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Macular Degeneration

Fri Jan 05 2024

Preserve Your Vision: Understanding Age Related Macular Degeneration.

As we grow older, our bodies undergo transformations, and our eyes also experience alterations. Macular degeneration is a common condition that affects many middle-aged and older Australians[1]. It is a progressive eye disease that causes damage to the macula, the part of the eye responsible for central vision. Macular degeneration is a leading cause of vision loss in older adults, and understanding this condition is essential to maintaining good eye health[2]. In this article, we will discuss the causes, symptoms, and treatment options for macular degeneration.

 

Types of Macular Degeneration

  • Dry Macular Degeneration

Dry AMD is the more common type of macular degeneration. It occurs when the macula thins and breaks down over time, causing a gradual loss of vision. Dry macular degeneration can cause blurred vision, and difficulty reading, and seeing fine details. It typically progresses slowly and can take years to develop.

  • Wet Macular Degeneration

Wet AMD is less common but more severe than dry macular degeneration. It occurs when abnormal blood vessels grow under the macula, causing leakage and scarring. Wet macular degeneration can cause rapid and severe vision loss and is considered an emergency. It can cause straight lines to appear, wavy, blind spots, and distorted vision.

 

Causes of Macular Degeneration

The exact cause of macular degeneration is not known, but several factors can contribute to the development of this condition, including:

  • Age: Macular degeneration is frequently seen in individuals who are 60 years of age or older.
  • Genetics: People with a family history of macular degeneration are more likely to develop the condition.
  • Lifestyle factors: Smoking, obesity, and a diet high in saturated fat can increase the risk of macular degeneration.
  • Other health conditions: High blood pressure, cardiovascular disease, and diabetes can also increase the risk of macular degeneration.

 

Symptoms of Macular Degeneration

Some of the initial indicators of macular degeneration are:

  • Blurred vision
  • Difficulty seeing in low light
  • Distorted vision (e.g., straight lines appear wavy)
  • Blind spots in central vision

If you notice any of these symptoms, you should make an appointment with an eye doctor immediately. Early diagnosis and treatment can slow the progression of macular degeneration and help preserve your vision.

 

Diagnosis of Macular Degeneration

Diagnosing macular degeneration typically involves a comprehensive eye exam, which may include:

  • Visual acuity test: An assessment of best corrected vision is conducted to evaluate your ability to see clearly at different distances.
  • Dilated eye exam: During a dilated eye examination, your eye doctor will use eye drops to enlarge your pupils and look at your retina. 
  • Optical coherence tomography: This test uses light waves to produce detailed images of the macula.
  • Fundus photography: This test takes high-resolution images of the back of the eye.
  • Amsler grid: This test can help detect changes in your central vision.

 

 

Treatment and Management of Macular Degeneration

While there is no cure for macular degeneration, there are several treatment options available to help slow the progression of the disease and preserve your vision. Treatment options for macular degeneration include:

  1. Anti-VEGF Injections

Anti-VEGF (vascular endothelial growth factor) injections are the most common treatment for wet macular degeneration. These injections work by blocking the growth of abnormal blood vessels under the macula, reducing leakage and scarring. Anti-VEGF injections are usually given monthly or as needed, and they can slow the progression of macular degeneration and improve vision.

  1. Laser Therapy

Laser therapy can be used to treat both dry and wet macular degeneration. This treatment uses a high-energy laser to destroy abnormal blood vessels or seal leaking blood vessels in the macula. Laser therapy can help reduce the risk of vision loss in patients with wet macular degeneration.

  1. Low Vision Aids

Low vision aids, such as magnifying glasses, telescopes, and reading glasses, can help people with macular degeneration make the most of their remaining vision. These devices can make it easier to read, write, and perform other daily activities.

  1. Lifestyle Changes

Making lifestyle changes can also help slow the progression of macular degeneration. Quitting smoking, maintaining a healthy weight, and eating a diet rich in fruits, vegetables, and omega-3 fatty acids can all help reduce the risk of macular degeneration.

 

Can Macular Degeneration be Cured?

Unfortunately, macular degeneration has no cure at present. However, with early diagnosis and treatment, it is possible to slow the progression of the disease and preserve vision. Treatment options such as anti-VEGF injections and laser therapy can help reduce the risk of vision loss in patients with macular degeneration.
 

In addition to treatment, there are several lifestyle changes that you can make to help reduce your risk of macular degeneration. Quitting smoking, maintaining a healthy weight, eating a diet rich in fruits and vegetables and supplementation can all help reduce the risk of macular degeneration or slow its progression.
 

In conclusion, macular degeneration is a common eye condition that affects many Australians as they age. While there is no cure for macular degeneration, there are several treatment options available to help slow the progression of the disease and preserve vision. Early diagnosis and treatment are essential, so if you notice any symptoms of macular degeneration, be sure to make an appointment with an eye doctor as soon as possible.
 

Don't wait until it's too late. If you're over 60 or have a family history of macular degeneration. If you have symptoms of macular degeneration, make an appointment with an eye doctor to protect your vision.