Grading Age-Related Macular Degeneration

ARMD Overview

Age-Related Macular Degeneration (ARMD) is a leading cause of vision loss in older adults, and effective grading of this condition is crucial for determining appropriate management strategies. ARMD grading is based on the extent and nature of macular changes observed during fundoscopic examination. The grading scale typically categorizes ARMD into early, intermediate, and late stages.

Precise grading of ARMD assists optometrists in monitoring disease progression, advising on preventive measures, and initiating advanced therapeutic interventions when necessary. For late-stage ARMD, treatments may include anti-VEGF (vascular endothelial growth factor) therapy to inhibit abnormal blood vessel growth and reduce fluid leakage in neovascular ARMD. Regular intravitreal injections can help stabilize and, in some cases, improve vision.

GradeDescription
1Few small (<63µm)
2Many small or 1 intermediate (63-124µm)
3Many intermediate or 1 large (≥125µm)
4Geographic or neovascular atrophy