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Ophthalmology · Retina: dry age-related macular degeneration
Sample itemAn elderly smoker with intermediate dry AMD asks which measure reduces progression. What is recommended?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. AREDS2 antioxidant vitamin and zinc supplements
AREDS and AREDS2 showed that antioxidants, zinc and lutein-zeaxanthin reduce progression to advanced AMD in intermediate or advanced disease in one eye. Smoking cessation is also advised.
Option by option
A. Laser to drusen
Prophylactic laser to drusen is not beneficial.
B. Oral steroids
Steroids are not indicated.
C. AREDS2 antioxidant vitamin and zinc supplements (correct)
Correct. AREDS formulation slows progression.
D. Intravitreal anti-VEGF
Anti-VEGF is for wet AMD.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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