What is macular degeneration (AMD)?
Macular degeneration is a condition where the small, central portion of the retina, called the macula, loses its ability to detect light normally. This impairs your vision, especially with activities that require attention to detail like reading and writing. It usually develops with age and is especially common in people over the age of 60.
Symptoms
Macular degeneration develops over time and often occurs in both eyes, though each eye may be affected differently in severity and rate of progression. Symptoms may not present in its early stages, but they can differ depending on the type of macular generation you have.
Dry AMD
Dry AMD is the most common type of macular degeneration. It is caused by a gradual deterioration of the light‑sensitive cells in the macula over a number of years.
It can affect your ability to see detail when reading, using the computer, watching television, driving a car, and other daily activities. In the early stages of dry AMD, you may experience little to no symptoms. But as it progresses, you may start to develop a few blind spots in your central vision.
Wet AMD
With wet AMD, there's a sudden and dramatic decline in your central vision, most often in one eye at a time. Wet AMD develops in people with dry AMD, who have showed signs of progression. It is caused by a growth of blood vessels under the macula, which can leak or form scars. It is therefore very important to seek care from your optometrist as soon as possible if you experience unusual symptoms, such as straight lines appearing wavy, distorted, or experiencing blurred vision.
Common causes
Macular degeneration develops with age. Over time, the membrane, the pigment cells, and the light‑sensitive cells of the retina break down and impair your vision.
There are several risk factors associated with macular degeneration:
Increasing age
Gender
Family history
Race
Smoking
Obesity
As genetics has shown to play a role in the development of macular degeneration, it’s important to be aware of the symptoms and have regular eye exams if it runs in your family.
Treatment
Dry AMD
This type of macular degeneration can’t be stopped altogether, but its progression can be slowed by avoiding risk factors like smoking, making some dietary changes, and taking certain nutritional supplements.
Having regular eye exams with an OCT scan is useful for your optometrist to differentiate between the two types and refer you for treatment if wet AMD forms.
Wet AMD
It’s important to start treatment for wet AMD early in order to slow down its progression and therefore the rate of visual loss. Treatments can include medication injections and laser therapy.
Next steps
We want to help you see clearly and keep your eyes healthy for as long as possible. If your optometrist detects any signs of an eye condition during your comprehensive eye exam, they will determine an appropriate management plan that suits your needs.
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If you have dry AMD (where certain cells in the macula at the back of the eye start to degenerate and get thinner), it’s recommended to eat a diet full of fruits and green leafy vegetables, as these are thought to have nutrients, like carotenoids, that support eye health. You should also take care to protect your eyes as much as you can when in sunlight, by using sunglasses and a hat to shade your face. Your optometrist will be able to provide recommendations for best course of management.
Unfortunately, there is no cure or treatment for dry macular degeneration (AMD), but there are options available to help prevent the condition from getting worse.
Dry AMD is gradual and usually takes many years before it becomes a serious problem. The condition can affect both eyes, but the speed at which it progresses may vary between each eye. You should attend have regular comprehensive eye health examinations by your optometrist to determine the state of your condition and best course of management. Evidence suggests that a diet rich in green leafy vegetables can help slow vision loss. This is because green vegetables contain lutein and zeaxanthin, both of which have been linked to maintaining eyesight.
In fact, good nutrition in general is recommended, especially foods high in vitamins A, C and E, such as tomatoes, carrots and oranges. A number of other preventative measures may also be helpful, including:
Stopping smoking
Maintaining a healthy weight
Moderating alcohol consumption
Wearing glasses that protect against UV rays when outside
Once AMD has reached a certain stage that affects vision, there are low‑vision aids that can help with visual deficiencies. Magnifying glasses/lenses, customized reading lights, and larger print reading materials are examples of such aids that can help you with close, detailed work.
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If you have any concerns about your eye health, contact or visit your local optometrist immediately – even if you do not have an appointment.
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