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Age related macular

degeneration

Habibah Muhiddin
Bag.I.K. Mata
FK UNHAS
DEFINITION

NORMAL MACULAR GHANGES DUE


TO AGEING PROCESS

CHARACTERISED BY:
YELLOW SPOT (DRUSEN)
HYPERPIGMENTATION
DEPIGMENTATION OF THE RPE
PREVALENCE

MOST COMMON CAUSE


IRREVERSIBLE VISUAL LOSS > 50

IN USA,
10%, 65-75 YR, LOST CENTRAL VIS
30%, >75 YR
END STAGE (BLIND) 1,7% , >50 YR
18 %, > 85 YR
RISK FACTORS

AGE
RACE
POSITIVE FAMILY HISTORY
CIGARETTE SMOKING
HYPERTENSION
CATARACT
CLASSIFICATION

ATROPHIC AMD
RETINAL PIGMENT EPITHELIAL
DETACHMENT
RETINAL PIGMENT EPIHTLIAL TEAR
EXUDATIVE AMD
ATROPHIC AMD
RPE Detachment
EXUDATIVE AMD

CNV : CHOROIDAL NEOVASCULARISATION


DIAGNOSIS

FUNDUSCOPIC EXAMINTAION
FUNDUS FLUORESCEIN
ANGIOGRAPHY
INDOCYANIN GREEN ANGIOGRAPHY
TREATMENT

LASER PHOTOCOAGULATION
PHOTODYNAMIC THERAPY
MACULAR TRANSLOCATION
INJEKSI ANTI VEGF INTRA VITREAL
PROGNOSIS

ATROPHIC TYPE BETTER THAN


EXUDATIVE TYPE