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Age Related Macular Degeneration & Visual Performance Assessment Name DOB AMD Risk Factors (Please check all that apply) Age (over 50) Family history of Macular Degeneration Smoker (current or prior)
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Who needs age related macular degneration?
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Age related macular degeneration usually affects older adults aged 50 and above.
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People who have a family history of age related macular degeneration may be at a higher risk.
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Individuals with a history of smoking or exposure to UV light may also be more prone to developing this condition.
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Anyone experiencing symptoms such as blurry or distorted vision, difficulty recognizing faces, and increased sensitivity to light should consult an eye specialist.
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Lastly, individuals who have already been diagnosed with age related macular degeneration may need ongoing treatment or management of the condition.
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What is age related macular degeneration?
Age related macular degeneration is a common eye condition among people over the age of 50 that affects the central vision.
Who is required to file age related macular degeneration?
Individuals who have been diagnosed with age related macular degeneration may be required to report it to their healthcare provider.
How to fill out age related macular degeneration?
To fill out information about age related macular degeneration, individuals can provide details about their diagnosis, symptoms, and any treatments received.
What is the purpose of age related macular degeneration?
The purpose of reporting age related macular degeneration is to monitor and track the progression of the condition, as well as to assess the effectiveness of any treatments.
What information must be reported on age related macular degeneration?
Information that may need to be reported includes the date of diagnosis, type of age related macular degeneration, and any changes in vision.
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