Age-related macular degeneration (AMD) is a disease of the macula, the central area of the retina responsible for fine vision. It is the leading cause of visual impairment after 50 in industrialised countries. It affects central vision but never causes total blindness: peripheral vision is preserved.
The two forms
The dry (atrophic) form, slowly progressive, and the wet (exudative) form, due to new vessels growing under the retina, which can progress rapidly.
Symptoms
Reduced central vision, distorted straight lines (metamorphopsia), a dark spot in the centre of the visual field (scotoma). Home self-monitoring with the Amsler grid is recommended.
Treatment
Wet form: intravitreal anti-VEGF injections, all the more effective when started early. Dry form: no curative treatment to date; appropriate vitamin supplementation may slow progression, and stopping smoking is essential.
Self-monitoring: the Amsler grid
Print the grid and test each eye separately once a week, with your reading glasses, at 30-40 cm. If lines look wavy or distorted, or if a spot appears: see your ophthalmologist promptly.
📄 Printable Amsler grid, with instructions (in French)PDFFrequently asked questions
When to consult urgently?
Any recent distortion of straight lines or sudden drop in central vision warrants a fundus examination with OCT as soon as possible.
How is AMD screened for?
With a regular fundus examination after 50, supplemented if needed by OCT (retinal imaging). Dr Prud'homme performs this screening in consultation.
Book an appointment
Consultations in Boulogne-Billancourt (Ophtalife) and Saint-Maur-des-Fossés (Beaurepaire).