www.drmisra.ca
AMD
+ Vitamins
Age related macular degeneration (AMD) is one of the most common causes
of poor vision after age 60. AMD is a deterioration or breakdown of
the macula. The macula is a small area at the center of the retina in
the back of the eye that allows us to see fine details clearly and perform
activities such as reading and driving.
The visual symptoms of AMD involve loss of central vision. While peripheral
(side) vision is unaffected, one loses the sharp, straight-ahead vision
necessary for driving, reading, recognizing faces, and observing details.
The Amsler Grid is a tool that can help patients notice early changes
in their vision related to progression of macular degeneration.
Although the specific cause is unknown, AMD seems to be part of aging.
While age is the most significant risk factor for developing AMD, heredity,
blue eyes, high blood pressure, cardiovascular disease, and smoking
have also been identified as risk factors. AMD accounts for 90 percent
of new legal blindness in the US. In individuals with moderate to severe
AMD, a specific type of vitamin supplement may be helpful. A diet rich
in coloured vegetables, such as carrots and spinach, may be beneficial
in delaying progression of disease.
Nine out of 10 people who have AMD have the dry form (called atrophic),
which results in thinning of the macula. Dry AMD takes many years to
develop. Currently there is no treatment for this form of AMD.
The wet form of AMD (called exudative) is less common (occurring in one out of 10 people with AMD), but is more serious. In the wet form of AMD, abnormal blood vessels may grow in a layer beneath the retina, leaking fluid and blood and creating distortion or a large blind spot in the center of your vision. If the blood vessels are not growing directly beneath the macula, laser surgery is an effective treatment for wet AMD. The procedure usually does not improve vision but prevents further loss of vision. For those wet AMD patients whose blood vessels are growing directly under the center of the macula, a procedure called photodynamic therapy (PDT) may be used to treat some patients with fewer visual side effects than other treatments. More recently, new medications that target the growth of blood vessels have been developed. When injected into the eye, they too can help reverse the ill effects of macular degeneration in certain patients.
Promising AMD research is being done on many fronts. In the meantime,
high-intensity reading lamps, magnifiers and other low-vision aids help
people with AMD make the most of their remaining vision.
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Eye Diseases
117 King Street East, Second Floor at the Oshawa
Clinic, Oshawa, Ontario, L1H 1B9
Phone: (905) 721-4914 Fax: (905) 721-4918