Evidence map›Paper›PMID 41292308›Full record

ArticleKorean journal of ophthalmology : KJO2026

Quantitative Analysis of Drusen in South Korean Patients: A 36-Month Follow-Up Study.

Tae Rim Kim, Tae Gi Kim, Jaehwan Choi, Seung-Young Yu, Kiyoung Kim

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Article in Korean journal of ophthalmology : KJO, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Tae Rim KimDepartment of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea.
Tae Gi KimDabom Eye Clinic, Yangju, Korea.
Jaehwan ChoiDepartment of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea.
Seung-Young YuDepartment of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea.
Kiyoung KimDepartment of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to quantitatively evaluate longitudinal changes in drusen area and volume over 36 months in South Korean patients and to identify the factors associated with these changes and the development of advanced age-related macular degeneration (AMD).

methodsIn this retrospective study, 38 eyes from 38 patients diagnosed with drusen were analyzed. The drusen area and volume were measured using spectral-domain optical coherence tomography (SD-OCT; Cirrus 5000, Carl Zeiss Meditec) with an automated retinal pigment epithelium elevation map algorithm. To minimize bias from variable follow-up intervals, an annualized classification framework was adopted. Based on percentage change in drusen area within the 5-mm circle, eyes were categorized as progressed (increase >20%), stable (change within ±20%), or regressing (decrease >20%).

resultsBoth drusen area and volume increased significantly up to 24 months (area, p = 0.003; volume, p = 0.028) and then showed a modest decline at 36 months, remaining above baseline levels. No significant difference in the proportions of progressed, stable, or regressing eyes was observed across 12-month intervals or compared with baseline (all p > 0.05). A larger baseline 5-mm drusen area was significantly associated with the development of advanced AMD (adjusted odds ratio, 2.818; 95% confidence interval, 1.022-7.767; p = 0.045). Eyes that exhibited at least one episode of drusen regression showed a higher incidence of advanced AMD (36.8% vs. 5.3%, p = 0.042).

conclusionsDrusen in South Korean patients demonstrated dynamic morphological remodeling over time. Drusen regression was not a benign phenomenon but rather a potential high-risk marker for progression to advanced AMD. These findings highlight the importance of population-specific, quantitative SD-OCT monitoring for early risk stratification in East Asian eyes.

Indexed as

Macular DegenerationRetinal DrusenRetinal Pigment EpitheliumTomography, Optical CoherenceAgedAged, 80 and overDisease ProgressionFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansIncidenceMaleMiddle AgedRepublic of KoreaGeographic atrophyMacular degenerationOptical coherence tomography

Identifiers

PMID41292308
PMCPMC12901963

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