Eye Facts> Eye Diseases
Diseases & Conditions: Age Related Macular Degeneration (AMD)
Overview
Age-related macular degeneration (ARMD) is a degenerative condition of the macula (the central retina). It is the most common cause of vision loss in the United States in those 50 or older, and its prevalence increases with age. AMD is caused by hardening of the arteries that nourish the retina. This deprives the sensitive retinal tissue of oxygen and nutrients that it needs to function and thrive. As a result, the central vision deteriorates.
Macular
degeneration varies widely in severity. In the worst cases,
it causes a complete loss of central vision, making reading
or driving impossible. For others, it may only cause slight
distortion. Fortunately, macular degeneration does not
cause total blindness since it does not affect the peripheral
vision.
What is the difference between wet and dry macular degeneration?
AMD is classified as either wet (neovascular) or dry (non-neovascular). About 10% of patients who suffer from macular degeneration have wet AMD. This type occurs when new vessels form to improve the blood supply to oxygen-deprived retinal tissue. However, the new vessels are very delicate and break easily, causing bleeding and damage to surrounding tissue.
Dry
macular degeneration, although more common, typically results
in a less severe, more gradual loss of vision. The dry
type is much more common and is characterized by drusen
and loss of pigment in the retina. Drusen are small, yellowish
deposits that form within the layers of the retina.
Patient
with wet macular degeneration develop new blood vessels
under the retina. This causes hemorrhage, swelling, and
scar tissue but it can be treated with laser in some cases.
What causes macular degeneration?
Macular degeneration may be caused by variety of factors. Genetics, age, nutrition, smoking, and sunlight exposure may all play a role.
Signs & Symptoms
- Loss of central vision. This may be gradual for those with the dry type. Patients with the wet type may experience a sudden decrease of the central vision.
- Difficulty reading or performing tasks that require the ability to see detail.
- Distorted vision (Straight lines such as a doorway or the edge of a window may appear wavy or bent.)
Detection & Diagnosis
Eye physicians usually diagnose AMD. Vision testing, Amsler grid test, ophthalmoscopy, fundus photography and fluorescein angiography are some common tests performed during a retinal exam.
TreatmentThere is no proven medical therapy for dry macular degeneration. However there are several treatments for Wet macular degeneration. Treatments options for Wet Macular Degeneration The Wet form of ARMD need to be treated as soon as it has been detected. There are several . Dr. Campbell will discuss all the optins that are out there for you. In fact at times he will suggest a combination of treatments. These different forms of therapy are for those who experience central vision loss from the classic form of Wet ARMD, the leading cause of blindness in people over age 50 in the Western world. These Therapies include: Laser Photocoagulation Photodynamic
Therapy with Visudyne Macugen
Injection The goal of therapy with Macugen is to help slow the progression of your disease and preserve your vision. In clinical trials, patients receiving Macugen lost less vision on average than patients who did not receive Lucentis injection |
Nutrition and Macular Degeneration
Several recent studies have indicated a strong link between nutrition and the development of macular degeneration. It has been scientifically demonstrated that people with diets high in fruits and vegetables (especially leafy green vegetables) have a lower incidence of macular degeneration. More studies are needed to determine if nutritional supplements can prevent progression in patients with existing disease.
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