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Association of age-related macular degeneration with age-related hearing loss

Published online by Cambridge University Press:  16 December 2010

M K Bozkurt*
Affiliation:
Department of Otolaryngology, Meram Medical Faculty, Selcuk University, Konya, Turkey
B T Ozturk
Affiliation:
Department of Ophthalmology, Meram Medical Faculty, Selcuk University, Konya, Turkey
H Kerimoglu
Affiliation:
Department of Ophthalmology, Meram Medical Faculty, Selcuk University, Konya, Turkey
I Ersan
Affiliation:
Department of Ophthalmology, Meram Medical Faculty, Selcuk University, Konya, Turkey
H Arbag
Affiliation:
Department of Otolaryngology, Meram Medical Faculty, Selcuk University, Konya, Turkey
B Bozkurt
Affiliation:
Department of Ophthalmology, Meram Medical Faculty, Selcuk University, Konya, Turkey
*
Address for correspondence: Assistant Prof Mete Kaan Bozkurt, Department of Otolaryngology, Meram Medical Faculty, Selcuk University, Konya, Meram, Akyokus, 42080, Turkey Fax: 00 90 332 223 6181 E-mail: bozkurtmetekaan@hotmail.com

Abstract

Objective:

To assess the association between age-related macular degeneration and age-related hearing loss in Turkish subjects aged 50 years or older.

Study design and setting:

Prospective, case–control study within a tertiary university hospital.

Subjects and methods:

Fifty subjects with age-related macular degeneration and 43 healthy subjects underwent ophthalmological and otolaryngological examination. Statistical analyses were conducted for the poorer eye and ear, comparing age-related hearing loss and pure tone average in the macular degeneration group versus controls.

Results:

Median pure tone average was significantly poorer in the macular degeneration group (35 dBHL) compared with controls (23 dBHL). In the macular degeneration group, hearing loss was significantly greater in dry type (43 dBHL) than wet type (32 dBHL) cases. There was a significant difference between the prevalence of varying degrees of hearing loss in the macular degeneration versus control groups, being respectively: mild, 50 and 35 per cent; moderate, 20 and 5 per cent; and severe, 6 and 0 per cent. There was a weak, but significant correlation between each patient's visual acuity and pure tone average results (rs = −0.37, p < 0.001).

Conclusion:

Age-related hearing loss is more common in patients with age-related macular degeneration. Such patients should be questioned regarding hearing difficulty, and referred to an otolaryngologist if appropriate.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Cruickshanks, KJ, Wiley, TL, Tweed, TS, Klein, BE, Klein, R, Mares-Perlman, JA et al. Prevalence of hearing loss in older adults in Beaver Dam, Wisconsin. The Epidemiology of Hearing Loss Study. Am J Epidemiol 1998;148:879–86CrossRefGoogle ScholarPubMed
2Wright, A, Davis, A, Bredberg, G, Ulehlova, L, Spencer, H. Hair cell distributions in the normal human cochlea. Acta Otolaryngol Suppl. 1987;444:148Google ScholarPubMed
3Schuknecht, HF. Further observations on the pathology of presbycusis. Arch Otolaryngol 1964;80:369–82CrossRefGoogle ScholarPubMed
4Reiss, M, Reiss, G. Presbyacusis: pathogenesis and treatment [in German]. Med Monatsschr Pharm 2009;32:221– 5Google ScholarPubMed
5Bess, FH, Lichtenstein, MJ, Logan, SA, Burger, MC, Nelson, E. Hearing impairment as a determinant of function in the elderly. J Am Geriatr Soc 1989;37:123–8CrossRefGoogle ScholarPubMed
6Chia, EM, Wang, JJ, Rochtchina, E, Cumming, RR, Newall, P, Mitchell, P. Hearing impairment and health-related quality of life: the Blue Mountains Hearing Study. Ear Hear 2007;28:187–95CrossRefGoogle ScholarPubMed
7Mackenzie, Paul J., Chang, TS, Scott, IU, Linder, M, Hay, D, Feuer, WJ et al. Assessment of vision-related function in patients with age-related macular degeneration. Ophthalmology 2002;109:720–9CrossRefGoogle ScholarPubMed
8Cahill, MT, Banks, AD, Stinnett, SS, Toth, CA. Vision-related quality of life in patients with bilateral severe age-related macular degeneration. Ophthalmology 2005;112:152–8CrossRefGoogle ScholarPubMed
9Nirmalan, PK, Tielsch, JM, Katz, J, Thulasiraj, RD, Krishnadas, R, Ramakrishnan, R et al. Relationship between vision impairment and eye disease to vision-specific quality of life and function in rural India: the Aravind Comprehensive Eye Survey. Invest Ophthalmol Vis Sci 2005;46:2308–12CrossRefGoogle ScholarPubMed
10Hubschman, JP, Reddy, S, Schwartz, SD. Age-related macular degeneration: current treatments. Clin Ophthalmol 2009;3:155–66CrossRefGoogle ScholarPubMed
11Nowak, JZ. Age-related macular degeneration (AMD): pathogenesis and therapy. Pharmacol Rep 2006;58:353–63Google ScholarPubMed
12Campbell, VA, Crews, JE, Moriarty, DG, Zack, MM, Blackman, DK. Surveillance for sensory impairment, activity limitation, and health-related quality of life among older adults – United States, 1993–1997. MMWR CDC Surveill Summ 1999;48:131–56Google ScholarPubMed
13Jee, J, Wang, JJ, Rose, KA, Lindley, R, Landau, P, Mitchell, P. Vision and hearing impairment in aged care clients. Ophthalmic Epidemiol 2005;12:199205CrossRefGoogle ScholarPubMed
14Chia, EM, Mitchell, P, Rochtchina, E, Foran, S, Golding, M, Wang, JJ. Association between vision and hearing impairments and their combined effects on quality of life. Arch Ophthalmol 2006;124:1465–70CrossRefGoogle ScholarPubMed
15Klein, R, Cruickshanks, KJ, Klein, BE, Nondahl, DM, Wiley, T. Is age-related maculopathy related to hearing loss? Arch Ophthalmol 1998;116:360–5CrossRefGoogle ScholarPubMed
16Klein, BE, Cruickshanks, KJ, Nondahl, DM, Klein, R, Dalton, DS. Cataract and hearing loss in a population-based study: the Beaver Dam studies. Am J Ophthalmol 2001;132:537– 43CrossRefGoogle Scholar
17Bird, AC, Bressler, NM, Bressler, SB, Chisholm, IH, Coscas, G, Davis, MD et al. An international classification and grading system for age-related maculopathy and age-related macular degeneration. The International ARM Epidemiological Study Group. Surv Ophthalmol 1995;39:367–74CrossRefGoogle ScholarPubMed
18Singh, R, Maurya, OP, Yadav, VS, Samant, HC. Audiometric and vestibular abnormalities in macular degeneration. Indian J Ophthalmol 1991;39:127–8Google ScholarPubMed