The Chris Wolfe Podcast:Your AMD Technology Isn’t the Problem—Your System Is
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What did the FDA study reveal about photobiomodulation for dry AMD?
So the big question that everybody wants to know is okay, what was the FDA study? You're going to hear this a ton, but FDA studies show benefit in patients with dry maculdegeneration to improve visual acuity by approximately six letters. So that's a little bit more than a line over the course of two years. So 21 months specifically over the course of two years. And the study included patients who are 2032 to 2070. They had one large drusen. uh or at least three medium-sized drusen and then non-subfovial geographic atrophy uh and then no wet macro degeneration. And so uh that's where FDA approval sits within photobiomodulation. Whether or not you want to extend that outside the boundaries of that is up to you and your patient uh and and the discussion of the risks and benefits and treatment burden of each.
The most common questions I get include what ophthalmological codes or evaluation A question that I hear all the time is, should I be taking an A Reds 2 vitamin? With MacU Health Plus, we can finally have a formulation that follows science without adding unnecessary ingredients. And we can rely on it to know what is in the container is actually what is labeled on the container. We use it specifically for intermediate AMD patients, and the patients with A-REDS 2 data it's the strongest for. And the ability to include mesozyxanthian allows us to support macular function, not just slow disease progression, although it's good at that. That's why it's become a go-to in our clinic. Our mission is to provide optometrists with resources to help you understand disease states, revenue cycles, and billing encoding so that you can put that on autopilot and truly care for your patients.
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How are AMD patients classified using the A‑REDS categories?
Hello and welcome to the Crystal Podcast on iCode Media. Today I want to talk about age-related macular degeneration, but I want to approach it from a slightly different direction. So, you know, most discussions about AMD begin with a new study, a new imaging platform, a new supplement, a new monitoring technology, or a new treatment technology. And all those things matter, and the science has. Changed the available tools have expanded, and our ability to intervene is better than it was even just a few years ago. But the greatest limitation that we see in macro degeneration care is often not the absence of knowledge or technology in in optometry. It's the absence of a reliable system that connects what we know with what happens for the patient.
The practice can own an OCT, they can have a fundus photography, they can have autofluorescence, ERG, dark adaptometry, carotenoid testing, remote monitoring, and even photobiomodulation, and still fail to identify the right patient, explain the risk clearly, or schedule the next visit. And so this episode really has two goals. First, I want to give you a practical a practical overview of the science that shapes modern macrodegeneration management. And then I want to show why implementation is that bridge between the science and better patient care. And so by the end, I hope you'll be asking The question, you know, not what technology should I buy, but instead what pathway should I should every patient enter when I identify a macular degeneration or meaningful wit risk?
So as always, be sure to subscribe to the podcast, write a review, share it with your friends, and support those who support us. So I just got done recording a whole bunch of modules for uh AMD that kind of give you a deep dive their educational modules so the CE educational modules for AMD and they answer a lot of the questions that we're gonna talk about today. There's six different modules but I did it because I'm preparing so for our learners who actually want to do a deep dive in an AMD implementation workshop.
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Chapters
8 chapters
1
What did the FDA study reveal about photobiomodulation for dry AMD?
0:00–2:11
2
How are AMD patients classified using the A‑REDS categories?
2:11–5:31
3
Why is a reliable system essential for linking AMD knowledge to patient care?
5:31–8:19
4
What does the AMD management ladder look like from lifestyle changes to advanced therapies?
8:19–10:47
5
When should clinicians recommend AREDS 2 versus other supplements for AMD?
10:47–13:28
6
How can OCT and remote monitoring be used to track AMD progression?
13:28–15:12
7
What are the risks and benefits of photobiomodulation treatment for AMD?
15:12–17:31
8
How can optometrists join the AMD implementation workshop to improve their practice?
17:31–19:43