Describe the diagnostics in both wet and dry AMD.
Amsler grid: detection of metamorphopsias and scotomas
Fundoscopy
Dry AMD
Drusen
Retinal pigment epithelium atrophy
Retinal pigment epithelium hypertrophy (mottling)
Wet AMD
Grayish-green retinal discoloration
Serous detachment of the retina and the retinal pigment epithelium
Subretinal and intraretinal hemorrhage and/or exudate
Fibrous disciform scars
Describe the further diagnostics in suspected wet AMD.
Fluorescence angiography
Dry AMD: well-defined hyperfluorescence of the altered retinal pigment epithelium
Wet AMD: neovascularization and exudation (diffuse hyperfluorescence) in the macular region
Color fundus photography: enables evaluation of disease progression and interpretation of fluorescein angiography
Optical coherence tomography (OCT)
Detection of intraretinal or subretinal fluid retention
Helps confirm diagnosis of wet AMD and to monitor progress under treatment
DDs.
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