Treatment of nonexudative (dry) age-related macular degeneration

Mark J. Donaldson, Jose S. Pulido

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

PURPOSE OF REVIEW: The purpose of this report is to review the recent literature and summarize currently available and potential new treatment options for nonexudative age-related macular degeneration. RECENT FINDINGS: High-dose vitamin supplementation may have some associated systemic toxicity. It is important to check that the patient is taking β-carotene and not vitamin A as retinal acetate or palmitate, which have been associated with osteoporosis and hepatotoxicity. High-dose vitamins E and C may be associated with cardiovascular disease. Decreasing inflammation by lowering systemic cardiac C-reactive protein, fibrinogen and cholesterol may be important, especially in light of recent epidemiologic and genetic data. The results of randomized trials of laser treatment for drusen and rheopheresis should be available during 2006. Treatment with these modalities before the results of the trials are evaluated should be avoided. SUMMARY: The holy grail of therapy for age-related macular degeneration is to avoid the development of choroidal neovascularization. High-dose vitamin supplementation should be used only in those in whom it is indicated and inflammatory parameters including highly sensitive C-reactive protein, fibrinogen and cholesterol should be stabilized because there are data associating these parameters with age-related macular degeneration and also with cardiovascular disease.

Original languageEnglish (US)
Pages (from-to)267-274
Number of pages8
JournalCurrent Opinion in Ophthalmology
Volume17
Issue number3
DOIs
StatePublished - Jun 1 2006

Keywords

  • Age-related macular degeneration
  • Anecortave
  • Ciliary neurotrophic factor
  • Drusen
  • Geographic atrophy
  • Lutein
  • Macular translocation surgery
  • Rheopheresis
  • Zeaxanthin

ASJC Scopus subject areas

  • Ophthalmology

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