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There are a couple of different considerations when putting an advanced technology lens in a patient who has at least signs of macular degeneration vs. more advanced changes in the retina.
For early signs of macular degeneration, meaning a patient who may have just a little pigmentary change or a few drusen and may not have any risk factors for macular degeneration, that presents a very different scenario from somebody with advanced macular degeneration with a family history