Skip to main content

Macular Degeneration, Age-Related

Richard W. Allinson, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Age-related macular degeneration (ARMD) is the leading cause of irreversible, severe visual loss in persons age >65 years.

  • ARMD results in pigmentary changes in the macula or typic...

DIAGNOSIS

HISTORY

  • Patients frequently notice distortion of central vision.

  • Patients may notice straight lines appear crooked (e.g., telephone poles).

PHYSICAL EXAM

  • Atrophic/nonexudative stage retinal exam...

TREATMENT

MEDICATION

First Line

  • Ranibizumab (Lucentis)

    • Antibody fragment that inhibits all active forms of VEGF

    • Approved for neovascular (wet) ARMD

    • Injected intravitreally, at a dose of 0.5 mg, every 4 w...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Amsler grid can aid in discovering visual disturbances.

  • Patients with soft drusen or pigmentary changes in the macula are at an increased risk of...

REFERENCES

1
Maguire MG, Martin DF, Ying GS, et al; for Comparison of Age-related Macular Degeneration Treatments Trials (CATT) Research Group. Five-year outcomes with anti-vascular endothelial growth ...

CODES

ICD10

  • H35.30 Unspecified macular degeneration

  • H35.32 Exudative age-related macular degeneration

  • H35.31 Nonexudative age-related macular degeneration

ICD9

  • 362.50 Macular degeneration (senile), unspeci...

CLINICAL PEARLS

  • Patients frequently notice distortion of central vision.

  • Patients may notice straight lines appear crooked (e.g., telephone poles).

  • Hyperopia is a risk factor for ARMD.

  • The AREDS study fo...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×