“…The pathological degradation or accumulation of ECM structural components, which may eventually lead to AMD development, is caused by a dysregulation of specific MMP/TIMP complexes, and also by the influence of other mechanisms connected with both genetic and environmental factors [ 18 , 19 ]. Moreover, a growing number of studies have recently reported the association between different polymorphisms of MMP and TIMP genes and AMD [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. Therefore, not only age, but also genetic components and environmental stress factors, contribute to the occurrence of the disease, which explains why not all elderly people have AMD [ 39 , 40 ].…”