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Retina Arter Tıkanıklıkları ve Tedavisi...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
Central Retinal Artery Occlusion As the Cause of Unilateral Concentric Narrowing of Visual Field and Presence of Cilioretinal Artery...
Bilateral Optic Disc Drusen
Vascular Endothelial Growth Factor and Anti VEGF Agents...
Central Retinal Artery Occlusion As the Cause of Unilateral Concentric Narrowing of Visual Field and Presence of Cilioretinal Artery...
Retina Arter Tıkanıklıkları ve Tedavisi...
Morning Glory Syndrome Associated with Retinochoroidal Coloboma...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
Bilateral Optic Disc Drusen
PureSee Kesintisiz Yüksek Kalitede Görüş
Retina-Vitreous 2022 , Vol 31 , Num 1
Turkish Abstract Abstract Free Full Text English Similar Articles Mail to Author
Can CHADS2 and CHA2DS2-VASc Scores be Used to Predict Clinical Outcomes in Patients with Age-Related Macular Degeneration?
Erdinc Bozkurt, Ersin Muhafız, Şerif Nizamoğulları, İbrahim Rencüzoğulları
1Ophthalmologist, MD, University of Health Sciences, Umraniye Training and research Hospital, Ophthalmology Department, Istanbul, Turkey
2Associate Professor, MD, Kafkas University Faculty of Medicine, Ophthalmology Department, Kars, Turkey
3Assistant Dr, MD, Kafkas University Faculty of Medicine, Ophthalmology Department, Kars, Turkey
4Associate Professor, MD, Kafkas University Faculty of Medicine, Cardiology Department, Kars Turkey
DOI : 10.37845/ret.vit.2022.31.10 Purpose: To evaluate the usability of CHADS2 and CHA2DS2-VASc scores in clinical practice for age-related macular degeneration (AMD) and their effects on treatment prognosis in wet-type AMD.

Materials and Methods: Ninety patients with dry-type AMD aged 65-90 years, 115 patients with wet-type AMD, and 90 controls without any retinal disease were included in the study. Best-corrected visual acuity (BCVA) values and previously administered intravitreal anti-VEGF injection (IVI) treatments were recorded. The ejection fractions of the patients were measured and evaluated for the diagnosis of congestive heart failure (CHF). The presence of diabetes mellitus (DM), hypertension (HT), history of stroke, and vascular diseases (VD) was questioned.

Results: A significant difference was observed between the AMD groups only in terms of DM and VD (p=0.032 and 0.011, respectively). There was also a significant difference between the groups in terms of CHADS2 and CHA2DS2-VASc scores, but these two scoring systems were not superior to each other in ROC analysis. When the wet-type AMD cases were compared according to the number of injections, there was a significant difference in terms of CHF, DM, stroke, and VD. (p=0.001, 0.01, 0.02, and 0.01, respectively). When the treatment groups were compared in terms of the CHADS2 and CHA2DS2-VASc scores, a statistically significant difference was found (p=0.01 and 0.05, respectively), and as the number of intravitreal injections required for treatment increased, the score increased for both systems.

Conclusions: CHADS2 and CHADS2-VASC clinical scoring systems can be predictors of AMD. They can also indicate the numbers of injections needed for treatment. Keywords : AMD, risk factors, CHADS2, CHA2DS2-VASc

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