At-Home Monitoring

For over 50 years, the Amsler Grid has been used for the at-home monitoring of intermediate AMD, yet new technologies are available that remove the need for people to objectively determine whether they have suffered vision loss.   There is an FDA-cleared at-home monitoring device called the ForeseeHome AMD Monitoring Program. This device tracks the progression of intermediate AMD, can detect the earliest changes of progression to advanced AMD, and sends the results to the Notal Vision Diagnostic Clinic (NVDC), an independent diagnostic testing facility. If an alert occurs, the NVDC will notify your doctor immediately. Your doctor can then determine if you have progressed from intermediate to advanced AMD and are eligible to receive treatment. This device may be covered by your insurance. Talk to your doctor and learn more by visiting this link: https://www.foreseehome.com/   There is also an app called myVisionTrack that can be downloaded on your phone and used to track the progression of AMD. This app is FDA cleared and requires a prescription from your eyecare provider to activate. To learn more visit: https://www.myvisiontrack.com   What Does My Doctor See? Initially, your retina specialist will look at the retina in the back of your eye with an instrument called an ophthalmoscope to see if any abnormalities are present in the macula. If any damage is seen, additional tests are performed using highly specialized equipment to photograph the retina. These photographic techniques can reveal whether there is any fluid leaking under the retina and if there are changes in the amount of accumulated fluid. When a patient is being treated for exudative AMD, these photographic tests can measure the amount of fluid to determine if the treatment is working and when retreatment is needed. Some additional testing might include:

  • Fluorescein Angiography: In this procedure, a colored dye is injected into the patient’s arm. When the dye reaches the eye, a special camera is used to photograph the blood vessels in the retina. The photographs will reveal any changes in the retina. For patients with exudative AMD, the location and amount of any abnormal fluid in the eye can be determined. Fluorescein Angiography can help establish the diagnosis and guide the doctor in determining which treatments are required. Generally, this test is done at diagnosis but may be repeated periodically to monitor progression of the disease.
  • Fundus Camera and Autofluorescence (AF): The fundus camera is a low-powered microscope with an attached camera. Special filters attached to the fundus camera can detect naturally occurring fluorescence (Autofluorescence, AF) in the eye to reveal damaged retinal pigment epithelium cells (RPE). AF is noninvasive and does not require any dye injections.
  • Ocular Coherence Tomography (OCT): OCT uses light to scan the retina, allowing the doctor to visualize the different layers of the retina and ocular tissues. OCT only takes a few minutes to perform. It is noninvasive and no instruments touch the eye. No injections or exposure to intense light is necessary. The OCT is used to monitor the structure of the eye, to evaluate how well different therapies are working.