Contrary to popular opinion vision loss in old age can be due to a number of diseases like cataract age related macular degeneration (ARMD) or glaucoma. What is nonchalantly dismissed as normal slowly leads to irreversible blindness if not treated in time. As our average life expectancy is increasing India too is slowly witnessing the rise of ARMD as a major cause of blindness in the elderly. It has been estimated that it is the most common cause of blindness is 60% of the elderly population with 7-10% of people over the age of 60 years being diagnosed with AMDR.