Wet AMD

Question 1

What are the symptoms of Wet AMD?

Answer 1

• Sudden Onset
• Blurred central vision
• Positive scotoma
• Metamorphopsia
• Painless

Question 2

What are the signs of Wet AMD?

Answer 2

• CNV (dirty green/grey colour)
• PED
• Haemorrhages
• Hard exudates
• End Stage: Disciform scarring

Question 3

How does WET AMD occur?

Answer 3

• The accumulation of drusen causes breaks in Bruch’s membrane.
• The drusen presence promotes ischaemia/hypoxia of RPE.
• This triggers release of VEGF-> new vessel growth

Question 4

What is the differential diagnosis of WET AMD?

Answer 4

• Diabetic Maculopathy
• CSCR
• High myopia

Question 5

What is the management/treatment for WET AMD?

Answer 5

• Urgent referral
  Anti VEGF treatments (Lucentis)
  Laser photocoagulation