Age-Related Macular Degeneration

The image provides a comprehensive overview of Age-related Macular Degeneration (AMD), including its risk factors and a progression scale with corresponding fundus characteristics. Based on the information presented in the image, which of the following statements accurately describes the key change in fundus findings when progressing from Early AMD (Grade 2) to Intermediate AMD (Grade 3)?

A 68-year-old woman with a 2-year history of dry age-related macular degeneration presents with acute onset of wavy lines (metamorphopsia) and a central scotoma that has worsened over 3 weeks. Visual acuity has dropped from 6/18 to 6/60 in the right eye. Fundoscopy shows a grayish-green subretinal membrane beneath the fovea with associated retinal elevation. Optical coherence tomography (OCT) reveals intraretinal and subretinal fluid with a hyperreflective membrane. Fluorescein angiography shows early hyperfluorescence with late leakage from the membrane. What is the most appropriate next step in management?

A 68-year-old Indian woman presents with gradual loss of central vision over the past 6 months. She reports seeing wavy lines (metamorphopsia) when looking at straight edges and has difficulty reading. Visual acuity is 6/24 in both eyes. Fundoscopy reveals choroidal neovascularization (CNV) with subretinal hemorrhage and lipid exudates in the macula of the right eye. The left eye shows drusen and retinal pigment epithelial changes. What is the most appropriate next step in management?

A 72-year-old Indian man presents with gradual onset of blurred central vision for 6 months. He reports difficulty reading newspapers and recognizing faces, though he can navigate his home without difficulty. Visual acuity is 6/36 in both eyes. Fundoscopy reveals multiple small yellowish deposits beneath the retina in the macula with areas of retinal pigment epithelium (RPE) atrophy. Optical coherence tomography (OCT) shows drusen and RPE changes but no subretinal fluid or choroidal neovascularization. What is the most likely diagnosis?

A 72-year-old Indian man presents with gradual onset of blurred central vision for 6 months. He reports difficulty reading newspapers and recognizing faces, though he can navigate his home without difficulty. Visual acuity is 6/36 in both eyes. Fundoscopy reveals multiple small yellowish deposits beneath the retina in the macula with areas of retinal pigment epithelium (RPE) atrophy. Optical coherence tomography (OCT) shows drusen and RPE changes but no subretinal fluid or choroidal neovascularization. What is the most likely diagnosis?