Geographic atrophy can develop long before traditional visual acuity testing reflects the true impact of disease, making early identification critical in patients with age-related macular degeneration (AMD). In this discussion with Dr. Brian McDonough, Dr. Jaclyn Kovach reviews the imaging findings and biologic drivers associated with geographic atrophy progression and shares practical approaches to patient monitoring. Dr. Kovach is a Professor of Clinical Ophthalmology and the Fellowship Director at the University of Miami Miller School of Medicine's Bascom Palmer Eye Institute.