Delays from symptom onset to treatment can be experienced at different stages of the patient care pathway for new onset nvAMD. These include: (1) time of first symptom onset to presentation at primary care practitioner, (2) time from primary care referral to presentation at ophthalmic clinic and (3) time from ophthalmic clinic to first IVT treatment (figure 1).14 These early stages of the care pathway also represent the periods during which lesions may be most active and amenable to the benefits of therapy.15