Dark Adaptation as an Early Indicator of Response to Statin Therapy for Intermediate AMD

Inclusion Criteria:

• All subjects with intermediate AMD diagnosis in one or both eyes will be considered,regardless the severity stage and subtype of disease in the other eye. High-risk iAMD (numerous large, confluent drusen covering ≥ 0.5 disk area, with or withoutpigmentary changes but having no evidence of GA or CNV) in the study eye Subjects can have either:

(i) Bilateral high-risk iAMD, or (ii) High-risk iAMD in one eye with GA and/or CNV in thefellow eye.

Exclusion Criteria:

• Patient previously taking high dose Atorvastatin 80 mg
• Patients previously taking other statins than high dose atorvastatin, in whom primarycare provider (PCP) feels cannot be safely moved to high dose atorvastatin or those inwhich high dose atorvastatin is deemed contraindicated by PCP
• Patients with known adverse reaction to statins
• Patients with severe renal disease or multiple comorbidities
• Age >85 years
• Pregnancy
• Patients with concomitant use of cyclosporine
• Active uveitis;
• Ocular infection;
• Any retinopathy other than AMD;
• Media opacities;
• Refractive error equal or superior to 6 diopters (spherical equivalent);
• Any previous retina surgery;
• Other ocular surgery or intra-ocular procedure in the study eye (injection other thananti angiogenic injection, laser) within the 90 days prior to enrollment