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Retinal Physician

Article | 2025 Euretina Congress

Consensus Group Advocates Shift in GA Care

European retina experts call for multimodal imaging, early specialist referral, and strategies that address the broader impact of geographic atrophy on patients’ quality of life.

Retinal Physician September 5, 2025

Clinical Scorecard: Consensus Group Advocates Shift in GA Care

At a Glance

CategoryDetail
ConditionGeographic Atrophy (GA)
Key MechanismsMultimodal imaging, early referral to specialists, and addressing quality of life impacts.
Target PopulationPatients with Geographic Atrophy, particularly those with intermediate AMD.
Care SettingOphthalmology/Retina specialist clinics.

Key Highlights

  • Call for refined definitions and classifications of GA.
  • Emphasis on multimodal imaging techniques like OCT and fundus autofluorescence.
  • Critique of best-corrected visual acuity as a primary endpoint.
  • Recommendation for early referral of patients with intermediate AMD.
  • Need for alternative functional outcome measures.

Guideline-Based Recommendations

Diagnosis

  • Develop and validate refined definitions and classifications of GA.
  • Utilize multimodal imaging to capture diverse GA phenotypes.

Management

  • Implement early referral strategies for patients with intermediate AMD.
  • Focus on patient stratification for targeted interventions.

Monitoring & Follow-up

  • Adopt alternative measures such as low-luminance visual acuity and contrast sensitivity.

Risks

  • Patients with extrafoveal GA are at risk of vision loss within 2 years.

Patient & Prescribing Data

Individuals with Geographic Atrophy, especially those with intermediate AMD.

Early intervention may benefit subgroups with faster progression.

Clinical Best Practices

  • Utilize multimodal imaging for comprehensive assessment.
  • Refer patients to specialists earlier to prevent vision loss.
  • Adopt a holistic approach addressing the quality of life impacts of GA.

References