From the patient’s perspective, the delay in symptom recognition can be addressed to a certain extent by self-examination. Patients, especially those with an increased risk of developing nvAMD, should be educated and made aware of symptoms such as new visual distortion and sudden reduction in vision. This can be achieved by encouraging patients to use suitable spaced self-tests of vision which examine one eye at a time to prevent compensation from the good eye. The standard Amsler test has long been recommended as the standard self-monitoring test, but there has been increasing reservation about its utility as a diagnostic tool due to its insufficient reliability and variable sensitivity.32 33 The advent of more innovative, cost-saving technologies may circumvent these issues and make implementation of self-examination on a wider public scale more feasible in the near future.34 35