Macular degeneration: The Daily PANCE Blueprint

Macular degeneration: The Daily PANCE Blueprint

Which of the following is the first-line treatment for wet age-related macular degeneration?

A. Laser coagulation
B. Photodynamic therapy
C. VEGF inhibitors
D. Vitamin A and E
E. None of the above

Answer and topic summary

The answer is C. VEGF inhibitors

Macular degeneration is a disease of the retina; there are two main types: wet and dry. Overall age-related macular degeneration (AMD) is the most common cause of blindness in people older than 65 years old. Clinical features include central visual impairment (painless) and issues adapting to different lighting changes. Patients may also complain that straight lines appear wavy. Fundoscopy can be used to actually show the degenerative changes. Fluorescence angiography is a tool that can help confirm wet AMD. The first line treatment specifically for wet AMD is VEGF inhibitor injections.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint EENT ⇒ Retinal disordersMacular degeneration

Also covered as part of the Emergency Medicine EOR and Family Medicine EOR topic list

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