Optometry Australia’s chairside reference suggests limiting the use of terms such as “age-related maculopathy,” “wet,” and “dry” AMD, and instead use the Beckman classification
Patient education is key
Patient education at the time of diagnosis is a crucial component of treatment, but also involves a significant amount of chair time. (It is often recommended that family members be present during the initial consultation.) Not all patients with AMD will develop vision loss, and not all patients who do develop vision loss will go blind, two points that need to be emphasized when talking to patients.
Finally, eyecare professionals in Australia considered poor care pathways, people with AMD having a poor disease understanding / denial, and cost of care / lack of funding, as the most significant barriers to AMD care; they considered shared care model, access, and communication as the most significant enablers to good AMD care.7
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4. Reeves BC, Scott LJ, Taylor J, et al. Effectiveness of community versus hospital eye service follow-up for patients with neovascular age-related macular degeneration with quiescent disease (ECHoES): a virtual non-inferiority trial. BMJ Open 2016;6:e010685. doi:10.1136/bmjopen-2015-010685
5. Muen WJ, Hewick SA. Quality of optometry referrals to neovascular age-related macular degeneration clinic: a prospective study. JRSM Short Rep. 2011;2(8):64. doi:10.1258/shorts.2011.011042
6. Jindal A, Ctori I, Fidalgo B, Dabasia P, Balaskas K, Lawrenson JG. Impact of optical coherence tomography on diagnostic decision-making by UK community optometrists: a clinical vignette study. Ophthalmic Physiol Opt. 2019;39(3):205–215. doi:10.1111/opo.12613
7. Jalbert I, Rahardjo D, Yashadhana A, Liew G, Gopinath B (2020) A qualitative exploration of Australian eyecare professional perspectives on Age-Related Macular Degeneration (AMD) care. PLoS ONE 15(2): e0228858. https://doi.org/ 10.1371/journal.pone.0228858