Objective:

To advocate for the incorporation of functional testing in the diagnosis and management of age-related macular degeneration (AMD), similar to practices in glaucoma care.

Approach:

Key Findings:

• Functional tests like CS and DA can reveal changes in retinal health before structural changes are visible.
• DA can predict conversion to advanced AMD.
• Microperimetry helps assess fixation and central visual field defects.

Interpretation:

Incorporating functional testing into AMD care can provide a more comprehensive understanding of the disease and improve patient outcomes.

Limitations:

• Current diagnostic habits in AMD rely heavily on structural imaging.
• There may be a lack of familiarity or training among clinicians regarding functional testing.

Conclusion:

Adopting functional testing in AMD management, akin to glaucoma practices, could significantly enhance patient care.

Sources:

• Age-Related Eye Disease Study
• Contrast Sensitivity and AMD
• Dark Adaptation in AMD
• Delayed Rod-Mediated Dark Adaptation
Source

Based on findings from:

Glaucoma: Applying Glaucoma Strategies to AMD Care

Mike Cymbor, OD, FAAO. Optometric Management, 2025.

https://www.optometricmanagement.com/issues/2025/october/glaucoma-applying-glaucoma-strategies-to-amd-care

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