Age-Related & Acquired Retinal Conditions

Dry Age-Related Macular Degeneration (Dry AMD)

The most common form of Age-Related Macular Degeneration (AMD), affecting the macula – the central part of the retina responsible for detailed vision.

Understanding Dry Age-Related Macular Degeneration

Dry Age-Related Macular Degeneration (Dry AMD) is the most common form of Age-Related Macular Degeneration (AMD), affecting the macula—the central part of the retina responsible for detailed vision.

The condition develops gradually as the cells of the macula become damaged over time. Changes in the retina may include the accumulation of deposits called drusen and gradual loss of retinal cells, which can affect central vision.

Many people with early Dry AMD experience few or no symptoms. However, as the condition progresses, it can make everyday activities such as reading, recognising faces, driving, and performing detailed tasks increasingly difficult.

In some people, Dry AMD can progress to an advanced form known as Geographic Atrophy (GA), where areas of retinal cells permanently degenerate and lead to more significant vision loss.

Although there is currently no cure for Dry AMD, advances in research are improving understanding of the condition and leading to new approaches aimed at slowing progression and preserving vision.

Retina International works with people affected by AMD, patient organisations, researchers, clinicians, and partners worldwide to improve awareness, support access to care, and ensure that patient experiences inform research and innovation.

What is Dry Age-Related Macular Degeneration?

Dry AMD is a progressive retinal condition that affects the macula, the area of the retina responsible for sharp central vision.

The macula allows us to:

  • Read and recognise words
  • Identify faces
  • See fine details
  • Drive and navigate safely
  • Perform close-up activities

In Dry AMD, the cells that support the macula gradually become damaged.

One of the earliest signs of Dry AMD is the development of drusen—small deposits that form beneath the retina between the retinal pigment epithelium (RPE) and another layer called Bruch’s membrane.

The presence of drusen does not always mean that significant vision loss will occur, but larger or increasing numbers of drusen may indicate a higher risk of progression.

Dry AMD is generally classified into stages:

Early Dry AMD

Early changes may include small or medium-sized drusen with little or no impact on vision.

Many people are unaware they have AMD at this stage and may only be diagnosed during a routine eye examination.

Intermediate Dry AMD

As the disease progresses, drusen may increase in size and number.

People may begin experiencing:

  • Difficulty seeing in low light
  • Reduced contrast sensitivity
  • Longer adjustment times between bright and dark environments

3 stages

Dry AMD is generally described as early, intermediate, and advanced (Geographic Atrophy).

Over 50

Dry AMD is most common in people over 50, with risk increasing with age.

Drusen deposits

Drusen are small deposits beneath the retina and an early sign of Dry AMD.

Symptoms

How Dry AMD can affect vision

Dry AMD often develops slowly, and symptoms may not be noticeable in the early stages. As the condition progresses, people may experience:
Blurred central vision

Objects may appear less clear, making tasks requiring detailed vision more difficult.

Difficulty reading

People may notice they need brighter lighting or larger print.

Difficulty recognising faces

Loss of central detail can affect facial recognition.

Increased difficulty adapting to changes in lighting

Moving between bright and dark environments may take longer.

Missing areas in central vision

In advanced Dry AMD, areas of vision loss may develop as retinal cells are lost.

Any sudden changes in vision, including new distortion or dark areas, should be assessed promptly as they may indicate Wet AMD.

Diagnosis

Identifying Dry AMD

Early diagnosis and monitoring are important for identifying changes and managing progression. Dry AMD may be detected through:
Eye examination

An eye care professional examines the retina for signs including drusen and retinal changes.

Optical Coherence Tomography (OCT)

OCT provides detailed images of retinal layers and helps clinicians monitor:

  • Retinal structure
  • Photoreceptor changes
  • Progression over time
Fundus photography

Retinal photographs allow clinicians to document changes and compare progression.

Fundus autofluorescence (FAF)

FAF imaging helps identify areas of retinal stress and damage, particularly in people at risk of Geographic Atrophy.

Amsler Grid monitoring

People with AMD may use an Amsler Grid at home to monitor changes in central vision.

Distortion or missing areas should be reported to an eye care professional.

Treatment & Management

Supporting independence

There is currently no cure for Dry AMD, but management focuses on monitoring progression, protecting remaining vision, and supporting quality of life.
Regular monitoring

Routine eye examinations help detect changes and identify whether Dry AMD is progressing.

Lifestyle approaches

Healthy lifestyle choices may support retinal health, including:

  • Not smoking
  • Maintaining cardiovascular health
  • Eating a balanced diet
  • Staying physically active
Nutritional supplements

For some people with intermediate AMD, specific nutritional supplements based on clinical evidence may help reduce the risk of progression to advanced AMD.

A healthcare professional can advise whether these are appropriate.

Low vision support

If vision loss affects daily activities, support may include:

  • Magnification tools
  • Accessible technology
  • Vision rehabilitation
  • Lighting adaptations
  • Mobility support
Emerging treatments

Research is actively exploring treatments that may:

  • Slow retinal degeneration
  • Protect retinal cells
  • Replace damaged retinal tissue
Living With Dry AMD

Supporting independence, and participation

A diagnosis of Dry AMD can be challenging, but many people continue to live active and independent lives with appropriate support.

People living with Dry AMD may benefit from:

  • Understanding how their vision is changing
  • Using assistive technologies
  • Adapting lighting and environments
  • Accessing low vision services
  • Staying connected with support communities

The emotional impact of vision changes is also important. Support from healthcare professionals, family, friends, and patient organisations can help people adapt and maintain independence.

Patient experiences are essential in shaping research priorities and ensuring that future treatments address the outcomes that matter most to people living with AMD.

Take the Next Step

Dry AMD is a common retinal condition that can affect vision over time, but growing understanding and innovation are transforming how the condition is detected, monitored, and managed.

Through research, collaboration, and patient involvement, the global retinal community continues to work towards better prevention, improved treatments, and a future where more people can preserve their vision.

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