Abstract
Age-related macular degeneration (AMD) is a multifactorial degeneration of photoreceptors and retinal pigment epithelium. The societal impact is significant, with more than 2 million individuals in the United States alone affected by advanced stages of AMD. Recent progress in our understanding of this complex disease and parallel developments in therapeutics and imaging have translated into new management paradigms in recent years. However, there are many unanswered questions, and diagnostic and prognostic precision and treatment outcomes can still be improved. In this article, we discuss the clinical features of AMD, provide correlations with modern imaging and histopathology, and present an overview of treatment strategies.
Copyright © 2015 Cold Spring Harbor Laboratory Press; all rights reserved.
MeSH terms
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Aged
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Angiogenesis Inhibitors / therapeutic use
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Antibodies, Monoclonal, Humanized / therapeutic use
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Aptamers, Nucleotide / therapeutic use
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Bevacizumab
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Combined Modality Therapy
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Drug Therapy, Combination
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Humans
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Light Coagulation / methods
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Macular Degeneration / etiology
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Macular Degeneration / pathology
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Macular Degeneration / therapy*
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Middle Aged
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Photochemotherapy / methods
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Ranibizumab
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Receptors, Vascular Endothelial Growth Factor / therapeutic use
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Recombinant Fusion Proteins / therapeutic use
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Risk Factors
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Vascular Endothelial Growth Factor A / antagonists & inhibitors
Substances
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Angiogenesis Inhibitors
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Antibodies, Monoclonal, Humanized
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Aptamers, Nucleotide
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Recombinant Fusion Proteins
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Vascular Endothelial Growth Factor A
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aflibercept
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pegaptanib
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Bevacizumab
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Receptors, Vascular Endothelial Growth Factor
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Ranibizumab