Metadata

Name Macular degeneration (macula_degen)
Category Eye
Sex
Adult Yes
UUID 57aeb75c-924f-48dd-b997-df9436f2984f
Definition A retinal degeneration characterized by gradual deterioration of light-sensing cells in the tissues at the back of the eye and has_symptom vision loss.

Ontologies

Disease Ontology (DOID) DOID_4448
GWAS Catalogue EFO_0001365
MeSH D008268
SNOMED-CT 267611002
FinnGen DRY_AMD

Key Summary Statistics

Cases from any source

Total 13203
Female (%) 7837 (59%)
Male (%) 5366 (41%)

Year first recorded

macula_degen year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced macula_degen cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of macula_degen

Baseline prevalence stratified by sex

Female 123.06 (115.64,130.48)
Male 111.99 (104.28,119.71)

Incidence stratified by sex

Female 11.38 (10.49,12.26)
Male 9.43 (8.55,10.3)

Incidence stratified by age

Ages 40-44 1.61 (0.82,2.4)
Ages 45-49 2.76 (1.87,3.65)
Ages 50-54 2.8 (1.97,3.63)
Ages 55-59 7.51 (6.28,8.74)
Ages 60-64 14.47 (12.99,15.94)
Ages 65-69 24.34 (22.14,26.54)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB macula_degen prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 20 (16,25) 42 (37,47) 150 (143,159)
CALIBER 18 (17,19) 51 (49,53) 164 (160,168)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 22(13,36) 42(32,55) 148(131,166)
Low 18(10,31) 33(24,45) 119(104,136)
Medium 15(7,27) 43(32,56) 149(132,167)
High 26(16,39) 43(33,56) 165(147,186)
Most deprived 18(11,28) 45(35,58) 178(158,200)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 18(14,23) 36(31,42) 140(132,149)
Scotland 38(22,60) 57(42,75) 207(180,236)
Wales 10(2,31) 70(49,96) 175(145,209)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153508, Events=407

Factor Level Hazard Ratio P value
BMI overweight 0.96 (0.75, 1.22) 0.716
BMI obese 1.36 (1.06, 1.76) 0.0167
BMI underweight 0 (0, Inf) 0.986
smoking previous 1.37 (1.1, 1.7) 0.00438
smoking current 2.14 (1.6, 2.85) 2.26e-07
hypertension yes 1.88 (1.53, 2.31) 1.47e-09

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1528 macular degeneration
41202 Diagnoses - main ICD10 H35.3 Degeneration of macula and posterior pole
41204 Diagnoses - secondary ICD10 H35.3 Degeneration of macula and posterior pole
40001 Underlying (primary) cause of death: ICD10 H35.3 Degeneration of macula and posterior pole
40002 Contributory (secondary) causes of death: ICD10 H35.3 Degeneration of macula and posterior pole
42040 GP clinical event records 2BBH.00 Retinal drusen
42040 GP clinical event records F424200 Retinal pigment epithelium serous detachment
42040 GP clinical event records F424300 Retinal pigment epithelium haemorrhagic detachment
42040 GP clinical event records F424400 Retinal pigment epithelial detachment
42040 GP clinical event records F425000 Unspecified senile macular degeneration
42040 GP clinical event records F425100 Dry senile macular degeneration
42040 GP clinical event records F425200 Wet senile macular degeneration
42040 GP clinical event records F425211 Kuhnt - Junius degeneration
42040 GP clinical event records F425700 Drusen
42040 GP clinical event records F425.00 Degeneration of macula and posterior pole
42040 GP clinical event records F425.11 Senile macular degeneration
42040 GP clinical event records F425z00 Degeneration of macula or posterior pole NOS
42040 GP clinical event records X00eG Retinal pigment epithelial detachment
42040 GP clinical event records XE15x Degeneration of macula and posterior pole
42040 GP clinical event records X75mo Retinal drusen
5912 Which eye(s) affected by macular degeneration 1 Right
5912 Which eye(s) affected by macular degeneration 2 Left
5912 Which eye(s) affected by macular degeneration 3 Right
6148 Eye problems/disorders 5 Macular degeneration