Study objective-The aim was to determine, employing non-invasive procedures, the prevalence of age related macular degeneration in persons 50 years of age and over.Design-A clinical investigation and a retrospective examination of ophthalmological records were employed in this study.Setting-The study was conducted over the period 1988 to 1990 Other studies have computed rates for age related macular degeneration from samples which did not have an upper age limit.5 6 However, in both of these studies the samples were specialised, self selecting, and either had a pre-existing medical condition or were attending an ophthalmological clinic.Irrespective of the source of the sample and the associated errors of measurement, definition of disease, and restricted age range, all research on age related macular degeneration shows an increase in prevalence with age. The prevalence findings across age groups for the studies cited above are summarised in table I.Each of the above studies presents with one or more limitations which prevent generalisations of their findings to the elderly population 50 years of age and over. These limitations can be categorised into three generic areas; the manner in which the disease is defined, the inclusion of a certain Snellen visual acuity criterion as a sign of the disease, and finally the nature of the sample used in the specific study. These three general limitations lead to some question as to the accuracy of the prevalence rates presented for age related macular degeneration. The aim of the present study was to determine, employing non-invasive procedures, the prevalence of this disorder in persons 50 years of age and over.
Methods