Prevalence and Risk Factors for Polypoidal Choroidal Vasculopathy in a General Japanese Population: The Hisayama Study

Semin Ophthalmol. 2018;33(6):813-819. doi: 10.1080/08820538.2018.1506483. Epub 2018 Aug 7.

Abstract

Purpose: To estimate the prevalence and risk factors for polypoidal choroidal vasculopathy (PCV) in a general Japanese population.

Methods: This population-based, cross-sectional study was conducted in 2007 with subjects from the Hisayama Study. Of the 3,648 residents in Hisayama, Japan, 2,663 who were ≥ 50 years old were enrolled in this study. The characteristics of PCV were determined by fundus examination or based on indocyanine green and fluorescein angiographic findings. We evaluated the contributions of the risk factors for PCV.

Results: Among the 207 participants with age-related macular degeneration (AMD), 174 (6.5%) had early AMD, and 33 (1.2%) had late AMD, including 10 participants with PCV (0.4%). Male and smoking habit were significant risk factors for the development of PCV.

Conclusions: The prevalence of PCV is higher among Japanese subjects than Caucasians in Western countries. Male gender and smoking habit were significant risk factors for PCV in a general Japanese population.

Keywords: Polypoidal choroidal vasculopathy; age-related macular degeneration; population-based study; prevalence; risk factors.

Publication types

  • Multicenter Study

MeSH terms

  • Age Distribution
  • Choroid / blood supply*
  • Choroid Diseases / complications
  • Choroid Diseases / diagnosis
  • Choroid Diseases / epidemiology*
  • Cross-Sectional Studies
  • Female
  • Fluorescein Angiography
  • Follow-Up Studies
  • Fundus Oculi
  • Humans
  • Japan / epidemiology
  • Male
  • Polyps / diagnosis
  • Polyps / epidemiology*
  • Population Surveillance*
  • Prevalence
  • Risk Assessment*
  • Risk Factors
  • Sex Distribution
  • Time Factors
  • Wet Macular Degeneration / complications
  • Wet Macular Degeneration / diagnosis
  • Wet Macular Degeneration / epidemiology