Macular degeneration – What you need to know

Macular degeneration - What you need to know

Macular degeneration is a condition that affects the macula, which is the part of the eye that is responsible for central vision. This condition typically occurs in older adults and can cause vision loss, difficulty with reading, and other activities that require fine visual detail. There are two main types of macular degeneration: wet and dry. Wet macular degeneration occurs when abnormal blood vessels grow under the macula, while dry macular degeneration is caused by the thinning and deterioration of the tissues of the macula. There is no cure for macular degeneration, but there are treatments that can slow its progression and help to preserve vision. These include medication, surgery, and lifestyle changes. It is important to see an eye doctor regularly to monitor the condition and receive appropriate treatment.

What is Macular degeneration?

Among adults over 50, dry macular degeneration is a prevalent eye condition. As a result of the inner macula layers disintegrating, it results in impaired or diminished central vision. The portion of the retina known as the macula provides the eye with sharp vision while looking directly in front of it.

One eye may experience the onset of dry macular degeneration before the other. Additionally, it might appear in both eyes at the same time. The ability to read, drive, and identify people may all be impacted when eyesight deteriorates with time. However, having dry macular degeneration does not guarantee total blindness. People often just lose their central vision, keeping their peripheral vision. 

Some suffer from only a slight loss of central vision. Others may experience a more severe case. The loss of vision caused by dry macular degeneration may be postponed with early identification and self-care methods.

Symptoms

Symptoms of dry macular degeneration often appear gradually and painlessly. They may consist of:

visual alterations, such as the appearance of bent straight lines.

a decrease in one’s or both eyes’ central vision.

the want for more illumination when reading or performing close-up work.

more difficulty adjusting to low light conditions, such as when entering a theatre or restaurant that is barely illuminated.

Words written in print become hazier.

Faces are difficult to recognize.

a distinct blind patch or hazy area in the field of view.

One or both eyes might be affected by dry macular degeneration. It’s possible that you won’t notice any changes in your eyesight if only one eye is damaged. This is because your healthy eye could make up for your impaired eye.

Additionally, since the disorder does not impair side vision, it does not result in complete blindness.

One of the two kinds of age-related macular degeneration is dry macular degeneration. When blood vessels under the retina enlarge and leak, it can proceed to wet macular degeneration. The dry form is more prevalent, although it often develops gradually over years. The wet kind is more likely to result in a significant loss of eyesight due to a rather abrupt shift in vision.

Causes of Macular degeneration

Nobody is certain of the specific aetiology of dry macular degeneration. According to research, it could be caused by a mix of environmental variables including smoking, obesity, and food as well as family genes.

The problem worsens as the eye matures. The macula is impacted by dry macular degeneration. The region of the retina called the macula is in charge of maintaining sharp eyesight in the line of sight. The macula’s tissue may deteriorate and lose vision-producing cells over time.

Diagnosis

In addition to doing a thorough eye exam, your eye doctor may use your medical and family history to make a diagnosis. Additional testing might be carried out, such as:

Check the area behind your eye: Your eye doctor will use medications to dilate your pupils and a specialized tool to look at the back of your eye. The eye doctor searches for drusen, which are yellow deposits that develop behind the retina and give the eye a mottled appearance. Those who have macular degeneration frequently have a lot of drusen.

a check to see whether your vision center has changed. Your eye doctor could use an Amsler grid to check for changes in the center of your vision during an eye exam.

Some of the straight lines in the grid may appear faded, fractured, or distorted if you have this.

angiography using fluorescein: Your eye doctor will inject a dye into an arm vein during this procedure. Your eye’s blood vessels are highlighted by the color as it goes there. As the dye passes through the blood arteries, a specialized camera snaps a number of images. Your retinal or blood vessel alterations, which are an indication of wet macular degeneration, will be seen in the photographs.

angiography using indocyanine green: This test makes use of an injected dye, just like fluorescein angiography. It can be utilized in conjunction with fluorescein angiography to detect particular forms of this.

A CT scan using optical coherence: The retina is seen in great detail in cross-section in this non-invasive imaging examination. It shows regions of the retina that could be thinned, thickened, or swollen. These may develop as a result of a fluid accumulation from blood vessel leaks in and under your retina.

Treatment for Macular degeneration

There is currently no method to undo the harm caused by dry macular degeneration. But there are many clinical studies running right now. If your problem is identified early on, you can take action to slow down its growth by quitting smoking, taking vitamin supplements, and maintaining a nutritious diet.

Your side vision is unaffected by age-related this, and it often does not result in complete blindness. However, it may weaken or perhaps take away your center vision. Reading, driving, and recognizing faces all require central vision. You could benefit from receiving therapy from an occupational therapist, an expert in low vision rehabilitation, your eye doctor, and others. They can assist you in figuring out how to adjust to your shifting eyesight.

Conclusion

Age-related macular degeneration (AMD) is a condition that affects the central part of the retina, known as the macula. The macula is responsible for providing sharp, central vision, which is necessary for activities such as reading and driving. AMD is a leading cause of vision loss in older adults, and it can make it difficult for people to perform daily activities. There is no cure for AMD, but treatment can slow the progression of the condition and help people maintain their vision.

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