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Author Spotlight: Understanding Age-Related Macular Degeneration Pathophysiology with QAF Workflow
Published on: May 26, 2023
Self-reported optometric practise patterns in age-related macular degeneration
Angelica Ly1,2, Lisa Nivison-Smith1,2, Barbara Zangerl1,2
1Centre for Eye Health, Sydney, New South Wales, Australia.
Optometrists increasingly use advanced imaging like optical coherence tomography for age-related macular degeneration (AMD). Further training may be needed to align practice with evidence, especially regarding nutritional supplements.
Area of Science:
- Ophthalmology
- Optometry
- Medical Imaging
Background:
- Advanced imaging is emerging in clinical practice.
- Optometrists' use of advanced imaging for age-related macular degeneration (AMD) assessment is of interest.
Purpose of the Study:
- To explore current practices of Australian and New Zealand optometrists in diagnosing and managing AMD.
- To investigate the adoption and impact of advanced imaging technologies in AMD care.
Main Methods:
- A cross-sectional survey of 127 Australian and 87 New Zealand optometrists.
- Survey covered demographics, clinical skills, AMD assessment/management, and self-rated competency using a Likert scale.
Main Results:
- Optical coherence tomography (OCT) is the most common advanced imaging technique for AMD (49% of respondents).
- OCT use correlated with higher self-rated competency, knowledge, and perceived relevance.
- Significant variation exists in advanced imaging use; many optometrists' views on nutritional supplements for early AMD contradict evidence.
Conclusions:
- Multimodal and advanced imaging, particularly OCT, are increasingly used by optometrists for AMD assessment.
- Variations in competency and understanding of nutritional supplements suggest a need for further optometrist up-skilling in AMD management.
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