The estimated prevalence and incidence of late stage age related macular degeneration in the UK

Br J Ophthalmol. 2012 May;96(5):752-6. doi: 10.1136/bjophthalmol-2011-301109. Epub 2012 Feb 13.

Abstract

Background: UK estimates of age related macular degeneration (AMD) occurrence vary.

Aims: To estimate prevalence, number and incidence of AMD by type in the UK population aged ≥50 years.

Methods: Age-specific prevalence rates of AMD obtained from a Bayesian meta-analysis of AMD prevalence were applied to UK 2007-2009 population data. Incidence was estimated from modelled age-specific prevalence.

Results: Overall prevalence of late AMD was 2.4% (95% credible interval (CrI) 1.7% to 3.3%), equivalent to 513 000 cases (95% CrI 363 000 to 699 000); estimated to increase to 679 000 cases by 2020. Prevalences were 4.8% aged ≥65 years, 12.2% aged ≥80 years. Geographical atrophy (GA) prevalence rates were 1.3% (95% CrI 0.9% to 1.9%), 2.6% (95% CrI 1.8% to 3.7%) and 6.7% (95% CrI 4.6% to 9.6%); neovascular AMD (NVAMD) 1.2% (95% CrI 0.9% to 1.7%), 2.5% (95% CrI 1.8% to 3.4%) and 6.3% (95% CrI 4.5% to 8.6%), respectively. The estimated number of prevalent cases of late AMD were 60% higher in women versus men (314 000 cases in women, 192 000 men). Annual incidence of late AMD, GA and NVAMD per 1000 women was 4.1 (95% CrI 2.4% to 6.8%), 2.4 (95% CrI 1.5% to 3.9%) and 2.3 (95% CrI 1.4% to 4.0%); in men 2.6 (95% CrI 1.5% to 4.4%), 1.7 (95% CrI 1.0% to 2.8%) and 1.4 (95% CrI 0.8% to 2.4%), respectively. 71 000 new cases of late AMD were estimated per year.

Conclusions: These estimates will guide health and social service provision for those with late AMD and enable estimation of the cost of introducing new treatments.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Bayes Theorem
  • Female
  • Geographic Atrophy / epidemiology
  • Humans
  • Incidence
  • Macular Degeneration / classification
  • Macular Degeneration / epidemiology*
  • Male
  • Middle Aged
  • Prevalence
  • Sex Distribution
  • United Kingdom / epidemiology
  • Wet Macular Degeneration / epidemiology