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- Choroidal neovascularisation
- neovascular age-related macular degeneration
- photographic screening
- community screening
Effective management of choroidal neovascularisation (CNV) requires timely referral of patients, as irreversible visual loss occurs within the first 3 months of the disease. However, a significant proportion of patients with CNV see a specialist, who is able to administer treatment, more than 6 months after the onset of symptoms.1 Many elderly patients are asymptomatic, particularly when the first eye that is affected is non-dominant. Screening and early intervention may prevent visual loss in these patients, especially with the advent of anti-VEGF therapies.
We evaluated the effectiveness of photographic screening in the community for CNV. A total of 628 consecutive patients (1177 eyes) aged 75 and over attending their optometrists were assessed. Stereo colour fundus photographs were obtained and the images transmitted electronically and graded by a retinal specialist …