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New Age-Related Macular Degeneration Research Study

Returning?

A A A

We do research to help people recognize the faces of their loved ones.

You may be eligible for inclusion in an NIH-sponsored study if you have Age-Related Macular Degeneration (AMD). We are located at the Sue Anschutz-Rodgers Eye Center at the Anschutz Medical Campus in Aurora, Colorado.

Project Title: University of Colorado Age-Related Macular Degeneration Registry

Purpose of the study: To gain insight into the causes of AMD and to study biomarkers in the blood that are linked with AMD

You might qualify if you:

Are 55 years of age or older
Have an early or intermediate form of AMD
Have no other existing serious disease of the eye
Do not have the advanced forms of AMD
Do not receive injections for AMD

Participation will involve at no cost:

An initial baseline visit
An annual follow-up visit for approximately 4 years
Compensation is provided.

The research visits will include:

Collection of medical and ocular history
A blood draw
Dilated imaging of the eye
Examination of visual acuity

COMIRB # 14-0740

PI: Naresh Mandava, MD

Please contact us at AMDregistry@cuanschutz.edu or (720) 848-2479 with any questions regarding our study.

If you are interested in participating, please complete the survey below.

It should take about five minutes to complete. One of the study coordinators on our research team will contact you in 1-3 business days.

If you prefer to speak with a study coordinator on the phone instead of filling out this survey, you may call us at (720) 848-2479 during our business hours: Monday-Friday, 8:00am-4:00pm.

Thank you for your interest in the University of Colorado Age-Related Macular Degeneration Registry!

Are you 55 years of age or older?

You must be 55 years of age or older to participate in this study.

* must provide value

Yes

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Have you ever received injections into your eye for AMD or for another eye-related condition?

We are looking for participants who have never received an intravitreal injection.

* must provide value

Yes

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What type of Age-Related Macular Degeneration (AMD) do you have?

We are looking for participants who have an early or intermediate form of AMD.

* must provide value

Early

Intermediate

Some form of advanced

Uncertain

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Do you have the dry or wet form of AMD?

We are looking for patients who have the dry form of AMD.

* must provide value

Dry

Wet

Uncertain

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How often do you see your eye doctor?

* must provide value

Once per year

Once every six months

Once every three months

More often than every three months

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Have you seen your eye doctor within the past six months?

* must provide value

Yes

If you have diabetes, has your doctor mentioned that it affects your eye(s)?

* must provide value

I don't have diabetes.

Yes, diabetes effects my eye(s).

No, my diabetes does not effect my eye(s).

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Has your doctor informed you about any other serious eye conditions? Please select the conditions that may apply to you:

* must provide value

Diabetic Retinopathy

Macular edema

Retinal detachment

Central serous retinopathy (CSR or CSCR)

Macular Hole

Ocular melanoma

Macular dystrophy

Telangiectasia (Mac Tel)

Corneal Transplant

None of these conditions apply to me

Uncertain if any of these conditions apply to me

Please list any other eye conditions that you have.

If you don't have any, please write "none".

Examples:

Glaucoma
Cataracts/ have had cataract surgery
BRVO or CRVO
Uveitis
Hypertensive retinopathy
Vitreous hemorrhage
None

* must provide value

Your Name:

* must provide value

Phone Number:

A study coordinator will contact you by phone if you meet our eligibility criteria.

* must provide value

Email Address:

You will not be sent any automatic messages or promotions. Your information is highly confidential and will not be shared.

* must provide value

City, Zip Code
Your information is highly confidential and will not be shared.

What time of day do you prefer that we contact you?

* must provide value

Morning

Afternoon

Both are okay

How did you find out about the AMD Registry?

Facebook

Nextdoor

Google

My doctor

Friend / someone I know

University Newsletter

Anschutz Research Studies webpage

My community

Email Blast

Flyer

Brochure

Other

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.