January 21, 2009
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Night vision symptoms in AMD patients may signal higher risk of visual decline

Andrew P. Schachat, MD
Andrew P. Schachat

WAILEA, Hawaii — Night vision symptoms in age-related macular degeneration patients were shown to be indicative of oncoming visual decline, a surgeon said here.

"When patients are complaining of trouble with night vision, it's an early warning sign," Andrew P. Schachat, MD, said at Retina 2009.

At their baseline examination, patients were given a night vision questionnaire. The findings of these surveys correlated with three lines of visual loss and development of choroidal neovascularization and geographic atrophy.

Dr. Schachat said he also considers patients older than 50 years with 10 or more large drusen and good vision to be at high risk and recommended following them closely to best treat any decline.

"I used to follow patients once a year, and now I follow them twice a year. I think that if the patient is willing to come every 3 months, there's no trouble with that," he said. "The way I follow them is by measuring vision and doing an eye exam. Nothing special."