Neovascular AMD may present with which type of lesions in the retina?

Neovascular Age-related Macular Degeneration (AMD) is characterized by the growth of abnormal blood vessels in the choroid that penetrate into the retina, leading to the development of exudative lesions. These lesions can include areas of retinal hemorrhage, serous retinal detachment, and the accumulation of fluid or lipid (exudates) in the subretinal space. The activity of the new, abnormal vessels results in localized inflammation and can significantly affect visual acuity.

Exudative lesions are a direct consequence of this neovascularization, while hemorrhages and fluid accumulation are commonly associated with the pathological process of neovascular AMD. Understanding this manifestation is crucial since timely recognition and treatment can greatly impact the visual prognosis for patients.

In contrast, ischemic, atrophic, and vascularized lesions are not typically associated with the neovascular form of AMD in the same manner. Ischemic lesions pertain to inadequate blood supply, atrophic lesions refer to the degeneration of retinal tissue, and vascularized lesions might imply the presence of blood vessels but do not indicate the abnormal proliferative behavior seen in neovascular AMD.