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Disease Management

The primary goal of every optometrist is to preserve the vision of our patients. Detecting, monitoring and treating AMD are imperative to our mission. We can detect earlier than ever before and manage AMD by doing all we can to prevent progression to advanced stages and complications such as CNV.

Jeffry D. Gerson, OD, FAAO Jeffry Gerson, OD, FAAO View all testimonials

Industry Leaders Set Forth Treatment Recommendations

The authors of the Practical Guidelines for the Treatment of AMD state, “Based upon our current understanding of AMD pathogenesis, the stages of subclinical, early, and intermediate AMD all represent different clinical manifestations of the same underlying disease process. Thus, the treatment of the disease should be initiated at first detection, regardless of the stage.” ii

Taking Action to Preserve Vision

The Practical Guidelines set forth treatment recommendations for all stages of AMD.

Recommend Smoking Cessation ProgramsSmoking Cessation for AMD

Smoking is the largest modifiable risk factor for the progression of both choroidal neovascularization (CNV) and geographic atrophy (GA).ii Current smokers carry a 2.5 to 4.8 times higher risk than non-smokers for late AMD,ii yet in one study, 90% of patients with AMD were not advised to stop smoking.ii

Prescribe Nutritional Supplementation

Although there is extensive debate about which supplements are most appropriate, evidence strongly supports prescribing nutraceuticals. On average, patients that take supplements have better outcomes than those who do not.ii

Discuss Diet and Exercise

AMD AdaptDx Diet and Nutrition

Following a healthy diet, exercising regularly and maintaining overall health are sound goals for all patients.ii These lifestyle choices may act synergistically to prevent or delay onset or progression of AMD. One study found that women who followed a healthy diet, engaged in physical exercise and avoided smoking had substantially lower risk of early AMD compared with women who did not follow these healthy choices.ii

Explain the Importance of Managing Other Chronic Diseases

Based on epidemiological studies, several systemic conditions increase the risk of developing of AMD. Cardiovascular disease, diabetes, high cholesterol and obesity have all been associated with increased risk of AMD and/or progression of AMD.ii Body mass index and abdominal obesity are independent risk factors for progression to advanced AMD.ii Primary eye care professionals can partner with primary care physicians to co-manage patients’ health.

Prescribe Retinal Light Protection

Retinal Light Protection for AMD

Epidemiological evidence suggests that chronic sunlight exposure increases the risk of incident AMD and its progression.ii Based on increased study in this area, eye care professionals should consider recommending HEVL-blocking eyeglass lenses.

Monitor Disease Progression

For a patient with AMD, more frequent retinal examinations are recommended. Moving from a 12-month follow-up interval to a six-month (or even shorter in some cases) follow-up interval may be useful for monitoring disease progression.ii More frequent visits provide the clinician increased opportunity to detect CNV before irreversible vision loss occurs.

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Practical Guidelines for the Treatment of AMD

Comprehensive, evidence-based guidelines include the latest information on AMD classification, diagnosis, staging, and treatment.

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I have been in eye care since the late 90s and I remember that macular degeneration was just a condition that was very difficult to detect and even once detected, difficult to do anything about it. So essentially we were just watching patients go blind. Now that we have the AdaptDx it’s made a world of a difference in diagnosing patients.

Dannette Lammert Dannette Lammert, OD View all testimonials

Understand More about AMD

Stages of AMD

The key to treating AMD before vision loss occurs is to detect the disease at the subclinical stage.

AMD Detection with AdaptDx

The AdaptDx testing tool from MacuLogix offers you the chance to diagnosis AMD in patients before vision loss occurs.