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Counseling about the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of age-related macular degeneration (AMD) provided to patient and/or caregiver(s) (EC)

CPT4 code

Name of the Procedure:

Counseling about the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of age-related macular degeneration (AMD) (EC)

Summary

A healthcare provider discusses with the patient and/or their caregivers the potential benefits and risks of using the AREDS formulation, a specific combination of vitamins and minerals shown to help slow the progression of age-related macular degeneration (AMD).

Purpose

The procedure addresses the management of age-related macular degeneration (AMD), a condition that can cause significant vision loss in older adults. The goal is to provide information that helps in decision-making about using the AREDS formulation to prevent AMD progression.

Indications

  • Patients diagnosed with intermediate or advanced AMD.
  • Individuals with family history or other risk factors for AMD.
  • Patients looking for preventive measures to slow AMD progression.

Preparation

  • No specific preparation required.
  • Patients should bring a list of current medications and any relevant medical history.

Procedure Description

  1. Initial Consultation: The healthcare professional reviews the patient's medical history and current condition.
  2. Discussion: Detailed information about the AREDS formulation, including its components (vitamins C and E, beta-carotene, zinc, and copper).
  3. Benefits and Risks: Explanation of potential benefits (reduced risk of AMD progression) and possible risks or side effects (e.g., gastrointestinal discomfort, potential interactions with other medications).
  4. Questions and Concerns: Opportunity for the patient and/or caregivers to ask questions and discuss concerns.
  5. Decision Making: Assistance in deciding whether to start the AREDS formulation based on individual health factors and preferences.

Duration

Approximately 20-30 minutes.

Setting

Outpatient clinic or doctor's office.

Personnel

  • Ophthalmologist or optometrist
  • General practitioner or a healthcare provider specialized in AMD care

Risks and Complications

  • Common risks: Gastrointestinal discomfort, potential for nutrient overdose.
  • Rare complications: Allergy to ingredients, interaction with other medications.

Benefits

  • Potential to slow the progression of AMD.
  • Helps maintain better vision for a longer period.
  • Benefits may be realized within a few months of starting the formulation.

Recovery

  • No recovery needed post-counseling.
  • Regular follow-ups may be recommended to monitor AMD progression and adjust treatment as needed.

Alternatives

  • Other vitamin and mineral supplements not specifically formulated for AMD.
  • Lifestyle modifications such as a balanced diet, quitting smoking, and managing underlying health conditions (e.g., hypertension).

Patient Experience

During the counseling session, patients can expect a thorough explanation of the pros and cons of AREDS formulation, personalized advice based on their health status, and support in making an informed decision. The session aims to be interactive, addressing any concerns and ensuring comfort and understanding.

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