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J Fr Ophtalmol. 2018 Nov;41(9):857-861. doi: 10.1016/j.jfo.2018.05.004. Epub 2018 Oct 19.

[Update from France Macula Federation: Diagnosis of wet AMD].

[Article in French]

Author information

1
Centre ophtalmologique de la maison rouge, 6, rue de l'Église, 67000 Strasbourg, France.
2
Centre Ophtalmologique pôle vision, 69130 Ecully, France; Hôpital de la Croix-Rousse, 69004 Lyon, France.
3
Centre hospitalier national d'ophtalmologie des XV-XX, 28, rue de Charenton, 75012 Paris, France.
4
Centre Ophtalmologique pôle vision, 69130 Ecully, France.
5
Service d'ophtalmologie, université Paris Est, 94000 Créteil, France.
6
Centre hospitalier national d'ophtalmologie des XV-XX, 28, rue de Charenton, 75012 Paris, France; Centre ophthalmologique d'imagerie et de laser, 11, rue Antoine-Bourdelle, 75015 Paris, France. Electronic address: sycsyc75@gmail.com.

Abstract

PURPOSE:

To update the recommendations of the France Macula Federation for the diagnosis of wet age-related macular degeneration (AMD).

METHODS:

Analysis of literature and expert opinion.

RESULTS:

The FMF recommends diagnosing wet AMD by combining the results of fundus examination (or color or monochromatic fundus photographs), optical coherence tomography (OCT) showing exudative signs, and morphological visualization of the neovascular membrane, which may be obtained non-invasively (OCT-angiography) or invasively (fluorescein and/or indocyanine green angiography). Under optimal conditions in which all these tools are available, the FMF recommends using non-invasive methods as first-line tools and resorting to dye angiography if diagnostic doubt remains.

CONCLUSION:

As observed in other fields of medical imaging, non-invasive methods are preferred to invasive methods for the diagnosis of wet AMD, while the latter are reserved for more difficult cases.

KEYWORDS:

AMD; Angiographie au vert d’indocyanine; Angiographie à la fluorescéine; DMLA; Fluorescein angiography; Indocyanine green angiography; OCT; OCT-Angiography; OCT-angiographie

PMID:
30348597
DOI:
10.1016/j.jfo.2018.05.004
[Indexed for MEDLINE]

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