A nurse is assessing a 72-year-old client with suspected age-related macular degeneration (AMD). Which assessment finding would be most characteristic of this condition?

A 72-year-old client presents with suspected AMD. The most characteristic finding is central vision loss with preserved peripheral vision, resulting from progressive damage to the macula.

• Visual Acuity: Reduced distance and near vision (e.g., 20/200) despite intact side vision.
• Functional Complaints: Difficulty reading, recognizing faces, or performing fine tasks; may report wavy or distorted central vision (metamorphopsia).
• Amsler Grid Testing: Often reveals central scotomas or distorted lines, confirming macular involvement.

• Educate on the use of low-vision aids (magnifiers, large-print materials) to maximize remaining vision.
• Assess home safety and recommend environmental modifications (e.g., improved lighting, contrast markers on stairs).
• Refer to ophthalmology for anti-VEGF therapy or laser treatment if wet AMD is suspected.
• Provide emotional support and resources for vision rehabilitation services.

• Glaucoma: Presents with peripheral vision loss first, often asymptomatic until advanced.
• Cataracts: Causes overall blurring or glare, not selective central loss.
• Retinitis Pigmentosa: Leads to night blindness and tunnel vision from peripheral retinal degeneration.