THE MACULAR ASSESSMENT PROGRAM

Title THE MACULAR ASSESSMENT PROGRAM
Author, Co-Author Mira Acs, Michael Kaplan, Dorothy Barrie
Topic
Year
2013
Day
Thursday
Program Number
130959
Room
Room 6A
Affiliation
Alcon Research, Ltd
Abstract PURPOSE:
The Macular Assessment Program (MAP) was developed to raise the awareness of risk for Age-related Macular Degeneration (AMD) and the need for screening certain individuals.

METHODS:
290 optometrists from across Canada participated. Optometrists were asked to assess 20 of their patients’ who they considered at risk of AMD. Two online questionnaires were developed (Figure 1): 1) Practice Profile; 2) AMD Risk Assessment. The Practice Profile collected optometrists’ demographic information and their approach to identifying AMD. This was later compared to the AMD Risk Assessment conducted with their patients. Figure 1.

RESULTS:
4,953 patients were assessed for risk of AMD. Optometrists reported that 26% of patients are at risk of AMD and 10% have AMD, MAP revealed that 20% of patients are at high risk, and 30% have AMD. (Chart 1). Chart 1: Perception vs Reality. The initial assessment questions addressed the non-modifiable and modifiable risk factors (table 1), enabling the optometrists to establish a category of risk for each patient; LOW, MODERATE or HIGH. Table: 1. Of the patients diagnosed with AMD, 61% were female, 56% have light eye colour, and 88% are Caucasian (Figure 2). Figure 2: Non-Modifiable Risk Factors In Patients With AMD. Optometrists’ most important modifiable risk factors: • Sun exposure • Healthy diet Of the patients diagnosed with AMD, 56% have high blood pressure, 38% are inactive, and 39% have high cholesterol (Figure 3). Figure 3: Modifiable Risk Factors In Patients With AMD. 64% of patients assessed as High Risk, 36% of Moderate Risk, and 15% of Low Risk, were later diagnosed with AMD. (Chart 2). Chart 2: Assessed vs Diagnosed.

CONCLUSIONS:
The MAP efficiently identified patients at risk for AMD and illustrated the prevalence of the condition within optometrists’ practice. Approximately one third of the patients assessed were later diagnosed with AMD. The utilization of a risk assessment questionnaire can help identify patients at risk of AMD and provide the optometrist with the opportunity to recommend preventative interventions.

ADDITIONAL COMMENTS:
6 Graphic elements will be included: - 3 Figures - 2 Charts - 1 Table

Affiliation of Co-Authors Alcon Research, Ltd, Alcon Research, Ltd
Outline