Help your patients understand how AMD can disrupt their everyday lives.

Prepare. Promote. Prevent.

Age-related macular degeneration (AMD) is the leading cause of severe, irreversible vision loss in people over age 60, and it is growing at an alarming rate all over the world. Your patients may be at risk. Join us in raising awareness of the importance of frequent vision screenings and retinal health checks.

According to a study funded by the U.S. Center of Disease Control and Prevention, in 2010 there were as many as 9.1 million people living with age-related macular degeneration (AMD) in the U.S., and it is estimated that 17.8 million people will have AMD by the year 2050. That’s a 95% increase—8.7 million more people who may be at risk of losing their vision, and they have no idea it's even happening. We can help them. Together, let's educate about AMD, its causes and risk factors, and share simple steps they can take to be proactive about preserving their vision.

Do your patients know?

It is estimated that 196 million people worldwide will have AMD by the year 2020.

AMD affects central vision.

Adults age 60+ are at a higher risk for developing AMD.

Smoking, family history, unhealthy diet, inactivity and exposure to sunlight are some of the risk factors for developing AMD.

Despite improvements in technology, many AMD patients are not referred to retina for care until they have already developed some loss of visual function... we as providers should be able to make the diagnosis of exudative AMD sooner so that patients can be referred for timely treatment prior to loss of visual function or even symptoms.

Jay Haynie, OD, FAAO

A doctor's perspective on AMD

with Jay Haynie, OD, FAAO

ZEISS recently talked to Dr. Jay Haynie about the challenges and misconceptions his patients have about AMD and what they can do to better their chances of avoiding or reducing central vision loss.

What is the biggest challenge clinicians face today in managing AMD patients?

In my opinion, this is really a three-fold problem in my retina practice. The first major challenge in managing AMD patients is being able to manage patient expectations of the disease. AMD is an aging process of the eye and over time may impact one's central vision. Although there continues to be many therapeutic options to treat the exudative complications of the disease (wet AMD), patients may still suffer loss of visual function regardless.

The second challenge is despite improvements in technology, many AMD patients are not referred to retina for care until they have already developed some loss of visual function in one or both eyes. I think we have great technology available to us in eye care and we as providers should be able to make the diagnosis of exudative AMD sooner so that patients can be referred for timely treatment prior to loss of visual function or even symptoms for that matter.

And finally, the third challenge in managing AMD patients is the burden of treatment for exudative AMD. Most patients will require monthly intravitreal treatment for the first 3-6 months and then periodically for the rest of their lives, not to mention the follow-up visits deemed necessary to monitor the disease. This is not only a burden on the patient, but the family members as well who often are taking time out of their lives to provide transportation to and from the office. Fortunately, there may be new treatments on the horizon that are designed to reduce the burden of monthly injections using compounds and delivery methods that may last several months effectively treating the complications in a more time release fashion.

In your opinion, what is the biggest misconception about AMD?

In my opinion, one of the biggest misconceptions of AMD is that it is curable. AMD is an aging condition, and at this time, it is not curable. We can treat the complications of exudative AMD and put our patients on a micronutrient supplement (AREDS2, caratenoids or a combination of the two) intended to prevent complications. However, in the end, the disease may continue to progress throughout one's life. An important factor in patient education regarding this is to address the modifiable risk factors for advanced AMD and make the attempt to reduce this for our patients.

What can patients do to help manage their AMD better?

What can patients do? In my opinion, the first thing that patients can do is try to understand AMD as best they can. In addition, patients should be compliant with any instructions by the eye care provider. This includes taking the micro-nutrient supplement regularly as directed, reducing the modifiable risk factors of AMD, understanding the symptoms of more advanced AMD (reduced central vision, distortion, sudden onset of scotomatous like visual loss, reduced function in dimmer illumination etc.), monitor for symptoms with monocular testing with a home amsler grid and keeping scheduled follow up appointments at the interval recommended by the eye care provider. Those with a higher risk profile (family history of AMD, an increase in risk factors etc.) will need to be seen more frequently to monitor progression, so that if exudative complications (wet AMD) occur, early treatment can be offered to stabilize and reduce the possibility of central vision loss or legal blindness, which is considered the natural history of AMD for some of our patients.

Dr. Jay M. Haynie graduated from Pacific University College of Optometry in 1992 and completed a residency at American Lake Veterans Hospital in 1993 where the focus was on the diagnosis and management of ocular disease. He served as the Executive Clinical Director of Retina and Macula Specialists until 2018 after which time he joined Sound Retina in Tacoma Washington. He is an adjunct clinical professor at Pacific University College of Optometry, a Fellow of the American Academy of Optometry and a member of the Optometric Retina Society. He is a sponsor of a 4th year internship for Optometry students in his private practice. He is a clinical investigator and continues to be involved in clinical studies regarding retinal disease management, both as a principle and sub-investigator. He is a published author and has become a nationally recognized speaker on advances in technology and the management of retinal disease.

Dry Age-related Macular Degeneration with Choroidal Nevus

True color, high resolution. ZEISS CLARUS ultra-widefield images provide both true color and high resolution, which are important in cases where subtle color differences can inform the diagnosis. In this spotlight case, a dry AMD patient presents with choroidal nevus in the right eye. Learn how ZEISS CLARUS with RGB channel separation provided an additional layer of specificity for determining the location of the lesion.

Dry AMD with Choroidal Nevus
Images and diagnoses courtesy of Jay M. Haynie, OD, FAAO

Creating a paradigm shift in AMD management

From salvaging vision to improving quality of life

Contemporary management of age-related macular degeneration (AMD) has evolved significantly over the last few years, shifting the goal of treatment from merely salvaging vision to maintaining a high quality of life.

What has enabled this shift?

Significant breakthroughs in drug and gene therapies and advanced imaging tools like ZEISS CIRRUS HD-OCT with AngioPlex and ZEISS CLARUS 500 have not only enhanced the clinicians' knowledge about pathophysiological mechanisms that play a role in vision loss due to AMD, but these technologies have also provided clinicians with pathways to optimize treatment plans. Learn more how OCT Angiography is facilitating the fundamental shift in diagnosis and management of AMD.

Presentation: OCTA for Identifying CNV in Patients with Type 1 AMD

David Boyer, MD

In this video, David Boyer, MD, discusses the utility of OCTA for identifying choroidal neovascularization in patients with type 1 AMD and gauging their response to anti-VEGF treatment. Watch the video to learn more.

ZEISS Retina Workflow

Managing AMD with confidence

ZEISS Retina Workflow

Multi-modality in diagnostics and imaging are increasingly becoming the standard of care in eye clinics. The ability to assess and compare the data from different modalities provides clinicians a new level of confidence for proposing a treatment regimen that is customized to each patient's individual needs.