Glaucoma: Applying Glaucoma Strategies to AMD Care

Any glaucoma clinician knows that a robust VF strategy, coupled with structural measures, such as optical coherence tomography (OCT), provides a richer understanding of a patient’s disease than anatomical structure alone. Yet when it comes to age-related macular degeneration (AMD), I would argue that our diagnostic habits are quite different.

By
Mike Cymbor, OD, FAAO
October 1, 2025
4 min

Optometric Management

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Functional testing is essential in glaucoma care, providing insights beyond structural measures like optical coherence tomography (OCT).
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In age-related macular degeneration (AMD), structural imaging is commonly used, but functional tests are often overlooked in diagnosis and management.
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Contrast sensitivity (CS) testing reveals the visual system's response to light and contrast, aiding in AMD assessment and monitoring.
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Dark adaptometry (DA) can identify subclinical disease and predict conversion to advanced AMD before structural changes occur.
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Microperimetry helps assess fixation and central visual field defects, enhancing the understanding of AMD's functional progression.

Glaucoma: Applying Glaucoma Strategies to AMD Care

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Glaucoma: Applying Glaucoma Strategies to AMD Care

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