[Treatment according to "evidence-based medicine" of aged-related exudative age-related macular degeneration (laser photocoagulation and photodynamic therapy)].
BACKGROUND
Age related macular degeneration (AMD) is actually the leading cause of severe visual acuity loss in people over 65 in the Western World. Most of the visual loss is due to choroidal neovascularization (CNV).


METHODS
Review of the literature.


RESULTS
For more then 10 years laser photocoagulation was the only proven treatment for selected cases of AMD according to the evidence based medicine criteria. In 1999 photodynamic therapy was proven to be efficient for the treatment of predominantly classic subfoveal CNV.


CONCLUSIONS
Laser photocoagulation and photodynamic therapy constitute therefore the only evidence based medicine treatment available for CNV in AMD.
Donati
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Clinique d'Ophtalmologie, Département de Neurosciences Cliniques, HCUG, 22 Rue A. Jentzer, CH-1211 Genève 14.
D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000628:therapy*; D019317:Evidence-Based Medicine; D005500:Follow-Up Studies; D006801:Humans; D008028:Light Coagulation; D008268:Macular Degeneration / Q000628:therapy*; D015337:Multicenter Studies as Topic; D010778:Photochemotherapy; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome