Macular Degeneration – Causes, Symptoms, Management Options, and More

Human bodies evolve at every stage of life, and as people age, their bodies begin to weaken, and various organs begin to slow down. One specific change with age is deterioration or loss of vision. Macular degeneration is an eye condition that worsens with advancing age and contributes to vision loss in those aged 50 and older. Here is all one should know about its causes, symptoms, treatments, and more.
Age-related macular degeneration
This is the most frequent cause of significant vision loss in people 50 years and older. The illness only affects the central vision. However, it is uncommon for people to go blind due to this damage. AMD impedes the ability to see tiny details and the center of the vision. The macula, a portion of the retina, is damaged in this condition. People in advanced stages lose their ability to drive, see faces, and read smaller print.
Types of AMD
The two main kinds of age-related macular degeneration are of two types:
The most prevalent form of AMD, accounting for about 80% of cases, is dry AMD. The specific cause of this is yet unknown; however, genetic and environmental factors may play a role in how it develops. It occurs due to the macula’s light-sensitive cells gradually deteriorating, usually one eye at a time. Here, vision loss happens gradually and slowly. This problem could also develop if a crucial support membrane beneath the retina is damaged.
Although less common, wet AMD causes more severe vision loss in patients than dry AMD. This occurs as a result of abnormal blood vessel development behind the retina. It results in leaky blood and fluid flow in the eye, creating a blind spot in the center of vision.
Causes of AMD
Older people are more likely to develop age-related macular degeneration. AMD is a hereditary eye condition, but the source of this degeneration is unknown. However, research indicates that some elements may have a role in its development. Here are some of these causes:
Age
Studies have indicated that AMD is more common in people over 60.
Genetic predisposition
People with specific genes associated with AMD in their family are more likely to contract the condition.
Cardiovascular condition
AMD is more likely to affect people with heart conditions or blood vessel problems.
Symptoms of AMD
Although each person’s symptoms may vary, these are typical signs observed:
- Having hazy or blurry vision
- Having trouble recognizing familiar faces
- Straight lines appear wavy.
- The center of the field of vision has a blind spot, a black, empty space.
- Loss of central vision, which is required for close-up work, reading, driving, and recognizing faces
One of the most typical early signs of this condition is the development of microscopic yellow deposits called drusen in the retina. It may suggest the onset of severe AMD. However, some symptoms may be similar to those of other eye conditions. Therefore, it is critical to consult a doctor if someone has any of these symptoms to avoid complications.
Diagnosis of AMD
Through routine eye exams, this condition can be detected in its early stages, allowing the proper treatment to be administered at the right time. The doctor can also examine the retina and macula for changes. To diagnose AMD, an eye doctor may do the following tests in addition to a thorough medical history and eye examination:
Visual acuity test
This common eye chart exam checks vision ability at various distances.
Pupil dilation
Here, eyedrops enlarge the pupil to examine the eye’s retina up close.
Fluorescein angiography
This method includes injecting a specific dye into an arm vein to diagnose age-related macular degeneration. The doctor then photographs the dye as it travels through the retina’s blood vessels, enabling the doctor to assess whether or not the leakage is curable.
Optical coherence tomography (OCT)
This imaging tool captures precise pictures of the retina and macula. This process isn’t intrusive or uncomfortable. When a person stares into the lens, it simply takes a photograph of the eye.
OCTA (optical coherence tomography angiography)
This procedure uses laser light reflection and the OCT scanning instrument. It produces 3D images of blood flow through the eye in only a few seconds.
Treatment options
There isn’t a fully effective treatment for this problem. Only the initial symptoms can be slowed to lessen the severity of the condition. This disorder might sometimes recur even after comprehensive treatment. However, a few management options can be considered depending on age, general health, and medical history.
Programs for vision rehabilitation and low-vision equipment can improve visual abilities, create new routines for daily tasks, and help people cope with age-related macular degeneration.
Wet AMD is mainly treated with injections of anti-VEGF cure. High levels of VEGF in the eye lead to abnormal blood vessel formation. Anti-VEGF remedies are intended to slow the condition’s progression and lessen the adverse effects of these leaky abnormal blood vessels. They can also successfully stabilize vision in a lot of patients.
Natural supplements, such as a vitamin and mineral combination, have been shown in studies to reduce the growth of dry AMD. Supplements containing vitamins C and E, lutein, zinc, copper, zeaxanthin, and beta-carotene can help alleviate symptoms.
In photodynamic therapy, excess blood vessels in the eye are destroyed using a laser and an injectable light-sensitive tool. This procedure can be combined with anti-VEGF treatment.
Prevention of AMD
Although this is a hereditary condition that can develop with age, some steps can be taken to avoid it, such as:
- Consume plenty of vegetables like spinach and kale because they are high in vitamins, minerals, and antioxidants. These nutrients aid in preventing the cellular harm caused by free radicals, which can be a factor in eye illness.
- Overexposure to harsh sunlight can harm the retina. Thus, wearing sunglasses and other protective gear can lower the risk.
- Hypertension can also cause poor blood circulation, restricting blood flow to the eyes and causing AMD. Maintaining a healthy lifestyle can fend off numerous illnesses, including AMD.