Age-related Macular Degeneration Diagnosis and Treatment by Daniel T. Kasuga B.S. (auth.), Allen C. Ho, Carl D. Regillo

By Daniel T. Kasuga B.S. (auth.), Allen C. Ho, Carl D. Regillo (eds.)

Age-related Macular Degeneration prognosis and Treatment offers —for the retina expert, common eye care specialist, imaginative and prescient scientist, and people education in those areas—an replace at the present figuring out of age-related macular degeneration (AMD), pathophysiology, using diagnostic assessments, and the administration of either non-neovascular and neovascular AMD. It additionally seems to be into the longer term with strength cures which are now below research in medical trials, and eventually, covers the scientific economics and societal effect of this significant public overall healthiness factor. designated beneficial properties of this publication:

· Written by means of prime gurus within the field

· Concise but hugely illustrated and sensible textual content that courses the clinician via prognosis and therapy of the top explanation for blindness in older Americans

· Covers prognosis and treatment plans for either neovascular and non-neovascular age-related macular degeneration (AMD), in addition to much less universal different types of non-age-related macular degeneration

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Extra resources for Age-related Macular Degeneration Diagnosis and Treatment

Example text

Originally, IPCV was reported exclusively in females of darkly pigmented races, though recent reports include Caucasian males [31–33]. Female cases still outnumber male ones by a ratio of approximately 5:1. African Americans and Asians are at higher risk of developing IPCV [34]. It remains unclear if IPCV represents a variant of AMD within a different population, or if the conditions are unrelated. IPCV is usually diagnosed in patients who are between the ages of 50 and 65. The two entities can be difficult to distinguish and indocyanine green angiography (ICGA) is essential in making the diagnosis in difficult cases.

Differentiating factors include age (usually ages 25–50), lack of drusen, absence of hemorrhage, and multiple areas of hyper and hypoflourescence on ICGA. The natural history is significantly different with visual recovery being common in CSR [42–46]. Idiopathic Polypoidal Choroidal Vasculopathy Patients with IPCV are typically elderly and suffer from hypertension just as in wet AMD. Differentiating factors include darkly pigmented individuals, lack of drusen, multiple serosanginous RPE detachments with a significant lipid component (rare variant of neovascular AMD, as well), minimal fibrous component (rare disciform scar formation), red-orange color of complex (as opposed to grey-green), and choroidal vascular channels terminating in polyp-like structures on ICGA [28–31].

1999;128:63–8. Yoshida T, Ohno-Matsui K, Ohtake Y, et al. Myopic choroidal neovascularization: a 10-year follow-up. Ophthalmology. 2003;110(7):1297–305. Johnson DA, Yannuzzi LA, Shakin JL, et al. Lacquer cracks following laser treatment of choroidal neovascularization in pathologic myopia. Retina. 1998;18: 118–24. Armstrong JD, Meyer D, Xu S, et al. Long-term follow up of Stargardt’s disease and fundus flavimaculatus. Ophthalmology. 1998;105:448–58. Weleber RG. Stargardt’s macular dystrophy.

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