Michael Colucciello MD       

Medical and Surgical Retina and Macula Consultant                          
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Michael Colucciello MD
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Age-Related Macular Degeneration
AMD Testing
Wet AMD treatment: Avastin
Wet AMD treatment: Lucentis
Wet AMD treatment: Eylea
Wet AMD treatment: Visudyne PDT
Diabetic Retinopathy
Retinal Venous Occlusive Disease
Macular Hole
Macular Pucker
Macular Edema
Central Serous Chorioretinopathy
Retinal Tear
Retinal Detachment
Retinal Arterial disease
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Michael Colucciello MD Retina Articles
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Age-Related Macular Degeneration (AMD)

AMD is the leading cause of legal blindness in people over the age of 60. The macula is the specialized area in the center of the retina that allows us to see detailed, central vision. The macular damage that occurs in AMD can result in extreme loss of central vision.

Age-Related Macular Degeneration

Two basic forms: dry (more benign) and wet (more significant regarding potential for vision loss)

Patients who are predisposed have significant drusen (lipid-protein) deposits under the retina (dry with drusen): 

Thinning of the retina can occur in areas that were involved in drusen formation (dry with atrophy):

In some individuals, AMD can be associated with leaking new blood vessels under the retina (wet AMD):



Optical Coherence Tomography (OCT)

AMD can be assessed with OCT: compare the normal retinal OCT image on the top with the individual with wet AMD on the bottom, which shows fluid (dark areas) and debris (lighter area) below the retina contour.

Fluorescein Angiography

AMD can be assessed with fluorescein angiography:

dye injected intravenously highlights areas of leaking new vessels (white area above).