For a patient with newly diagnosed age-related macular degeneration (AMD), first classify the AMD using the appropriate criteria, such as early or late AMD, based on fundus examination findings NICE NG82.
If diagnosed with early AMD, provide information about the condition, its progression, and lifestyle modifications, including smoking cessation and diet NICE NG82.
For late AMD, confirm the diagnosis with slit-lamp biomicroscopic fundus examination and consider referral to hospital eye services for further assessment and management NICE NG82.
In cases of suspected late AMD (wet active), make an urgent referral to a macula service within 1 working day, and offer optical coherence tomography (OCT) to confirm the diagnosis NICE NG82.
If confirmed with late AMD (wet active), offer anti-VEGF intravitreal treatment as soon as possible, ideally within 14 days of referral NICE NG82.
Throughout management, involve the patient in decision-making, provide tailored information, and discuss treatment options, risks, and benefits NICE NG82.