Table 2 Various outcomes for referrals to AMD services.
Outcome | Action |
|---|---|
No AMD | Discharge |
Early AMD | Follow recommendations for early AMD care pathway |
Late indeterminate AMD | Monitoring with visual acuity and OCT assessment; treatment initiated if nAMD is confirmed |
nAMD present and symptomatic presenting VA better 6/96 or better | Follow the recommendation for nAMD care pathway |
nAMD with or without disciform scar and poor visual potential (presenting visual acuity Snellen 6/96 or worse or ETDRS letters less than 25 letters) | Clinicians’ discretion to initiate treatment or monitor. NICE guidance advises only consider treatment if the patient’s visual function could improve, e.g., if the better-seeing eye is affected. Discharge if no treatment is expected. Refer to support services if indicated |
Geographic atrophy (late dry AMD) | Follow recommendations for late dry AMD care pathway |
Non-AMD causes fluid at macula | Referral to Medical or Surgical Retina Service for diagnosis confirmation and appropriate treatment |
Other pathology | Refer to subspecialty depending on pathology identified |
