As medical research evolves, so does the responsibility of the health care provider.

In this month’s annual age-related macular degeneration (AMD)/retina issue, Roya Attar, OD, MBA, DHA, illustrates this in her article “Acting on AMD and cognitive decline.” Specifically, she shows through research that, in addition to preserving vision in these patients, optometrists now also play a role in helping to preserve their mental faculties.

What the research shows
“Multiple large-scale epidemiological studies demonstrate that individuals who have either form of AMD are at an increased risk of developing cognitive decline and dementia compared to age-matched controls without AMD,” Dr. Attar writes. What’s more, she discusses the theories proposed to explain the link. These include neurodegeneration and sensory deprivation, among others.

What the OD can do
In recognizing that this research has “significant implications for clinical practice,” Dr. Attar provides efficient action steps to add the assessment and monitoring of cognition to the management of AMD. Examples include a cognitive screening questionnaire in the pre-appointment paperwork, and training staff to administer brief cognitive tests during the initial workup.

Promoting the profession
The beneficial impact of the connection between AMD and cognitive decline is that it necessitates a “multidisciplinary collaborative approach,” with the AMD patient’s primary care physician, neurologist, mental health professional, and retina specialist, Dr. Attar points out. In my opinion, I think multidisciplinary collaboration ensures both comprehensive patient care and promotes the significance of optometry as a member of the health care team.

There’s more
Dr. Attar’s article works as a nice segue to the issue’s additional AMD features. I hope you enjoy this issue and, please reach out with any comments or suggestions at Jennifer.Kirby@conexiant.com. OM