Age related macular degeneration Flashcards
1
Q
divided into
A
wet and dry
2
Q
dry characterised by what on fundoscopy
A
drusen
3
Q
wet characterised by what
A
choroidal neovascularisation
4
Q
risk factors
A
age smoking FHx (strong) HTN dyslipidaemia DM
5
Q
symptoms
A
gradual loss of vision - central scotoma bluring of small words straight lines -> curvy vision worse at night flickering/flashing lights glare around ocular objects
6
Q
ix
A
slit lamp microscopy
colour fundous photograph (provides baseline)
flurescein angiography
OCT (ocular CT)
7
Q
treatment
A
DRY- zinc with antioxidant vit A, C, E (can cause Ca so not given in smokers)
WET - anti-VEGF e.g. ranibizumab (4 wekly injection)
STOP SMOKING!!!!!!!!!!!!!!!!!
