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Evaluation of a Subjective Method to Measure Macular Pigment Optical Density

1Dasch B., 2Wachter A., 1Sun Y., 3Krause K., 2Pauleikhoff D., 4Mellerio J., 5Hense H.-W.,
1Westfälische Wilhelms-Universität Münster, Institut für Epidemiologie und Sozialmedizin, Abteilung Klinische Epidemiologie (Münster)
2St. Franziskus-Hospital, Augenabteilung (Münster)
3Westfälische Wilhelms-Universität Münster, Klinik und Poliklinik für Augenheilkunde (Münster)
4Hochschule für Biowissenschaften, Universität Westminster (London)
5Westfälische Wilhelms-Universität Münster, Institut für Epidemiologie und Sozialmedizin (Münster)

Purpose: Macular pigment (MP) seems to play a protective role in the pathogenesis of age-related macular degeneration (AMD). We evaluated the reliability of Mellerio`s maculometer, a novel subjective method to assess MP optical density (MPOD). We further compared mean MPOD values with regard to age, gender and smoke habits.
Method: The transportable maculometer employs heterochromatic flicker photometry. The MPOD was measured in both eyes of 64 subjects without macular abnormalities ranging in age from 9 to 81 years (33 woman, 31 men). Fourty-five of them were tested again a few days later. Reliability was assessed using the intraclass correlation coefficient (ICC).
Results: The average ICC values were 0,75 (left eye) and 0.80 (right eye). Thus high test-retest-reliability was demonstrated. The mean MPOD values were assessed as 0,43±0.18 D.U. (left eye) and 0.43±0.19 D.U. (right eye). There was a significant inverse correlation between MPOD and age (Spearman correlation, r = -0,41, p=0,0007, right eye; r = -0,37, p=0,0025, left eye). Previously described associations between MPOD and gender or smoking (adjusted for age and gender) were not confirmed.
Conclusions: This new method for the assessment of macular pigment optical density seems highly reliable. The validity of the method is supported by inverse correlation between MPOD and age. We intend to include this method in a prospective study to identify prognostic factors for the progression of age-related maculopathy.

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