Macular degeneration

Age‑related macular degeneration (AMD) is a progressive retinal condition that affects your central vision.

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.

Book an eye exam

Get answers to your questions

https://images.ctfassets.net/9iidzgmcsjdo/5MOHMWWLzVZVlGi5prM4Rl/e879542e8756c2f5bc061ec35a095ad1/dr_darshan_singh-optometrist_partner.jpg

Dr. Darshan S. Matharu

Dr. Darshan S. Matharu is a licensed optometrist with the College of Optometrists of British Columbia. He is the optometrist partner at Specsavers Terra Nova in Richmond BC and also serves on the Optometry Steering Group for British Columbia, which helps strategize and develop new clinical programs for Specsavers Canada.

Noticed a change in your eyesight?

If you have any concerns about your eye health, contact or visit your local optometrist immediately – even if you do not have an appointment.

Discover more about vision

  • An optometrist is treating a patient

    Eye conditions

    Find the symptoms, causes and treatments of a whole range of eye conditions and vision problems.

    See more eye conditions
  • Specsavers independent optometrist

    Find a local store

    Pay us a visit and browse our wide selection of glasses, sunglasses and contact lenses.

    Find a store
  • Eye exam

    Eye health

    Your eyes can actually tell us a lot about your general health.

    Learn about eye health