Geographic Atrophy and Age-Related Macular Degeneration: What's the Difference?

Age-Related Macular Degeneration (AMD) is one of the leading causes of vision loss in older adults, affecting millions worldwide. Within AMD, there is a specific form called Geographic Atrophy (GA), which is less commonly discussed but equally important to understand.

What Is Age-Related Macular Degeneration (AMD)?

AMD is a chronic, progressive eye disease that affects the macula, the central part of the retina responsible for sharp, detailed vision. It is typically classified into two main types:

  • Dry AMD: The more common form, characterized by the thinning of the macula and the buildup of drusen (yellow deposits).

  • Wet AMD: A less common but more severe form, where abnormal blood vessels grow under the retina and leak fluid or blood.

Early Symptoms of Age-Related Macular Degeneration (AMD)

  • Difficulty seeing fine details, such as small print or distant objects, even with corrective lenses.

  • Blurred or distorted central vision, affecting activities like reading or recognizing faces.

  • Reduced ability to see clearly in low light conditions or at night.

  • Increased sensitivity to glare from lights or sunlight.

  • Straight lines appearing wavy, bent, or distorted (a key early indicator of macular changes).

  • Gradual loss of sharpness or clarity in central vision over time.

Macular Degeneration

What Is Geographic Atrophy (GA)?

Geographic Atrophy is an advanced form of Dry AMD. It is marked by the gradual loss of retinal cells in the macula, leading to patches of atrophy (cell death). Over time, these patches can enlarge, severely affecting central vision. Unlike Wet AMD, GA does not involve fluid or blood leakage.


GA often begins subtly, making early detection challenging. Common symptoms include:

  • Difficulty seeing in low-light conditions.

  • Central blind spots that expand over time.

  • Loss of sharp, detailed vision, affecting tasks like reading or recognizing faces.

Key Differences Between AMD and GA

Age-Related Macular Degeneration (AMD) includes both Dry and Wet forms, while Geographic Atrophy (GA) is an advanced stage of Dry AMD. AMD often begins with drusen buildup and macular thinning, whereas GA involves the death of retinal cells, leading to distinct areas of atrophy.


GA progresses slowly, causing central blind spots and loss of detailed vision, unlike Wet AMD, which progresses rapidly due to abnormal blood vessel growth and fluid leakage. Treatment options also differ: Wet AMD is managed with anti-VEGF injections, while GA relies on lifestyle changes, AREDS supplements, and emerging therapies aimed at slowing atrophy.

The Importance of Annual Eye Exams

Annual eye exams are crucial for maintaining overall eye health and detecting vision problems early. These routine checkups allow eye doctors to monitor changes in your vision, identify conditions like Age-Related Macular Degeneration (AMD) or Geographic Atrophy (GA) in their early stages, and provide timely treatment to prevent further vision loss.

Take Control of Your Eye Health Today!

Understanding the differences between Age-Related Macular Degeneration (AMD) and Geographic Atrophy (GA) is essential for recognizing symptoms, seeking timely care, and exploring appropriate management options. Regular eye exams, a healthy lifestyle, and early intervention are key to preserving vision and maintaining quality of life.


Schedule your eye exam with Progressive Ophthalmology and take the first step toward protecting your eyesight. Whether it’s monitoring for AMD, Geographic Atrophy, or maintaining overall eye health, we’re here to provide the care and guidance you need. Visit our office in Queens, New York, or call (718) 565-2020 to book an appointment today.