subjects aged >85 years), female sex (OR, 1.7; 95% CI, 1.2-2.4; P = 0.005), and plasma L/Z level (OR, 1.2; 95% CI, 1.0-1.5; P = 0.039), and negatively associated with lipid-lowering drugs use (OR, 0.5; 95% CI, 0.3-0.9; P = 0.014 for statin medications) and subfoveal choroidal thickness (OR, 0.8; 95% CI, 0.7-0.9; P = 0.002). CONCLUSIONS: The prevalence of SDD was high in subjects older than 75 years, more frequent in women, and was associated with a thinner choroid. The association with lipid-lowering drugs deserves further investigation. FAU - Gabrielle, Pierre-Henry AU - Gabrielle PH AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research Group, CSGA, UMR 1324 INRA, 6265 CNRS, Burgundy University, Dijon, France. FAU - Seydou, Alassane AU - Seydou A AD - Eye and Nutrition Research Group, CSGA, UMR 1324 INRA, 6265 CNRS, Burgundy University, Dijon, France. AD - Department of Epidemiology, INSERM unit, University Hospital, Dijon, France. FAU - Arnould, Louis AU - Arnould L AD - Department of Ophthalmology, University Hospital, Dijon, France. FAU - Acar, Niyazi AU - Acar N AD - Eye and Nutrition Research Group, CSGA, UMR 1324 INRA, 6265 CNRS, Burgundy University, Dijon, France. FAU - Devilliers, Herve AU - Devilliers H AD - Department of Epidemiology, INSERM unit, University Hospital, Dijon, France. FAU - Baudin, Florian AU - Baudin F AD - Department of Ophthalmology, University Hospital, Dijon, France. FAU - Ben Ghezala, Ines AU - Ben Ghezala I AD - Department of Ophthalmology, University Hospital, Dijon, France. FAU - Binquet, Christine AU - Binquet C AD - Department of Epidemiology, INSERM unit, University Hospital, Dijon, France. FAU - Bron, Alain Marie AU - Bron AM AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research Group, CSGA, UMR 1324 INRA, 6265 CNRS, Burgundy University, Dijon, France. FAU - Creuzot-Garcher, Catherine AU - Creuzot-Garcher C AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research Group, CSGA, UMR 1324 INRA, 6265 CNRS, Burgundy University, Dijon, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Zeaxanthins) RN - 1406-18-4 (Vitamin E) RN - X72A60C9MT (Lutein) SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Female MH - France/epidemiology MH - Humans MH - Lutein/blood MH - Male MH - Photography MH - Prevalence MH - Retinal Drusen/blood/*diagnosis/*epidemiology MH - Sex Factors MH - Tomography, Optical Coherence MH - Vitamin E/blood MH - Zeaxanthins/blood EDAT- 2019/11/21 06:00 MHDA- 2020/02/01 06:00 CRDT- 2019/11/21 06:00 PHST- 2019/11/21 06:00 [entrez] PHST- 2019/11/21 06:00 [pubmed] PHST- 2020/02/01 06:00 [medline] AID - 2756022 [pii] AID - 10.1167/iovs.19-27283 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2019 Nov 1;60(14):4838-4848. doi: 10.1167/iovs.19-27283.