Review Article

Risk Factors for Age-Related Maculopathy

Table 7

Studies investigating the relationship between female sex hormones and risk for ARM.

StudyNo. of casesMeasure of risk factorType of ARMOdds ratio or relative risk95% confidence interval

Cross-Sectional Studies

Beaver Dam Eye Study [180]4926Number of pregnanciesEarly ARM0.950.92–1.01
Hormone replacement therapy usageLate ARM0.940.63–1.39

Blue Mountains Eye Study [24, 188]3654Years from menarche to menopauseEarly ARM0.970.95–0.99

Los Angeles Latino Eye Study [114]5875Use of oral contraceptive pillsEarly ARM0.50.4–0.8
Use of hormone replacement therapyEarly ARM0.80.6–1.2

Pathologies Oculaires Liees a L’Age [189]2584Hormone replacement therapyLate ARMN/AN/A

Salisbury Eye Evaluation Project [190]1458Current use of hormone replacement therapyEarly ARM0,70.3–1.5
Late ARM0.60.1–2.9

Aravind Comprehensive Eye Survey [191]5539Age at menarche 14+ARM2.31.2–4.7
Age at menopause < 45 yearsARM1.50.3–8.1
Endogenous estrogen exposure < 30 yearsARM2.20.4–12.0

Prospective Studies

Beaver Dam Eye Study [181]3684Hormone replacement therapy (3+ years)Early ARM0.980.56–1.73
Late ARM1.300.36–5.21

Rotterdam Study [23, 26, 192]4616Early menopause following oophorectomyARM3.81.1–12.6

Pooled data: Beaver Dam Eye Study/Blue Mountains Eye Study/Rotterdam Study [23, 26]9523Time from menarche to menopause per yearLate ARM0.990.95–1.03
Hormone replacement therapyLate ARM1.000.40–2.45