AMD Flashcards
1
Q
Risk Factors
A
Age >50 Fam hx Smoking HTN CVS disease Obesity
2
Q
Pathophys of Wet and Dry
A
Dry: Geographic atrophy of macular cone cells
Wet: Choroidal vascularisation of sub-retinal space causing exudate formation.
3
Q
Symptoms/signs
A
Loss of visual acuity
Blurring of vision
Scotoma (alteration of visual field)
Acute onset suggests wet, gradual is dry
Ophthalmoscope:
Macular haemorrhage, exudate formation, pigmentation.
Amsler grid. Drusen.
4
Q
Investigation
A
Referral to opthalmology
Investigation will include Optical Commuted Tomography
Slip lamp microscopy
Colour fundus photograph.
5
Q
Management for dry and wet
A
Dry: Visual rehabilitation
smoking cessation
Explain Charles Bonnet hallucinations
Balanced diet and decreasing BMI
Wet: Intravitreal anti-VEG F (bevacizumab)
