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

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

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.

Publication types

  • Practice Guideline

MeSH terms

  • Diagnostic Techniques, Ophthalmological / standards*
  • Expert Testimony
  • Fluorescein Angiography / methods
  • Fluorescein Angiography / standards
  • France
  • Humans
  • Macula Lutea / diagnostic imaging
  • Macula Lutea / pathology
  • Ophthalmology / organization & administration
  • Ophthalmology / standards
  • Societies, Medical / standards
  • Tomography, Optical Coherence / methods
  • Tomography, Optical Coherence / standards
  • Wet Macular Degeneration / diagnosis*