Case Scenario

Kerry, 71 years, presents at the hospital emergency department with a 6-week history of sudden-onset right eye visual deterioration. The optometrist referral queries suspected right-eye retinal bleed. Kerry says vision in his right eye appears dark and blurry, but he denies any photopsia (flashes) and floaters, trauma, or pain at presentation. His medical history includes long standing hypertensive heart disease, type 2 diabetes, atrial fibrillation, and a previous pacemaker. While Kerry is compliant with his medication, his diabetes is poorly controlled (HbA1C = 11.1%). A smoker for >50 years, his diet comprises frozen pre-made meals.

Learning Objectives

After reading this article, pharmacists should be able to:

  • Describe the risk factors for AMD
  • Describe the types of AMD
  • Describe evidence-based medicines for AMD
  • Recognise the adverse effects of AMD medicines.

Competency standards addressed (2016): 1.1, 1.4, 1.5, 2.1, 2.4, 3.1, 3.2, 3.3, 3.5

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