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Ocular Disease: Macular Degeneration

What is macular degeneration?

A degenerative disease that causes the loss of vision in the central part of the visual field. Also referred to as Age-Related Macular Degeneration (AMD or ARMD), this disorder is the most common cause of vision loss among individuals over age 65 and the leading cause of vision loss in America. The exact cause of the disease is unknown.

The macula is located in the center of the retina. It is responsible for providing sight in the center of the visual field and allows for reading and viewing objects in fine detail. When the macula becomes damaged, central vision is impaired, but peripheral vision is unaffected. People who have macular degeneration experience diminished vision, but do not become blind.

There are two main types of macular degeneration: dry and wet. The dry form is the most common and is due to the thinning of macular tissue with age. It tends to develop slowly and results in gradual loss of vision. Wet macular degeneration occurs with much less frequency, but presents a much more significant threat of sudden vision loss. This form occurs when neovascularization (growth of new blood vessels) takes place beneath the retina. These new vessels tend to be weak and often leak blood an other fluids. This leakage may cause a significant blind spot in the center of the visual field.


Symptoms

Patients with this disorder experience a gradual loss of visual acuity and diminished color vision. A dark area may be visible in the center of the visual field. One may notice that normally straight lines, such as printed sentences, may appear wavy and distorted.

Risk Factors

  • Age - risk increases with age, particularly after age 60
  • Family history

Treatment

To date there is no treatment for dry macular degeneration. Some have theorized that taking certain supplements such as antioxidants or zinc may be beneficial to patients with the dry form. Laser surgery may be an option for patients with wet macular degeneration.

Prevention

There is no known cause for this disease. Regular comprehensive eye examinations can result in early detection and diagnosis. This combined with proper treatment can help to minimize the symptoms of this disease and improve quality of life.

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