Bruch's membrane consists of five layers: 1) the basement membrane of the retinal pigment epithelium, which is the innermost layer; 2) the inner collagenous zone; 3) a central band of elastic fibers; 4) the outer collagenous zone; 5) the basement membrane of the choriocapillaris.
When the Bruch's membrane thickens with age, the transport of metabolites becomes slow, which results in a build up of drusen in age-related macular degeneration. There is also an accumulation of phospholipids deposits on and within the membrane.
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