Age-Related Macular Degeneration (AMD)

Overview


Plain-Language Overview

Age-Related Macular Degeneration (AMD) is a common eye condition that affects the central part of the retina, called the macula, which is responsible for sharp, detailed vision. It primarily occurs in older adults and leads to a gradual loss of central vision, making it difficult to see faces, read, or drive. The disease involves damage to the light-sensitive cells in the macula and the supporting tissues underneath. There are two main types: dry AMD, which progresses slowly, and wet AMD, which can cause rapid vision loss due to abnormal blood vessel growth. Overall, AMD impacts the visual system and is a leading cause of vision impairment in the elderly.

Clinical Definition

Age-Related Macular Degeneration (AMD) is a chronic, progressive degenerative disorder of the macula lutea characterized by the accumulation of drusen (extracellular deposits) between the retinal pigment epithelium and Bruch's membrane. The pathogenesis involves oxidative stress, inflammation, and genetic factors such as polymorphisms in the CFH gene. AMD is classified into dry (atrophic) and wet (neovascular) forms; the dry form features gradual photoreceptor and retinal pigment epithelium atrophy, while the wet form involves choroidal neovascularization leading to hemorrhage and scarring. Clinically, AMD causes progressive central vision loss with preserved peripheral vision, significantly impacting quality of life. It is the leading cause of irreversible vision loss in individuals over 50 years old.

Clinical Presentation


Diagnostic Workup


Pathophysiology


Treatments


Prevention


Outcome & Complications


Differential Diagnoses


Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

Analytics Disclosure: If you allow analytics cookies, Doctogenic uses Google Analytics, Microsoft Application Insights, and Microsoft Clarity to understand site usage, diagnose issues, review heatmaps and session replay recordings, and improve the service on pages where those tools are enabled. Clarity is not enabled on account, purchase, billing, checkout, Stripe-related, or admin pages. You can change this choice through Cookie preferences.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.