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Journal of Clinical Medicine
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  • Perspective
  • Open Access

9 November 2025

Fixation Stability as a Surrogate for Reading Abilities in Age-Related Macular Degeneration: A Perspective

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1
Department of Neuroscience-Ophthalmology, University of Padova, 35128 Padova, Italy
2
IRCCS-Fondazione Bietti, 00198 Rome, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med.2025, 14(22), 7941;https://doi.org/10.3390/jcm14227941 
(registering DOI)
This article belongs to the Section Ophthalmology

Abstract

Age-related macular degeneration (AMD) significantly impacts central vision, fixation site and stability and reading abilities. This work aims to analyze the relationship between retinal fixation parameters measured using microperimetry and reading performance in patients with AMD. We identified the role of fixation stability measurement in the evaluation of reading abilities and discussed its implications both in clinical practice and in clinical trials. Our analysis highlights the importance of retinal fixation assessment as a precise surrogate for evaluating reading ability outcomes in AMD patients and as new clinical endpoint to demonstrate the functional effects of present and emerging target therapies.

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