29th April 2024

A 70-year-old woman reports progressive difficulty with reading and recognizing faces over the past year.

A 70-year-old woman reports progressive difficulty with reading and recognizing faces over the past year. She mentions that straight lines appear wavy and there are blank spots in the center of her vision. She has a history of smoking and hypertension. On examination, her visual acuity is 6/24 in both eyes. Fundoscopy reveals drusen and areas of geographic atrophy in the macular region of both eyes. There is no evidence of hemorrhage or fluid leakage in the retina.

Which is the most likely diagnosis?