Understanding Macular Degeneration: Types, Causes, Symptoms & Treatments

Understanding Macular Degeneration: Types, Causes, Symptoms & Treatments
6 min read

Macular degeneration affects central vision and is most common in people over 50. This condition can have a significant impact on a person's peripheral vision, but not their ability to see directly in front. This comprehensive guide will examine the causes, symptoms and treatments of macular degeneration. Understanding this condition allows individuals to take proactive measures in order to maintain their eye health.

Macular Degeneration Types

There are two types of macular degeneration: wet and dry.

Dry Macular Degeneration

Atrophic macular deterioration, or dry macular degeneration as it is also called, is the most common type of this condition. It accounts for 90% of all cases. The condition occurs when small yellow protein deposits, called drusen, accumulate under the macula. This causes it to thin and dry. Dry macular degeneration is a gradual process, which may not result in a complete loss of central vision. In some cases, however, dry macular disease can progress into the wet form.

Wet Macular Degeneration

The condition is more severe when it's called wet macular. This condition occurs when abnormal vessels form beneath the macula and retina. They begin to leak fluid and blood. This fluid leakage can lead to a bulge of the macula and dark spots appearing in the center vision. About 10% of those with macular degeneration suffer from a wet type, which can quickly lead to a total loss of vision in the central area.

Causes and risk factors

Other factors can also contribute to macular degeneration. Understanding the causes and risk factors of macular degeneration can help people make informed lifestyle decisions to reduce their chances.

Age

Age-related macular disease (AMD) is a condition that primarily affects the elderly. After the age of fifty, AMD is more likely to occur.

Genetics and Family History

A family history of the condition can increase the risk of an individual developing it. Some genetic factors could play a part in its development.

Smoking

Macular degeneration is strongly associated with smoking. Smokers are at a higher risk of developing the condition, and experiencing more severe vision loss than non-smokers.

Obesity and High Blood Pressure

Macular degeneration is more likely to occur in individuals with high blood pressure.

Diet

Macular degeneration may be accelerated by a diet low in nutrients and high in saturated fats, especially leafy green vegetables, fish and other foods.

Ethnicity

Although macular degeneration affects people of all ethnicities, it is more common among Caucasians.

Macular Degeneration Symptoms

Macular degeneration symptoms can vary according to the type and stage of the condition. Regular eye examinations are crucial to detect early-stage dry macula degeneration. As the condition advances, these symptoms may appear:

  • Vision blurry or fuzzy

  • Difficulty recognizing familiar faces

  • Straight lines that appear distorted or waved

  • Blind spots or dark areas in the central vision

  • Loss of central sight, which is required for driving, reading and performing close-up work

It is vital that individuals seek medical attention as soon as they notice these symptoms.

Macular Degeneration Diagnosis

Macular degeneration is diagnosed by a comprehensive eye exam and specialized tests performed by eye care professionals. These diagnostic procedures help determine the type and stage of macular disease.

Comprehensive Eye Examination

Macular degeneration is diagnosed by a comprehensive eye exam. This exam may include:

  • Visual acuity Test: Measures an individual's ability to see at various distances.

  • Pupil dilation - Widen the pupil using eye drops for a more detailed retinal examination.

  • Fluorescein angiogram: This involves injecting a dye into a vein in order to assess blood vessel leakage. It also allows for the evaluation of potential treatment options.

  • OCT: Produces detailed retinal images to measure its thickness and detect abnormalities.

Treatment Options

There is no cure for Macular Degeneration. However, there are many macular degeneration treatment options available based on the type and severity of the condition. Macular degeneration can be managed effectively with early detection and timely interventions. Treatment options include:

Dry Macular Degeneration

There is currently no treatment available for dry macular deterioration. Lifestyle modifications and regular eyecare can help people manage this condition and slow down its progression. These measures include:

  • A diet rich in nutrients, especially foods that are high in vitamins, minerals, and antioxidants.

  • Exercise regularly to improve your health and wellbeing.

  • Stop smoking to reduce your risk of further loss of vision.

Wet Macular Degeneration

Treatment options for wet macular degeneration include a variety of therapeutic approaches that aim to slow or stop the progression. Treatment options include:

  • Anti-VEGF medications: These medications can be injected directly into the eye, preventing the abnormal growth of vessels. They also reduce the leakage and prevent further damage to the Macula.

  • Photodynamic therapy (PDT), a combination of laser and medications, is used to destroy abnormal blood vessels.

  • Laser treatment: In certain cases, laser therapy may be used to seal leaky blood vessels or destroy abnormal tissues.

Macular Degeneration: Living with Macular Degeneration

Macular degeneration, especially in the late stages or bilateral cases, can have a significant impact on an individual's life. There are resources and strategies available to assist individuals in maintaining their independence.

  • Vision rehabilitation programs are designed to help individuals maximize their remaining sight, perform everyday tasks, and adapt to life with macular disease.

  • Low vision devices can help individuals with low sight to read, write, and perform other tasks.

  • Support groups and counseling are available to help people cope with the emotional difficulties associated with loss of vision.

The conclusion of the article is:

Macular degeneration affects mainly people over 50 years old. It is important to understand the causes, symptoms and treatments available for the condition. Individuals can preserve their vision by adopting a healthy life style, getting regular eye examinations, and addressing symptoms promptly. Early detection and timely interventions are essential in managing macular disease.

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Ankit Shah 2
Joined: 1 year ago
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