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Age Related Macular Degeneration (Retina) - Vin-R Eye Care Centre

Age Related Macular Degeneration (Retina)

amd

About Age-Related Macular Degeneration (Retina)

Age-Related Macular Degeneration [AMD] causes irreversible visual damage in the elderly. Early determination of conversion of DRY AMD to WET AMD is essential for treatment with Intravitreal Anti VEGF Injections.

AT VIN-R EYE CARE CENTRE we screen all our patients for AMD and follow up DRY AMD patients with serial scans of the MACULA, so that we can attempt to certain the visual loss at the earliest.

Our 3D OCT -1 MAESTRO from TOPCON [Japan] provides high-resolution retinal scans even in small pupils to aid our treatment of AMD.

Age Related Macular Degenration

What is Age-Related Macular Degeneration (AMD)?

Age-Related Macular Degeneration (AMD) is a disease associated with aging, characterized by damage to the central part of the retina called macula.

What is DRY AMD?

It is the most common form found in 90% of patients. Dry AMD occurs when the macular tissues get thin and slowly lose function. The most common symptom of dry AMD is a blurred vision which causes difficulty in recognizing faces, increases the light requirement for reading and other tasks. Visual deterioration is slow but usually not profound. About 10-20% of people with dry AMD advance to the wet form.

Symptoms of AMD

  • Diminution of vision is an important symptom of macular degeneration. This lack of ability to see objects clearly affects one’s ability to read, drive, and see details.
  • Straight lines appear crooked or wavy.
  • A dark area appears in the center of vision e.g. words in the central part of the page look smudged.

Having one or more of these symptoms may not necessarily mean that one has AMD and it warrants an immediate eye check-up (early detection is important).

What is Wet AMD?

It is the less common but more aggressive form of AMD. If it is not treated it may get worse rapidly. Wet AMD is caused by the proliferation of abnormal blood vessels under the retina which may exude or leak out fluid, or bleed and ultimately lead to the formation of a scar under the retina.

Risk Factors

Age – is the greatest risk factor. Although AMD can occur during middle age, studies show that people over 60 years of age are at great risk. The risk increases with increasing age.

Family History of AMD increases the risk.

Race – White populations are more predisposed to suffer vision loss from neovascular AMD than Asian or African populations.

Smoking has a definite correlation.

History of hypertension, heart disease, or lung infection adds to risk.

Treatment

Regular Amsler grid monitoring to detect the conversion of dry form to wet form is important.

Precautions and Lifestyle changes

  • Yearly complete eye check-up.
  • Regular Amsler monitoring once the patient is diagnosed to have AMD.
  • Anti-oxidants to decrease the progression of AMD.
  • A healthy diet is rich in green leafy vegetables and fish.
  • Avoid smoking.
  • Maintain normal BP.
  • Exercise and avoid obesity.