Swathi Kanduri
The University of Auckland

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Current understanding of Age-related macular degeneration Swathi Kanduri
International Journal of Retina Vol 3 No 2 (2020): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2020.vol003.iss002.112

Abstract

Age-related macular degeneration (AMD) is the leading cause of irreversible blindness in the elderly population 50 years of age or older in the developed countries. This review discusses the traditional clinical and histopathological presentation of AMD, epidemiology and genetics component in relation to the current understanding of the vascular nature of the disease. Therapeutic approaches to treat the disease are also included in the review.
Quantitative Morphological Changes of the Choroidal Vasculature in Normal Aged and Diseased Human Donor eyes Swathi Kanduri
International Journal of Retina Vol 4 No 1 (2021): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2021.vol004.iss001.135

Abstract

Introduction: To analyze whether the choriocapillaries undergo degenerative changes with age and disease. Corrosion casts of choroidal vessels in human donors were investigated by scanning electron microscopy (SEM) to understand the vasculature changes with age.Method: The patterns of blood vessels, vortex veins, ciliary arteries placements, capillaries placement from centre to periphery in different quadrants and regions of choroid were evaluated in twenty donor normal tissues aged from 20-90 years. Nine donors had diabetic donor tissues were evaluated in which different quadrants with laser marks and loss of blood vessels were quantified along with, six donors with signs of age-related macular degeneration were evaluated using a light stereoscopic dissection microscope. Six human donors were investigated by SEM of which two tissues were normal, two had diabetic retinopathy and two presented with age related macular degeneration changes. Result: The quantitative evaluation revealed that in normal to diseased there is a decrease of the blood vessel density in comparison to the total area of the choroid. There was also slight decrease from to centre to periphery in the % area of the blood vessel placement. Morphological identification noted was a greater number of vortex veins were noted in inferior end than the superior end. There was prominent loss of blood vessel bed was noted beneath the lasered areas in diabetic retinopathy tissues. Conclusion: Loss of % area of blood vessel density was directly correlating with the progression of age and in diabetic retinopathy diseased tissues we noted prominent loss of blood vessels underneath the laser treated areas. In age related macular degeneration, loss of blood vessels was prominent in different quadrants with age too.