How GA Lesion Location Affects Vision-Related Quality of Life

Understanding Geographic Atrophy and its Impact

Geographic atrophy (GA), related to age-related macular degeneration (AMD), poses significant challenges not only to vision but also affects individuals' quality of life. A recent study highlighted at the Angiogenesis, Exudation, and Degeneration conference in 2025 emphasized how the location of GA lesions plays a crucial role in this regard. According to Dr. Monika Fleckenstein from the John A. Moran Eye Center, the area in the better-seeing eye significantly influences vision-related quality of life.

Key Findings on Lesion Location

In this comprehensive analysis of 82 patients, researchers discovered that the inner lower and inner left subfields of the better-seeing eye were the most critical factors affecting daily activities. While it's known that the size of GA can affect vision, insights from this study indicate that lesion location is a more decisive factor in determining how patients can engage with their surroundings, such as reading and driving.

The Role of Patient Comorbidities

Interestingly, the study also correlates the effects of vision-related quality of life with patient comorbidities. Research published in BMC Ophthalmology highlights that conditions like chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) can further complicate the link between visual acuity and quality of life. For instance, patients suffering from CVD presented lower scores in vital categories such as 'near activities' and general vision.

Implications for Concierge Medical Practices

For medical concierge practice owners, this information is crucial. Understanding that location and patient comorbidities can heavily influence vision-related quality of life allows providers to tailor their services better. A focus on comprehensive patient assessments and personalized treatment plans that consider both vision health and coexisting conditions can position practitioners as top providers in their communities.

Actionable Insights and Patient Engagement

Encouraging deeper conversations with patients about their visual health can lead to stronger relationships and increased patient satisfaction. Engaging patients through regular check-ups and discussions about how their conditions intersect with everyday activities can enhance their experience and foster loyalty towards your practice.

Moving Forward: Prioritizing Comprehensive Care

Patients with GA deserve comprehensive care that addresses not only their visual needs but also their broader health contexts. By acknowledging and incorporating findings about lesion location and related health conditions into routine practice, concierge medical practices can significantly improve patient outcomes and quality of life.

For concierge medical practice owners looking to deepen their connections with patients, the focus should be on a holistic approach to care. Understanding the nuances of patient conditions and how they affect daily life will not only enhance overall patient satisfaction but also secure your practice's standing in your local healthcare landscape.