RESUMEN

To research whether specific alleles HLA class I (HLA-A and HLA-B) and class II (HLA-DR) are risk factors for the development of exudative type of Age Related Macular Degeneration (ARMD), HLA antigens are expressed both in normal and affected eyes with ARMD. We designed a prospective case-controlled study. We recruited 75 patients with choroidal neovascularization predominantly classic or occult, secondary to ARMD, and treated with photodynamic therapy. Two hundred and fifty patients over 55 years old, without ophthalmologic pathology who went to hospital for an analytical routine check were used as control. The analysis of the data shows a significant difference between two groups. Allele HLA-B27 correlated positively with ARMD (p < 0.0113). However, we didn't find alleles negatively associated. Thus HLA-B27 is an allele predisposed to suffer ARMD.

Asunto(s)

Neovascularización Coroidal/genética , Exudados y Transudados/metabolismo , Antígeno HLA-B27/genética , Degeneración Macular/genética , Fotoquimioterapia , Anciano , Anciano de 80 o más Años , Neovascularización Coroidal/etiología , Neovascularización Coroidal/fisiopatología , Neovascularización Coroidal/terapia , Femenino , Predisposición Genética a la Enfermedad , Antígenos HLA-A/genética , Antígenos HLA-DR/genética , Prueba de Histocompatibilidad , Humanos , Degeneración Macular/complicaciones , Degeneración Macular/fisiopatología , Degeneración Macular/terapia , Masculino , Persona de Mediana Edad , Polimorfismo Genético , Estudios Prospectivos , Factores de Riesgo