Co-Management Strategies in GA Care: Recognizing Geographic Atrophy Earlier

GA care functions optimally when detection, referral, and treatment operate as one continuous system.

By: Damon Dierker, OD, FAAO, Ankur M. Shah, MD, FASRS

Optometric Management April 14, 2026

Clinical Report: Co-Management Strategies in GA Care: Recognizing Geographic Atrophy Earlier

Overview

This report discusses the evolving strategies for the co-management of geographic atrophy (GA) between optometrists and ophthalmologists. Early detection and proactive referral are emphasized as critical components in improving patient outcomes with the recent advancements in treatment options.

Background

Geographic atrophy (GA) is a progressive form of age-related macular degeneration that can lead to irreversible vision loss. Historically managed with observation, recent FDA approvals of complement inhibitor therapies necessitate a shift towards earlier detection and intervention. Understanding the role of optometrists and ophthalmologists in this continuum of care is essential for optimizing patient outcomes.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

GA care requires a continuous system of detection, referral, and treatment.
Optometrists play a critical role in early detection, ideally before foveal involvement.
Optical coherence tomography (OCT) is the most sensitive tool for identifying early changes associated with GA.
Early biomarkers such as ellipsoid zone disruption and photoreceptor attenuation are crucial for timely intervention.
Recent FDA-approved therapies have lowered the threshold for referral to retina specialists.
Patient education regarding treatment expectations is vital for adherence and alignment across providers.

Clinical Implications

Healthcare providers must refine their imaging interpretation and utilize multimodal strategies to enhance early detection of GA. Close monitoring and timely referrals for patients with high-risk features are essential in the management of GA.

Conclusion

The shift towards proactive management of geographic atrophy underscores the importance of early detection and collaboration between eye care providers. This approach is foundational to modern retinal care and improving patient outcomes.

PentaVision

Optometric Management